{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,25]],"date-time":"2026-10-25T04:04:19Z","timestamp":1792901059423,"version":"4.5.0"},"reference-count":18,"publisher":"American Public Health Association","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:p> Objectives. To evaluate the effects of a comprehensive traffic safety policy\u2014New York City\u2019s (NYC\u2019s) 2014 Vision Zero\u2014on the health of Medicaid enrollees. <\/jats:p><jats:p> Methods. We conducted difference-in-differences analyses using individual-level New York Medicaid data to measure traffic injuries and expenditures from 2009 to 2021, comparing NYC to surrounding counties without traffic reforms (n\u2009=\u200965\u2009585\u2009568 person-years). <\/jats:p><jats:p> Results. After Vision Zero, injury rates among NYC Medicaid enrollees diverged from those of surrounding counties, with a net impact of 77.5 fewer injuries per 100\u2009000 person-years annually (95% confidence interval\u2009=\u2009\u221297.4, \u221257.6). We observed marked reductions in severe injuries (brain injury, hospitalizations) and savings of $90.8 million in Medicaid expenditures over the first 5\u2009years. Effects were largest among Black residents. Impacts were reversed during the COVID-19 period. <\/jats:p><jats:p> Conclusions. Vision Zero resulted in substantial protection for socioeconomically disadvantaged populations known to face heightened risk of injury, but the policy\u2019s effectiveness decreased during the pandemic period. <\/jats:p><jats:p> Public Health Implications. Many cities have recently launched Vision Zero policies and others plan to do so. This research adds to the evidence on how and in what circumstances comprehensive traffic policies protect public health. ( Am J Public Health. 2024;114(6):633\u2013641. https:\/\/doi.org\/10.2105\/AJPH.2024.307617 ) <\/jats:p>","DOI":"10.2105\/ajph.2024.307617","type":"journal-article","created":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T20:02:10Z","timestamp":1715198530000},"page":"633-641","source":"Crossref","is-referenced-by-count":7,"title":["Major Traffic Safety Reform and Road Traffic Injuries Among Low-Income New York Residents, 2009\u20132021"],"prefix":"10.2105","volume":"114","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9615-137X","authenticated-orcid":false,"given":"Kacie L.","family":"Dragan","sequence":"first","affiliation":[{"name":"Kacie L. Dragan is with the Harvard University Interfaculty Initiative in Health Policy, Cambridge, MA, and the NYU Wagner School of Public Service, New York, NY. Sherry A. Glied is with the NYU Wagner School of Public Service."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherry A.","family":"Glied","sequence":"additional","affiliation":[{"name":"Kacie L. Dragan is with the Harvard University Interfaculty Initiative in Health Policy, Cambridge, MA, and the NYU Wagner School of Public Service, New York, NY. Sherry A. Glied is with the NYU Wagner School of Public Service."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"844","reference":[{"key":"bib1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.23.100901.140548"},{"key":"bib3","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2017.01.013"},{"key":"bib4","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300528"},{"key":"bib5","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2022.03.012"},{"key":"bib7","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-016-0098-z"},{"key":"bib8","doi-asserted-by":"publisher","DOI":"10.1186\/s40621-018-0151-1"},{"key":"bib9","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2021.306405"},{"issue":"1","key":"bib11","first-page":"CD003110","volume":"2003","author":"Bunn F","year":"2003","journal-title":"Cochrane Database Syst Rev."},{"key":"bib12","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.9.1456"},{"key":"bib13","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.94.4.646"},{"key":"bib14","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2005.03.017"},{"issue":"847","key":"bib15","first-page":"62","author":"Zegeer CV","year":"1982","journal-title":"Transp Res Rec."},{"key":"bib26","doi-asserted-by":"publisher","DOI":"10.1057\/s41302-019-00160-5"},{"key":"bib27","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2014.302537"},{"key":"bib28","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-publhealth-040617-013507"},{"key":"bib29","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssci.2017.04.009"},{"key":"bib30","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2010.04.012"},{"key":"bib34","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2017.02.011"}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.2024.307617","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,8]],"date-time":"2024-05-08T20:02:39Z","timestamp":1715198559000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.2024.307617"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,6]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,6]]}},"alternative-id":["10.2105\/AJPH.2024.307617"],"URL":"https:\/\/doi.org\/10.2105\/ajph.2024.307617","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,6]]}}}