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Journal of Traffic and Transportation Engineering ( English Edition)

2014,1(6) :415-423

Identification of contributing factors to pedestrian overpass selection

Yao Wu', Jian Lu'· •, Hong Chen', Lei Wu'


1
Jiangsu Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University,
Nanjing, Jiangsu, China
2
School of Highway, Chang'an University, Xi'an, Shaanxi, China
3
CCCC First Highway Consultants Co. , Ltd. , Xi' an, Shaanxi, China

Abstract: In order to improve the efficiency of overpass and the safety level of pedestrian, this paper
aims to investigate the contributing factors for selective preference of overpass. Eight overpasses were
investigated in Xi' an, and a questionnaire was conducted by the pedestrians near the overpass. Totally,
1131 valid samples ( 873 used of overpasses and 258 non-used of overpasses) were collected. Based on
the data, a binary logit ( BL) model was developed to identify what and how the factors affect the se-
lective preference of overpass. The BL model was calibrated by the maximum likelihood method.
Likelihood ratio test and McFadden-R2 were used to analyze the goodness-of-fit of the model. There-
sults show that the BL model has a reasonable goodness-of-fit, and the prediction accuracy of the BL
model can reach 81. 9%. The BL model showed that the selective preference of overpass was signifi-
cantly influenced by eight factors, including gender, age, career, education level, license, detour wi-
shes , detour distance, and crossing time. Besides, the odds ratios of significant factors were also ana-
lyzed to explain the impacts of the factors on selective preference of overpass.

Key words: traffic engineering; overpass; binary logit; utility function; selective preference

trians. For example, in 2011 , 15562 pedestrians were


1 Introduction
killed in traffic crashes in China, which accounted for
Road traffic accidents involving pedestrians have be- 22. 31 % of all traffic fatalities ( The Ministry of Pub-
come a major traffic safety problem all over the lic Security of China 2011). However, 3112 pedes-
world. In developing countries, this problem tends to trians were killed in the traffic crashes , accounting for
be compounded with high population density , rapid only 11. 03% of traffic crashes in the USA in 2011
modernization and urbamzation, and lack of adher- (NHTSA 2011 ).
ence to traffic regulations by both drivers and pedes- In pedestrian traffic accidents, crossing roads ille-

• Corresponding author: Jian Lu, PhD, Professor.


E-maD: lujian_1972@seu. edu. en.
416 Yao Wu et al.

gally is the main cause of the accidents ( Schwebel et ses or underpasses. However, no pedestrians used the
al. 2006 ; Holland and Hill 2007; Tiwari et al. 2007; overpass if the travel time was 1. 5 times or larger
King et al. 2009; Zhang et al. 2014). For example, than that at ground crossing ( Moore 1953 ) . Addi-
in 2011 , accidents caused by pedestrian violation in tionally, it has been suggested that a self-enforcing
China accounted for about 15% of all the traffic acci- feature ( topography, fences, etc. ) that can guided
dents. Therefore, it is important to install reasonable the pedestrian to use the overpass should be installed
pedestrian crossing facilities. In order to install safe ( FHWA 2006 ) . Sharples and Fletcher ( 2000 ) ana-
crossing facilities for pedestrians and to promote envi- lyzed the pedestrians' perceptions for different road
ronmentally mode of traffic , traffic calming or traffic crossing facilities which included overpass. On the
signals in adequate distances would be needed. How- basis of above researches , Sisiopiku and Akin ( 2003 )
ever, these devices can't be used in many cases since studied the pedestrian selection behaviors and percep-
they may block the traffic flow and cause traffic con- tions towards various pedestrian facilities based on
gestion. To solve this problem, overpass can be built observation and survey data. It was found that the
for separating pedestrians from motor vehicle traffic factors of convenience, safety , and visibility were the
(ITE 1998). main reasons for their use of the crossing facilities. Li
There have been a number of studies focused on et al. ( 2013) also got the same results. Riislinen et
pedestrian crossing behaviors (Harned 2001 ; Yang et al. ( 2007 ) observed five overpasses in the central
al. 2006 ; Bernhof and Carstensen 2008 ; Rosenbloom
business district ( CBD) of Ankara. It was found that
2009; Zhuang and Wu 2011 ; Nordfjrem and Sim-
the frequency of using the overpass was positively
sekoglu 2013; Koh and Wong 2014; Koh et al.
consistent with time saving and safe performance of
2014; Li 2014). These studies indicate that the fac-
overpass. Riisanen et al. ( 2007) analyzed the con-
tors which affect the pedestrian crossing are a combi-
tributing factors of the usage of overpass. A recent
nation of different influencing independent variables
study conducted by Xiong et al. ( 2008 ) suggested
such as traffic, environmental and individual charac-
that the convenience, safety and comfort of the
teristics. In these variables, individual characteristics
pedestrians' crossing facilities were main factors that
and pedestrian crossing facilities are the main contrib-
affected the pedestrians' selection. Besides, the
uting factors. Besides, Brosseau et al. ( 2013) ana-
pedestrians' violation psychology and herd mentality
lyzed the impact of waiting time and other factors at
were also important factors. At present, there were
signalized intersections and also evaluated the
certain researches on the structure and construction of
pedestrians' safety behaviors. Guo et al. ( 2012) dis-
the overpass. For example, Li et al. (2014) studied
cussed the pedestrian safety crossing in city and ana-
lyzed the safety of urban traffic environment. Luoma the set and effect of overpass and took the first all-
and Peltola ( 2013) concerned on the method of im- GFRP overpass in Taiwan as a case. Sandovic and
proving pedestrians' safety. Khatoon et al. ( 2013 ) Juozapaitis ( 2012) analyzed the behavior of pedestri-
analyzed the contributing factors of grade separator on an crossing and proposed an innovative construction
pedestrians' risk crossing behavior. Ding et al. of steel overpass. However, until recently, little doc-
( 2011 ) studied the pedestrians crossing facilities and umentation has been available regarding the influen-
considered overpass configuration. cing factors on the selection of overpass. The primary
In past years , several studies have been conducted objective of this paper is to fmd out factors that affect
to analyze the preference of pedestrians' selection of selective preference of overpass. More specifically,
crossing facilities (Moore 1953; Sharples and Fletch- the study presented in this paper focused on the fol-
er 2000 ; FHWA 2006 ; Riislinen et al. 2007 ; Xiong lowing two tasks , to filter out what and how factors
et al. 2008 ) . For example, Moore studied the use of affect the selection of overpass, and to establish a BL
overpasses and underpasses in London. It was found model to identify what variables significantly affect
that nearly 80% of pedestrians would use the overpas- the selection of overpass.
Journal of Traffic and Transportation Engineering( English Edition) 417

overpass and road environment, including the overpass


2 Data and methods
height, overpass length, overpass width, number of
stairways, number of steps, number of lanes of street
2.1 Data collection
under the overpass , width of street under the overpass.
Eight overpasses in Xi' an were chosen for the study. The investigators firstly explained the purpose of
Among these eight overpasses , two were located on the survey to the pedestrians. Then, the respondents
the Second Circular Road of Xi' an, three were loca- were asked whether or not they would select the over-
ted on the Wild Goose Pagoda Square , and the rest pass to cross the street. At the same time , they were
were located on the Xiaozhai Road. All the overpas- asked to complete the questionnaire. After writing the
ses were located on the main roads and in the CBD answers on the questionnaire paper, each participant
areas. The height of the eight overpasses varies from was given a present for his/her work. The detailed
5. 0 m tu 6. 2 m with an average of 5. 61 m. The survey results are summarized in Tab. 2. Field data
width of the overpasses varies from 3 m to 6 m with collection was ouly conducted during weekday peak
an average of 4. 62 m. The length of the overpasses periods, under fine weather conditions. Note that the
varies from 26 m to 94 m with an average of 62. 5 m. survey is conducted near a shopping market or a bus
The detailed characteristics of overpasses and road en- stop in the middle of a road segment in order to obtain
vironment are summarized in Tab. 1. enough sample size, and that the questionnaire is ran-
After the observations of the overpasses , a survey domly sent to the pedestrian. The data collection area
was conducted among pedestrians who used those is shown in Fig. 1.
overpasses or crossed at ground near the overpasses. In total, 1131 valid samples ( 873 used of overpas-
The research team collected the influence factors that ses and 258 non-used of overpasses) were collected.
may affect pedestrians' selective preference of over- The overall proportion of pedestrians who used over-
pass by designing a questionnaire. pass when crossing street was 77. 2% .
The questionnaire included three parts : ( 1 ) the in-
22 Methods
dividual information, including gender, age, career,
education level, marital status, and license; ( 2 ) the In this study, a BL model was constructed to identify
pedestrian's consciousness, including the detour wi- what and how factors affect the selective preference of
shes, compliance awareness , security degree, detour overpass. The BL model was established based on the
distance, and crossing time; ( 3 ) the characteristics of utility theory. Based on the utility theory, the utility

Tab. I Characteristics of overpasses

Overpass Street under the overpass


No.
Height (m) Length (m) Width (m) Number of stairways Number of steps Width (m) Number of lanes

42(E-W) 30(E·W) 6(E·W)


5.50 3 8 38
49(N·S) 38(N-S) 8(N·S)

2 5.20 93 5 4 42 70 9

3 6.20 94 4 4 59 70 9

4 5.00 26 4 4 40 30 6

5 5.80 77 5 3 40 30 7

74(E-W) 30(E·W) 6(E·W)


6 5.90 6 8 41
48(N·S) 46(N-S) 8(N·S)

7 5.35 61 5 4 37 30 6

8 5.90 61 5 4 57 36 6
418 Yao Wu et al.

Tab.2 Descriptive statistics results of contributing facton

Variable Symbol Variable description Statistical description

Indicator variable Number Frequency ( % )

Male: 1 603 53.32


Gender x,
Female, 0 528 46.68

x21 =1 Young (<20), 1 306 27.06

Age X22 =2 Middle aged (20-50) , 2 577 51.02

X 23 =3 Elderly (>50) ' 3 248 21.92

x31 =t Worker: 1 176 15.56

X 32 =2 Officer: 2 383 33.86

Career X 33 =3 Manager, 3 113 9.99

X 34 =4 Teacher: 4 97 8.58

X35 =s Student: 5 362 32.01

x41 =1 Middle school degree or below : 1 306 27.06

X 42 =2 High school degree, 2 386 34.13


Education level
X 43 =3 Junior college or undergraduate: 3 283 25.02

X 44 =4 Postgraduate : 4 156 13.79

Yes: 1 621 54.91


Marital statua x,
No:O 510 45.09

Yes: 1 516 45.62


License x,
No:O 615 54.38

Yes: 1 633 55.97


Detour wishes x,
No:O 498 44.03

Xst =t Non-compliance: 1 198 17.51

Compliance awareness X 82 =2 Fuzzy, 2 496 43.85

X 83 =3 Compliance: 3 437 38.64

x91 =1 Danger, 1 163 14.41

Security degree X92 =2 General, 2 445 39.35

x93 =3 Security, 3 523 46.24

Continuous variable Min Max Mean


Detour distance ( m) x, 37 293 144.798
Crossing time ( s) x, 20 375 162.600
Overpass height ( m) x, 5.0 6.2 5.606
Overpass length ( m) x, 26 94 62.50
0v0IJ1BSS width ( m) x,. 3 6 4.625
Number of stairways x,. 3 8 4.875
Number of steps x,. 37 59 44.25

Number of lanes of
x, 30 70 41.00
street under the overpass

Width of street under


x, 6 9 7.10
the overpass ( m)
Journal of Traffic and Transportation Engineering( English Edition) 419

Pedestrian overpass

Data collection ~<~~


1 •1----=-D-"-'et-'--ou=r-"'d=ist=a=nc=e---.J
area

Fig. 1 Data collection area

functions of using overpass and not using overpass are overpass; P(xJ represents the probability of selecting
different. The utility function U is assumed to be the overpass and g (X;) is a multiple linear combina-
made up of two terms, a fixed term V which repre- tion of explanatory variables which can be expressed
sents systematic and observed effects and a random asEq. (5)
term 8 which represents unobserved factors affecting (5)
the choice. 8 is assumed to be independent and fol- where xk; represents the value of variable k for sample
lows the Gumbel distribution. i and f3k is the coefficient of variable k. The parame-
In this study , the utility function of pedestrian who ters {3 0 , {3 1, {3 2 , ••· , f3k can be estimated by solving the
selected the overpass when crossing street can be ex- log-likelihood function for Eq. ( 5) , which is given
pressed as Eq. ( 1 ) by Eq. ( 6)
(1)
where i is the pedestrian number; u; is the utility ln L(f3 ,xJ =L [{30 + f31 x li + ·•· +
i =l

function of selecting overpass for pedestrian i ; is v; f3 kixki - l n ( 1 + e /3o +/3] X]j+ · · • +/3ki"ki) J ( 6)
the fixed term of selecting overpass for pedestrian i; The goodness-of-fit of the BL model can be meas-
8: is the random term of selecting overpass for pedes- ured by the likelihood ratio test. The null hypothesis
trian i. of the likelihood ratio test is that all parameters in the
Otherwise , the utility function of pedestrian who logit regression model other than the alternative-spe-
did not select the overpass when crossing street can be cific constant are 0 (Washington et al. 2003). The
expressed as Eq. ( 2 ) test statistic can be calculated by Eq. ( 7 )
lf; = v: + 8~ 2)( i
=- 2[L(O) - L(f3)] (7)
where U: is the utility function of not selecting over- where L ( f3) is the log likelihood at convergence
pass for pedestrian i; Vi is the fixed term of not selec- and L ( 0 ) is the initial log likelihood with all pa-
ting overpass for pedestrian i ; 8 ~ is the random term rameters equal to 0. The test statistic x2 is distribu-
of not selecting overpass for pedestrian i. ted with the freedom degrees which equal the num-
Therefore, a pedestrian is likely to select the over- ber of the estimated parameters included in the
pass when crossing street if u;
~ U: . model.
Furthermore, the probability of selecting the over- Additionally, a common measure of overall model
pass can be expressed as Eqs. ( 3) and ( 4) fit is the McFadden-R 2 statistic ( similar to R 2 in re-
P( y = 1) = P( u: ~ lf;) = P( v: + 8: ~ gression models in terms of purpose) . The McFad-
ev1 1 den-R2 statistic can be calculated by Eq. ( 8)
V: + 8~) - ev1 + e lf - 1 + e -<V/-11) (3)
McFadden-R 2 -- 1 - !Jill
L(O) (8)
1
P(xJ = 1 + e - g(x;) = 1 ,2, ·· · ,n (4)
Thus the McFadden-R 2 statistic lies between 0 and 1 ,
where y = 1 represents the pedestrian who selects the and a statistic closing to one suggests that the model is
420 Yao Wu et al.

predicting the outcomes with near certainty. But in uting factors as shown in Tab. 2 were used as the
general, the McFadden-R" of a BL model is not so candidate independent variables for developing of BL
large as that of a regression model. model. Pearson correlation parameters between differ-
As the case with R 2 in regression analysis , the dis- ent candidate variables were calculated to test if there
advantage of the McFadden-R' statistic is that it will is internal consistency. It was found that there is no
always improve as additional parameters are estimated consistency among candidate independent variables.
even though the additional parameters may be statisti- Variables were considered in the BL model by using
cally insignificant. To account for the estimation of forward stepwise selection based on the likelihood ra-
potentially insignificant parameters , a corrected Mc- tio ( LR) test (cut-off value was P < 0. 05). The
Fadden-R2 is estimated by Eq. ( 9)
binary legit model was specified using the software
, _ L(p) - K
McFadd en-R - 1 - L(O) (9) package SPSS 19. 0. Summary of statistics of the esti-
mated BL model was given in Tab. 3.
where K is the number of parameters estimated in the
Note that, if the variable is categorical variable, it
model (the number of parameters in the vector fJ) .
must be torned to dummy variables. A categorical
3 Data result analysis variable with n levels can be torned to n -1 dummy
variables. For example, the categorical variable of
3.1 Results of BL model age X, ( X21 = 1 young , X 12 =2 middle-aged, X23 =3
In this stody , a BL model was established to identify elderly) can be torned to two dummy variables X21 ,

what factors significantly affect the selective prefer- x22 (x21 = 1young' x,, = 0 others ; x, = 1 middle-
ence of overpass. The selection of overpass (used or aged, X22 = 0 others ) , and the elderly group is the
not) was used as the dependent variable. The contrib- reference level.

Tab. 3 Estimated results of BL model

Variable Symbol B S.E. Wa!dx' P value OR


Gender x, -0.461 0.091 25.513 0.000 0.631

x, -0.692 0.232 8.867 0.021 0.501

Age x, -0.512 0.254 4.061 0.032 0.599

x, -0.374 0.071 27.821 0.000 0.688

x, -0.583 0.115 25.736 0.008 0.558

x, 0.446 0.103 18.648 0.000 I. 562

x,.. 0.432 0.110 15.558 0.004 I. 540

x., -0.601 0.167 13.013 0.000 0.548

Education level x., -0.562 0.170 10.894 0.038 0.570


x., -0.442 0.145 9.334 0.001 0.643

License x, 0.502 0.118 18.252 0.000 I. 652

Detour wishes x, 0.614 0.177 12.031 0.000 I. 848

Detour distance x, -1.103 0.201 30.156 0.014 0.332

Crossing time x, -0.765 0.146 27.415 0.001 0.465

Number of observations : 1131


-2L( c) =2671. 700; -2L(/l) =873. 646

-2[L( c) -L(/l)] =1798. 054 >x' =23. 685 ( 14 df) ; P <0. 0001
2
McFadden-R =0. 628; conected McFadden-_R2 =0. 663
Ho=-Lemesbow test, x' =56. 746 >x' =15. 507 (8 df) ; P <0. 0001
Journal of Traffic and Transportation Engineering( English Edition) 421

As shown in Tab. 3, the 14 parameters were found 1.0


to be statistically significant in the BL model. The
overall predictive percentage of the model was 0.8
81. 9% , with sensitivity of 82. 8% and specificity of
78. 7% (Tab. 4). The likelihood ration test and Hos- c 0.6
mer- Lemeshow test indicated the fact that the BL ~~
"'
model has reasonable goodness-of-fit to the field data. "=
tl:l

Additionally, the McFadden-R2 ( 0. 628) and correc-


ted McFadden-R 2 ( 0. 663) also indicated the same 0.2
conclusion.
The research team further used receiver operating
characteristic ( ROC) curve to evaluate the goodness- 0 0.2 0.4 0.6 0.8 1.0
!-specificity
of-fit of the BL model. As shown in Fig. 2, the ROC
curve is a graphical plot of the sensitivity vs. Fig. 2 ROC curve of BL model

( 1 - specificity) for a binary prediction system. In this


tio of probability of occurrence is OR times of that the
study, the sensitivity represents the prediction accura-
cy of using overpass , and ( 1 - specificity ) represents independent variable which did not increase. Based
on the BL model result and OR analysis, some find-
1 minus the prediction accuracy of using overpass. If
ings were presented regarding the selective preference
the area under the curve is large enough , there is a
goodness-of-fit of the BL model. The area under the of overpass as follows.
curve is 0. 798 with a 95% significance level as The selective preference of overpass is significantly
influenced by eight factors , including gender, age ,
shown in Fig. 2. This result suggested a reasonable
career, education level , license , detour wishes , de-
goodness-of-fit of the BL model.
tour distance, and crossing time.
Tab. 4 Accuracy of BL model The characteristics of the overpass and the street
under the overpass do not affect the selective prefer-
Observational Predictive value Prediction
ence of overpass.
value Using overpass Not using overpass accuracy ( % )
The probability of female who uses overpass is
Using overpass 723 150 82.8
1. 585 ( 1/0. 631 ) times of that of the male when
Not using overpass 55 203 78.7
crossing street.
Overall 81.9 With the increase of age , the probability of using
overpass increases. Elderly group is 1. 996 ( 1/0. 501)
and 1. 789 ( 1/0. 559) times more likely to select
3.2 ReSJit analysis
overpass than the young and middle-aged group, re-
For the indicator variables, a positive coefficient sign spectively.
indicates that a pedestrian is more likely to select the For different careers, the selective preferences of
overpass with the increase of one unit of the corre- overpass are different. The probability of using over-
sponding factor. A negative coefficient sign indicates pass for workers and officers is lower than that of the
that a pedestrian is more likely not to select the over- students, 0. 688 and 0. 558 times of that of the
pass with the increase of one unit of the corresponding students, respectively. However, the probability of
factor. Similar to the indicator variables, for continu- using overpass for managers and teachers is larger
ous variables, a positive coefficient sign indicates that than that of the students, 1. 562 and 1. 540 times of
with the increase of independent variable, the proba- that of students, respectively.
bility of selecting overpass increases. With the increase of education level , the probability
The odds ratio ( OR) represents that with the in- of using overpass increases. The postgraduates are 1. 825
crease of one unit of the independent variable, the ra- (1/0.548), 1.754 (1/0.570), 1.555 (1/0.643) times
422 Yao Wu et al.

more likely to use overpass when crossing street than preference of overpass was also significantly affected
others. by careers. The managers and teachers were more
The odds ratio of license shows that a pedestrian likely to use the overpass than workers and officers.
who has a license is 1. 652 times more likely to use One possible reason would be that the managers and
overpass than that of a pedestrian who has no license. teachers care more about their safety in the traffic en-
The odds ratio of detour wishes shows that a pedes- vironment. An interesting finding demonstrated that
trian who has a detour wish is 1. 848 times more like- the probability of selecting overpass was larger with
ly to use overpass than that of a pedestrian who has no the higher education level of pedestrian. More specif-
detour wish. ically , the postgraduate were more likely to select the
The coefficients of detour distance and crossing overpass when crossing the street. The result is intui-
time are all negative, indicating that with the increase tive because persons with high level of education ac-
of these two factors the probability of using overpass cepted more safety education, and they were con-
decreases. cerned about their personal safety when crossing
street. They did not want to involve in the complex
4 Conclusions
ground traffic environment. It was found that pedes-
The study presented in this paper aimed to find out the trians who have license were more likely to select the
factors that significantly affect selective preference of overpass than those without a license. The finding is
overpass. Eight overpasses were observed in Xi'an reasonable because a person who has a license is
and then a questionnaire was conducted among the pe- clearly aware of the complex traffic situation on the
destrians near the overpasses. In total, 1131 valid ground. Generally, the pedestrians have to detour
samples ( 873 used of overpasses and 258 non-used of some distance to reach the overpass. The finding of
overpasses) were collected. The result showed that this paper indicated that the probability of selecting
overall proportion of pedestrians who used overpass overpass decreases with an increase of detour dis-
when crossing street was 77. 2% . tance. It is quit intuitive since people do not like to
Based on the data, a BL model was developed. reach the destination by experiencing a long travel.
The estimation results of the BL model suggested the The fmding also showed that the probability of selec-
factors of gender, age , career, education level, li- ting overpass decreases with an increase of crossing
cense, detour wishes , detour distance, and crossing time. However, the person who has the detour wish
time had significant impacts on selective preference of is likely to select the overpass.
overpass. Several methods were used to evaluate BL This study ouly focuses on eight factors. Some oth-
model and its prediction accuracy. All the results er factors , such as the variation of traffic flows , the
showed that the estimated BL model has reasonable district of overpass ( commercial district or not) , may
goodness-of-fit to field data and has high prediction have a profound effects on whether one uses the over-
accuracy. pass. The future research will focus on more detailed
It was found that the characteristics of the overpass situational variables that may affect the selective pref-
and the street under the overpass did not affect the se- erence of overpass.
lective preference of overpass. The female subjects
Acknowledgments
were found to be more likely to use the overpass ,
mainly because the female feels securer by using the This research was sponsored by the National Natural
overpass. The finding is consistent with previous Science Foundation of China (No. 51178108), the
studies. A higher proportion of using overpass were Scientific Research Foundation of Graduate School of
observed for elderly and middle-aged than young. It Southeast University ( No. YBJJ1458 ) , the Funda-
is contrast to the previous study. A reasonable expla- mental Research Funds for the Central Universities
nation is that the elderly act more cautiously and fear and the Scientific Innovation Research of College
of involving in an accident at ground level. Selective Graduates in Jiangsu Province (Nos. KYLX_0173,
Journal of Traffic and Transportation Engineering( English Edition) 423

KYLX_0174). The authors also would like to thank Luoma, J. , Peltola, H. , 2013. Does facing traffic improve pedestrian
safety? Accident Analysis and Prevention, 50: 1207-1210.
the graduate research assistants in School of Transpor-
Moore, R. L. , 1953. Pedestrian choice and judgment. Operational
tation, Southeast University, for their assistance in
Research Quarterly. 4( 1) ' 3-10.
field data collection. NIITSA, 2011. Traffic safety facts. NIITSA,Washingt<>n DC.
Nordfja:m, T. , Simsekoglu, 0. , 2013. The role of cultural factors
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