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Road injury prevention in China: current state and future challenges

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Abstract

In just a few decades, China has undergone probably the fastest motorization of a transportation system in history. Now possessing the longest roadway network and the highest volume of car sales in the world, China has also faced major public health impacts from adopting automobiles, including air pollution and traffic fatalities. This paper synthesizes various sources to present the challenges to road safety in China. The country’s rapid development expresses many patterns and features familiar to developed nations, such as declining urban density, increased use of sport utility vehicles, and strict drunk-driving laws. It also mirrors patterns familiar to developing nations—high-fatality rates for pedestrians and nondrivers, low salaries and corruption among police officers, and infrequent seat-belt use. Despite these similarities, China also exhibits particular attributes, such as a nationwide cadre evaluation system and tightly controlled media organization, which influence the traffic risks that receive national attention.

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References

  1. Routley V, et al. Attitudes to seat belt wearing and related safety features in two cities in China. Int J Inj Contr Saf Promot. 2009;16:15–26.

    Article  Google Scholar 

  2. Sperling D. Two billion cars: driving toward sustainability. Oxford: Oxford University Press; 2009.

    Google Scholar 

  3. Pucher J, Peng Z, Mittal N, Zhu Y, Korattyswaroopam N. Urban transport trends and policies in China and India: impacts of rapid economic growth. Transp Rev. 2007;27:379–410.

    Article  Google Scholar 

  4. Yan K. Road-building rage to leave U.S. in dust. The Wall Street Journal; 2011.

  5. Perkowski J. After a surge in sales in 2016, what can we expect from China’s auto industry this year? Forbes; 2017. http://www.forbes.com/sites/jackperkowski/2017/02/01/after-a-surge-in-sales-in-2016-what-can-we-expect-from-chinas-auto-industry-this-year/. Accessed 24 May 2017.

  6. Li Q, He H, Liang H, Bishai DM, Hyder AA. One outcome, many trends: understanding national data sources for road traffic fatalities in China. Am J Public Health. 2016;106:1793–5.

    Article  Google Scholar 

  7. Ma S, Li Q, Zhou M, Duan L, Bishai D. Road traffic injury in China: a review of national data sources. Traffic Inj Prev. 2011;13:57–63.

    Article  Google Scholar 

  8. Haddon W. The changing approach to the epidemiology, prevention, and amelioration of trauma: the transition to approaches etiologically rather than descriptively based. Am J Public Health Nations Health. 1968;58:1431–8.

    Article  Google Scholar 

  9. Wang D, Chai Y. the jobs-housing relationship and commuting in Beijing, China: the legacy of Danwei. J Transp Geogr. 2009;17:30–8.

    Article  Google Scholar 

  10. Kwan M-P, Tana CY. Reflections on the similarities and differences between Chinese and US Cities. Asian Geogr. 2014;31:167–74.

    Article  Google Scholar 

  11. Ta N, Chai Y, Zhang Y, Sun D. Understanding job-housing relationship and commuting pattern in Chinese Cities: past, present and future. Transp. Res. Part Transp. Environ. 2017;52:562–73.

    Article  Google Scholar 

  12. Zhao Z, Zhao J, Shen Q. Has transportation demand of Shanghai, China, Passed its peak growth? Transp Res Rec. 2013;2394:85–92.

    Article  Google Scholar 

  13. Yang J, Gakenheimer R. Assessing the transportation consequences of land use transformation in urban China. Habitat Int. 2007;31:345–53.

    Article  Google Scholar 

  14. Deng F, Jordan P, Goodge M. Reducing traffic accidents in China: strengthening the use of road safety audits. 1–7 (The World Bank, 2012).

  15. Abramson DB. Haussmann and Le Corbusier in China: land control and the design of streets in urban redevelopment. J Urban Des. 2008;13:231–56.

    Article  Google Scholar 

  16. Jiang Y, Gu P, Chen Y, He D, Mao Q. Influence of land use and street characteristics on car ownership and use: evidence from Jinan, China. Transp Res Part Transp Environ. 2017;52:518–34.

    Article  Google Scholar 

  17. Cherry C, Donlon B, Yan X, Moore SE, Xiong J. Illegal mid-block pedestrian crossings in China: gap acceptance, conflict and crossing path analysis. Int J Inj Contr Saf Promot. 2012;19:320–30.

    Article  Google Scholar 

  18. Feng J, Dijst M, Prillwitz J, Wissink B. Travel time and distance in international perspective: a comparison between Nanjing (China) and the Randstad (The Netherlands). Urban Stud. 2013;50:2993–3010.

    Article  Google Scholar 

  19. Wang D, Zhou M. The built environment and travel behavior in urban China: a literature review. Transp Res Part Transp Environ. 2017;52:574–85.

    Article  Google Scholar 

  20. Huo Y, Xu Q. Traffic calming measures applicability research. In: ICTE 2011 560–565 (American Society of Civil Engineers, 2011). https://doi.org/10.1061/41184(419)93.

  21. Herrstedt L. Traffic calming design—a speed management method: Danish experiences on environmentally adapted through roads. Accid Anal Prev. 1992;24:3–16.

    Article  Google Scholar 

  22. Lockwood I. ITE traffic calming definition. ITE J. 2007;6.

  23. Yang J, Feng C, Cao G. Land and transportation development in China: economic analysis of government behavior. Transp. Res. Rec. J. Transp. Res. Board. 2007;2038:78–83.

    Article  Google Scholar 

  24. Ruikar M. National statistics of road traffic accidents in India. J. Orthop. Traumatol. Rehabil. 2013;6:1.

    Article  Google Scholar 

  25. Chin J. Shenzhen takes on China’s ‘Silent Killer’. WSJ Realtime; 2011.

  26. Grabar H. The coming battle over electric bicycles. The Atlantic Cities 2013; http://www.theatlanticcities.com/commute/2013/09/coming-battle-over-electric-bicycles/6763/. Accessed 12 Dec 2013.

  27. Liu Q. Chinese cities crack down on electric bikes. Chinadialogue; 2016. https://www.chinadialogue.net/article/show/single/en/9036-Chinese-cities-crack-down-on-electric-bikes. Accessed 17 May 2017.

  28. The many tricks for registering and using substandard electric bicycles Feibiao Diandongche shangpai taolu. Sina News; 2017. http://sh.sina.com.cn/news/s/2017-02-28/detail-ifyavvsk3818787.shtml. Accessed 17 May 2017.

  29. Dunne MJ. Shanghai paints a misleading picture of China’s car market. Forbes; 2017. http://www.forbes.com/sites/michaeldunne/2017/04/29/shanghai-paints-a-misleading-picture-of-chinas-car-market/. Accessed 13 May 2017.

  30. Kang L, Qing L, Ben Dror M, An F. Developments in fuel consumption of Chinese passenger vehicles Zhongguo chengyongche ranliao xiaohaoliang fazhan. (Innovation Center for Energy and Transportation, 2017).

  31. Leng C, Hu Y. Domestic makers take aim at SUV market. Shanghai Daily; 2017. http://www.shanghaidaily.com/business/auto/Domestic-makers-take-aim-at-SUV-market/shdaily.shtml. Accessed 20 April 2017.

  32. Kwong P. Tencent’s electric car unit to partner in 13.3bn Yuan venture to build green vehicles in Jiangxi Province. South China Morning Post; 2016. http://www.scmp.com/business/companies/article/2042024/tencents-electric-car-unit-partner-133bn-yuan-venture-build-green. Accessed 25 May 2017.

  33. Financial Times. Baidu invests in Chinese electric carmaker NextEV. Financial Times; 2017. https://www.ft.com/content/419db414-cfed-3fd4-a759-5cc680e37174. Accessed 25 May 2017.

  34. China New Car Assessment Program Management Regulation; 2018. China New Car Assessment Program 2018. http://www.c-ncap.org. Accessed 1 Oct 2018.

  35. C-NCAP releases scores of first batch of vehicles for 2018: over 40% of models only scored 2-stars 2018 ban C-NCAP diyipi chexing pingfen gongbu: chao 40% chexing jin huo 2 xing. Sohu 2018. http://www.sohu.com/a/257148837_100010552. Accessed 2 Nov 2018.

  36. Crandall RW, Graham JD. The effect of fuel economy standards on automobile safety. J Law Econ. 1989;32:97–118.

    Article  Google Scholar 

  37. Khazzoom JD. Fuel efficiency and automobile safety: single-vehicle highway fatalities for passenger cars. Energy J. 1994;15:49–101.

    Google Scholar 

  38. Godek PE. The regulation of fuel economy and the demand for “Light Trucks”. J Law Econ. 1997;40:495–510.

    Article  Google Scholar 

  39. White MJ. The, “Arms Race” on American roads: the effect of sport utility vehicles and pickup trucks on traffic safety. J Law Econ. 2004;47:333–55.

    Article  Google Scholar 

  40. Noland RB. Fuel economy and traffic fatalities: multivariate analysis of international data. Energy Policy. 2005;33:2183–90.

    Article  Google Scholar 

  41. Bento A, Gillingham K, Roth K. The effect of fuel economy standards on vehicle weight dispersion and accident fatalities. (National Bureau of Economic Research, 2017).

  42. Li X, Zhao F, Hao H, Liu Z. Analysis on China’s fuel consumption standards and its influences on curb weight. In: Society of Automotive Engineers (SAE)-China Congress. Berlin: Springer; 2016. p. 343–356.

  43. Standing Committee of the National People’s Congress. Road traffic safety law of the People’s Republic of China; 2003.

  44. If passengers do not wear a seatbelt is there a fine? fujiashi bu ji anquandai hui bei fakuan? Sina Automobile; 2018. http://k.sina.com.cn/article_6438935915_17fca5d6b001003p4r.html?from=auto&subch=nauto. Accessed 5 Nov 2018.

  45. To Prevent Drunk-Driving, Harbin City Police Adopt New Tactics, Embodying Humane Enforcement; 2013. www.hljga.gov.cn. Accessed 12 Dec 2013.

  46. Hannon L, Yan W. Gao Xiaosong gets 6 months for reckless driving. China Daily; 2011. http://www.chinadaily.com.cn/china/2011-05/17/content_12526826.htm. Accessed 10 July 2017.

  47. Drunk Driver in Chang’an street causes traffic accident: injured medical expenses in the millions siji jiu hou jiache zai chanan jie zhaoshi xu: shangzhe yiliaofei yi bai wan. Sina News; 2011. http://news.sina.com.cn/s/2011-04-23/021522342992.shtml. Accessed 10 July 2017.

  48. Wang A. The search for sustainable legitimacy: environmental law and bureaucracy in China. Harv. Environ. Law Rev. 2013;37:365.

    Google Scholar 

  49. Hessler, P. Country driving: a journey through China from farm to factory (Harper, 2010).

  50. Conover T. The routes of man: how roads are changing the world and the way we live today. Alfred A: Knopf; 2010.

    Google Scholar 

  51. Zha M. Roads to add 200 cameras a year. Shanghai Daily; 2012.

  52. Wang X. Taking traffic regulations seriously. China Daily; 2013.

  53. Scoggins SE, Obrien KJ. China’s unhappy police. Asian Surv. 2016;56:225–42.

    Google Scholar 

  54. Luo, J. How a Beijing traffic cop lined his pockets. Caixin; 2015.

  55. Rong M, Xu L, Chen F, Zhang S. Guangdong official: electronic policing’s growth is a source of revenue, fines should enter public finances guangdong ren da daibiao:dianziyan fanlan shi chuangshou, fakuan ying na caizheng. Sohu News; 2007. http://news.sohu.com/20070204/n248033033.shtml. Accessed 10 July 2017.

  56. Don’t Curse! Our Everyday Traffic Fines Are Going Here Biema! Women pingshi jiao de weizhang fakuan quan dou qu le zhe. QQ News; 2017. http://view.inews.qq.com/a/20170524A04RT000. Accessed 11 July 2017.

  57. Shenzhen Traffic Police Weixin. How to solve traffic problems? Let’s look at Shenzhen’s Solutions jiaotong nanti zenme bei? lai kankan “shenzhen daan”. Shenzhen Traffic Police Weixin; 2017.

  58. Xin Z, Wills K. China driving schools teaching millions the art of war. Reuters; 2012.

  59. Saving time, saving energy learning to drive. Focus; 2010.

  60. Suo Q, Zhang D, Liu Y. Assessment of the Chinese driver licensing system implemented from 1 Jan 2013 to 30 Sep 2016. Transp Res Part Policy Pract. 2017;100:81–7.

    Article  Google Scholar 

  61. Zhang W, Huang Y-H, Roetting M, Wang Y, Wei H. Driver’s views and behaviors about safety in China—what do they not know about driving? Accid Anal Prev. 2006;38:22–7.

    Article  Google Scholar 

  62. Hessler P. Wheels of fortune. The New Yorker; 2007.

  63. Vernick JS, et al. Effects of high school driver education on motor vehicle crashes, violations, and licensure. Am J Prev Med. 1999;16:40–6.

    Article  Google Scholar 

  64. Jou E. Laughably bad errors in Chinese TV spotted by Netizens. Kotaku; 2013. https://www.kotaku.com.au/2013/04/laughably-bad-errors-in-chinese-tv-spotted-by-netizens/. Accessed 8 May 2017.

  65. Lin X. The social construction of the ‘Auto Dream’: a content analysis of auto advertisements in Southern Weekly (1998–2007). Society; 2010.

  66. Hu G, Baker T, Baker SP. Comparing road traffic mortality rates from police-reported data and death registration data in China. Bull World Health Organ. 2011;89:41–5.

    Article  Google Scholar 

  67. Waldmeir P. China’s doctors not part of society’s elite. Financial Times; 2013.

  68. Huang S, Li R (2016) Attempts to ‘Clean Up Beijing’ target low-cost migrant homes - Caixin. Caixin; 2016. http://www.caixinglobal.com/2016-12-13/101026119.html. Accessed 14 Dec 2016.

  69. Tatlow DK. Chinese doctors becoming the targets of patients’ anger. Sinosphere Blog; 2013. https://sinosphere.blogs.nytimes.com/2013/11/01/doctors-the-targets-of-patients-anger/. Accessed 10 July 2017.

  70. Haddon W Jr. On the escape of tigers: an ecologic note. Am J Public Health Nations Health. 1970;60:2229–34.

    Article  Google Scholar 

  71. Mayhew DR, Simpson HM. The safety value of driver education and training. Inj Prev 2002;ii3–ii8.

  72. Salomez F, Vincent J-L. Drowning: a review of epidemiology, pathophysiology, treatment and prevention. Resuscitation. 2004;63:261–8.

    Article  Google Scholar 

  73. Bradsher K. High and mighty: the dangerous rise of the SUV. (Public Affairs, 2003).

  74. Ossiander EM, Koepsell TD, McKnight B. crash fatality and vehicle incompatibility in collisions between cars and light trucks or vans. Inj Prev. 2014;20:373–9.

    Article  Google Scholar 

  75. Lefler DE, Gabler HC. The fatality and injury risk of light truck impacts with pedestrians in the United States. Accid Anal Prev. 2004;36:295–304.

    Article  Google Scholar 

  76. Wenzel TP, Ross M. The effects of vehicle model and driver behavior on risk. Accid Anal Prev. 2005;37:479–94.

    Article  Google Scholar 

  77. Chutel L. China is exporting facial recognition software to Africa, expanding its vast database. Quartz; 2018.

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  1. University of California, Berkeley, 410 Barrows Hall, Berkeley, CA, 94720, USA

    Gregory Fayard

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Fayard, G. Road injury prevention in China: current state and future challenges. J Public Health Pol 40, 292–307 (2019). https://doi.org/10.1057/s41271-019-00164-7

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