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Mortality Risk Associated with Leaving Home: Recognizing the Relevance of the Built Environment

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  • Lucy, W.H.

Abstract

Objectives. I analyzed traffic fatalities and homicides related to leaving home for routine activities, and considered connections between these fatalities and the built environment. Methods. I analyzed city, county, state, and federal data for traffic fatalities and homicides by strangers for 15 metropolitan areas, and classified deaths as occurring in the central city, in inner suburbs, or in outer suburbs (exurbs). Results. Traffic fatality rates were highest in exurban areas. Combined traffic fatality and homicide-by-stranger rates were higher in some or all outer counties than in central cities or inner suburbs in all of the metropolitan areas studied. Conclusions. Traffic fatalities are largely unrecognized as a danger to be factored into residential location decisions. Land use controls that deter sprawl along narrow exurban roads can reduce the mortality risks associated with leaving home.

Suggested Citation

  • Lucy, W.H., 2003. "Mortality Risk Associated with Leaving Home: Recognizing the Relevance of the Built Environment," American Journal of Public Health, American Public Health Association, vol. 93(9), pages 1564-1569.
    • Handle: RePEc:aph:ajpbhl:2003:93:9:1564-1569_8
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    Cited by:

    1. Thomas E. Lambert & James Catchen & Victoria Vogelgesang, 2015. "The Impact of Urban Sprawl on Disaster Relief Spending: An Exploratory Study," Journal of Economic Issues, Taylor & Francis Journals, vol. 49(3), pages 835-864, July.
    2. Do, D. Phuong & Finch, Brian Karl & Basurto-Davila, Ricardo & Bird, Chloe & Escarce, Jose & Lurie, Nicole, 2008. "Does place explain racial health disparities? Quantifying the contribution of residential context to the Black/white health gap in the United States," Social Science & Medicine, Elsevier, vol. 67(8), pages 1258-1268, October.
    3. Shima Hamidi & Reid Ewing & Zaria Tatalovich & James B. Grace & David Berrigan, 2018. "Associations between Urban Sprawl and Life Expectancy in the United States," IJERPH, MDPI, vol. 15(5), pages 1-11, April.

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