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March 12, 2003

Dangers to Elderly Pedestrians at CrosswalksDangers to Elderly Pedestrians at Crosswalks

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2003;289(10):1244-1245. doi:10.1001/jama.289.10.1244-a

To the Editor: Dr Koepsell and colleagues1 reported a 2-fold increased risk of pedestrian–motor vehicle collision at sites with a marked crosswalk in 6 cities in Washington state and California from 1995 through 1999. The authors concluded that "crosswalk markings alone may do little to protect older pedestrians [from] being struck by a motor vehicle as they cross the street at an urban intersection." Koepsell et al also reported that the benefit of crosswalk markings on the risk of injuries to older pedestrians was limited to those intersections that lacked a vehicle stop sign (15% for case and 18% for control sites).

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