Trends in Automobile Travel, Motor Vehicle Fatalities, and Physical Activity: 2003−2015

Introduction Annual per-capita automobile travel declined by 600 miles from 2003 to 2014 with decreases greatest among young adults. This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. Methods...

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Veröffentlicht in:American journal of preventive medicine 2017-05, Vol.52 (5), p.598-605
1. Verfasser: McDonald, Noreen C., MCP, PhD
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description Introduction Annual per-capita automobile travel declined by 600 miles from 2003 to 2014 with decreases greatest among young adults. This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. Methods Minutes of auto travel and physical activity derived from active travel, sports, and exercise were obtained from the American Time Use Survey. Fatalities were measured using the Fatality Analysis Reporting System. Longitudinal change was assessed for adults aged 20–59 years by age group and sex. Significance of changes was assessed by absolute differences and unadjusted and adjusted linear trends. Analyses were conducted in 2016. Results Daily auto travel decreased by 9.2 minutes from 2003 to 2014 for all ages ( p
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This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. Methods Minutes of auto travel and physical activity derived from active travel, sports, and exercise were obtained from the American Time Use Survey. Fatalities were measured using the Fatality Analysis Reporting System. Longitudinal change was assessed for adults aged 20–59 years by age group and sex. Significance of changes was assessed by absolute differences and unadjusted and adjusted linear trends. Analyses were conducted in 2016. Results Daily auto travel decreased by 9.2 minutes from 2003 to 2014 for all ages ( p &lt;0.001) with the largest decrease among men aged 20–29 years (Δ= −21.7, p &lt;0.001). No significant changes were observed in total minutes of physical activity. Motor vehicle occupant fatalities per 100,000 population showed significant declines for all ages (Δ=−5.8, p &lt;0.001) with the largest for young men (Δ= −15.3, p &lt;0.001). Fatalities per million minutes of auto travel showed only modest declines across age groups and, for men aged 20–29 years, varied from 10.9 (95% CI=10.0, 11.7) in 2003 to 9.7 (95% CI=8.7, 10.8) in 2014. Conclusions Reduced motor vehicle fatalities are a public health co-benefit of decreased driving, especially for male millennials. Despite suggestions to the contrary, individuals did not switch from cars to active modes nor spend more time in sports and exercise. Maintenance of the safety benefits requires additional attention to road safety efforts, particularly as auto travel increases.</description><identifier>ISSN: 0749-3797</identifier><identifier>EISSN: 1873-2607</identifier><identifier>DOI: 10.1016/j.amepre.2016.12.012</identifier><identifier>PMID: 28190689</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Accidents, Traffic - mortality ; Adult ; Age differences ; Age Factors ; Automobile Driving - statistics &amp; numerical data ; Automobiles ; Cross-Sectional Studies ; Databases, Factual ; Exercise ; Fatalities ; Female ; Health status ; Humans ; Incidence ; Internal Medicine ; Life Style ; Male ; Middle Aged ; Millennials ; Mortality - trends ; Motor cars ; Physical activity ; Public Health ; Retrospective Studies ; Risk Assessment ; Road safety ; Sex Factors ; Sports ; Time use ; Travel - statistics &amp; numerical data ; Travel - trends ; Trends ; United States ; Young Adult ; Young adults ; Young men</subject><ispartof>American journal of preventive medicine, 2017-05, Vol.52 (5), p.598-605</ispartof><rights>American Journal of Preventive Medicine</rights><rights>2017 American Journal of Preventive Medicine</rights><rights>Copyright © 2017 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Science Ltd. 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This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. Methods Minutes of auto travel and physical activity derived from active travel, sports, and exercise were obtained from the American Time Use Survey. Fatalities were measured using the Fatality Analysis Reporting System. Longitudinal change was assessed for adults aged 20–59 years by age group and sex. Significance of changes was assessed by absolute differences and unadjusted and adjusted linear trends. Analyses were conducted in 2016. Results Daily auto travel decreased by 9.2 minutes from 2003 to 2014 for all ages ( p &lt;0.001) with the largest decrease among men aged 20–29 years (Δ= −21.7, p &lt;0.001). No significant changes were observed in total minutes of physical activity. Motor vehicle occupant fatalities per 100,000 population showed significant declines for all ages (Δ=−5.8, p &lt;0.001) with the largest for young men (Δ= −15.3, p &lt;0.001). Fatalities per million minutes of auto travel showed only modest declines across age groups and, for men aged 20–29 years, varied from 10.9 (95% CI=10.0, 11.7) in 2003 to 9.7 (95% CI=8.7, 10.8) in 2014. Conclusions Reduced motor vehicle fatalities are a public health co-benefit of decreased driving, especially for male millennials. Despite suggestions to the contrary, individuals did not switch from cars to active modes nor spend more time in sports and exercise. Maintenance of the safety benefits requires additional attention to road safety efforts, particularly as auto travel increases.</description><subject>Accidents, Traffic - mortality</subject><subject>Adult</subject><subject>Age differences</subject><subject>Age Factors</subject><subject>Automobile Driving - statistics &amp; numerical data</subject><subject>Automobiles</subject><subject>Cross-Sectional Studies</subject><subject>Databases, Factual</subject><subject>Exercise</subject><subject>Fatalities</subject><subject>Female</subject><subject>Health status</subject><subject>Humans</subject><subject>Incidence</subject><subject>Internal Medicine</subject><subject>Life Style</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Millennials</subject><subject>Mortality - trends</subject><subject>Motor cars</subject><subject>Physical activity</subject><subject>Public Health</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Road safety</subject><subject>Sex Factors</subject><subject>Sports</subject><subject>Time use</subject><subject>Travel - statistics &amp; numerical data</subject><subject>Travel - trends</subject><subject>Trends</subject><subject>United States</subject><subject>Young Adult</subject><subject>Young adults</subject><subject>Young men</subject><issn>0749-3797</issn><issn>1873-2607</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkc1u1DAUhS1ERYfCGyBkiQ2LJvgnsR0WSKOK0kpFIDEgsbIc547qIYmntjPSvEHXfUSeBEfTdtENqytb3zk-PhehN5SUlFDxYVOaAbYBSpZPJWUloewZWlAlecEEkc_RgsiqKbhs5DF6GeOGECIVbV6gY5YHEapZoN-rAGMXsRvxckp-8K3rAa-C2UF_ir_65AP-BdfO5ttzk0zvkoN4is3Y4e_X--is6fHSJrdzaf8RM0L439u7HKl-hY7Wpo_w-n6eoJ_nn1dnF8XVty-XZ8urwlYNTUUDou6AcmNA2EYpTtY1GGWtJZWooa5NS7iqpLVty3hGgbZMynWtmCGVVPwEvT_4boO_mSAmPbhooe_NCH6KmiohG8UqKjP67gm68VMYczqdE0vCK17NhtWBssHHGGCtt8ENJuw1JXquXm_0ofpZJTRlOlefZW_vzad2gO5R9NB1Bj4dAMht7BwEHa2D0ULnAtikO-_-98JTA9u7cd7AH9hDfPwL1TEL9I95_fP2qeBENFzwfyrYqd8</recordid><startdate>20170501</startdate><enddate>20170501</enddate><creator>McDonald, Noreen C., MCP, PhD</creator><general>Elsevier Inc</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20170501</creationdate><title>Trends in Automobile Travel, Motor Vehicle Fatalities, and Physical Activity: 2003−2015</title><author>McDonald, Noreen C., MCP, PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c491t-9e65de13aae6c98830f5ea8ccc0465e55ab03847ccbb235dee1b277f582a04783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Accidents, Traffic - mortality</topic><topic>Adult</topic><topic>Age differences</topic><topic>Age Factors</topic><topic>Automobile Driving - statistics &amp; numerical data</topic><topic>Automobiles</topic><topic>Cross-Sectional Studies</topic><topic>Databases, Factual</topic><topic>Exercise</topic><topic>Fatalities</topic><topic>Female</topic><topic>Health status</topic><topic>Humans</topic><topic>Incidence</topic><topic>Internal Medicine</topic><topic>Life Style</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Millennials</topic><topic>Mortality - trends</topic><topic>Motor cars</topic><topic>Physical activity</topic><topic>Public Health</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Road safety</topic><topic>Sex Factors</topic><topic>Sports</topic><topic>Time use</topic><topic>Travel - statistics &amp; numerical data</topic><topic>Travel - trends</topic><topic>Trends</topic><topic>United States</topic><topic>Young Adult</topic><topic>Young adults</topic><topic>Young men</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McDonald, Noreen C., MCP, PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of preventive medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McDonald, Noreen C., MCP, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trends in Automobile Travel, Motor Vehicle Fatalities, and Physical Activity: 2003−2015</atitle><jtitle>American journal of preventive medicine</jtitle><addtitle>Am J Prev Med</addtitle><date>2017-05-01</date><risdate>2017</risdate><volume>52</volume><issue>5</issue><spage>598</spage><epage>605</epage><pages>598-605</pages><issn>0749-3797</issn><eissn>1873-2607</eissn><abstract>Introduction Annual per-capita automobile travel declined by 600 miles from 2003 to 2014 with decreases greatest among young adults. This article tests whether the decline has been accompanied by public health co-benefits of increased physical activity and decreased motor vehicle fatalities. Methods Minutes of auto travel and physical activity derived from active travel, sports, and exercise were obtained from the American Time Use Survey. Fatalities were measured using the Fatality Analysis Reporting System. Longitudinal change was assessed for adults aged 20–59 years by age group and sex. Significance of changes was assessed by absolute differences and unadjusted and adjusted linear trends. Analyses were conducted in 2016. Results Daily auto travel decreased by 9.2 minutes from 2003 to 2014 for all ages ( p &lt;0.001) with the largest decrease among men aged 20–29 years (Δ= −21.7, p &lt;0.001). No significant changes were observed in total minutes of physical activity. Motor vehicle occupant fatalities per 100,000 population showed significant declines for all ages (Δ=−5.8, p &lt;0.001) with the largest for young men (Δ= −15.3, p &lt;0.001). Fatalities per million minutes of auto travel showed only modest declines across age groups and, for men aged 20–29 years, varied from 10.9 (95% CI=10.0, 11.7) in 2003 to 9.7 (95% CI=8.7, 10.8) in 2014. Conclusions Reduced motor vehicle fatalities are a public health co-benefit of decreased driving, especially for male millennials. Despite suggestions to the contrary, individuals did not switch from cars to active modes nor spend more time in sports and exercise. Maintenance of the safety benefits requires additional attention to road safety efforts, particularly as auto travel increases.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>28190689</pmid><doi>10.1016/j.amepre.2016.12.012</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Accidents, Traffic - mortality
Adult
Age differences
Age Factors
Automobile Driving - statistics & numerical data
Automobiles
Cross-Sectional Studies
Databases, Factual
Exercise
Fatalities
Female
Health status
Humans
Incidence
Internal Medicine
Life Style
Male
Middle Aged
Millennials
Mortality - trends
Motor cars
Physical activity
Public Health
Retrospective Studies
Risk Assessment
Road safety
Sex Factors
Sports
Time use
Travel - statistics & numerical data
Travel - trends
Trends
United States
Young Adult
Young adults
Young men
title Trends in Automobile Travel, Motor Vehicle Fatalities, and Physical Activity: 2003−2015
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