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Estimating the effects of a studded footwear subsidy program on pedestrian falls among older adults in Gothenburg, Sweden
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013). Karlstad Univ, Ctr Publ Safety, Karlstad, Sweden.;Univ Gothenburg, Sahlgrenska Acad, Hlth Metr Unit, Gothenburg, Sweden..ORCID iD: 0000-0002-1189-9950
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Centre for Public Safety (from 2013). Karlstad Univ, Ctr Publ Safety, Karlstad, Sweden..ORCID iD: 0000-0001-5637-0359
2019 (English)In: Accident Analysis and Prevention, ISSN 0001-4575, E-ISSN 1879-2057, Vol. 132, article id UNSP 105282Article in journal (Refereed) Published
Abstract [en]

We study the effects of a studded footwear subsidy program in Gothenburg, Sweden, where a free pair of anti-slip devices was distributed to all residents aged over 65 years as a pedestrian falls prevention measure. Using a difference-in-differences approach with internal age-based controls, we find evidence of a short-term effect on emergency department visits due to slips on snow and ice during the first year of the intervention ( -45% [95% CI: - 54, - 9] in 2013), which equates to 21.8 injuries prevented (95% CI: 3.34, 39.4). A cost-benefit analysis based on this result suggests that the short-term benefits outweigh the total costs of the intervention (benefit-cost ratio: 6.9 [95% CI: 1.05-12.46]), indicating that this type of subsidy program may be an important tool for the prevention of pedestrian falls among older adults during icy weather conditions. However, replication at other sites is recommended before drawing any strong and general conclusions.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 132, article id UNSP 105282
Keywords [en]
Vulnerable road users, Falls prevention, Elderly, Road safety, Evaluation, Quasi-experimental
National Category
Other Medical Sciences Health Care Service and Management, Health Policy and Services and Health Economy
Research subject
Risk and Environmental Studies
Identifiers
URN: urn:nbn:se:kau:diva-75612DOI: 10.1016/j.aap.2019.105282ISI: 000489192000032PubMedID: 31539867OAI: oai:DiVA.org:kau-75612DiVA, id: diva2:1369628
Available from: 2019-11-12 Created: 2019-11-12 Last updated: 2019-11-13Bibliographically approved

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Bonander, CarlHolmberg, Robin

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