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June M. Tester, MD, MPH, George W. Rutherford, MD, Zachary Wald, McP and Mary W. Rutherford, MD

At the time of the study, June Tester was a medical student at the University of California, San Francisco, and an MPH candidate at the University of California, Berkeley. George W. Rutherford is with the Department of Epidemiology and Biostatistics at the University of California, San Francisco, School of Medicine. Zachary Wald is with California Walks, Oakland, Calif. Mary W. Rutherford is with the Children’s Hospital and Research Center at Oakland.

Correspondence: Requests for reprints should be sent to June M. Tester, MD, MPH, who is now at Children’s Hospital Oakland, 747 52nd St, Oakland, CA 94609 (e-mail: junetester{at}post.harvard.edu).

Objectives. We evaluated the protective effectiveness of speed humps in reducing child pedestrian injuries in residential neighborhoods.

Methods. We conducted a matched case–control study over a 5-year period among children seen in a pediatric emergency department after being struck by an automobile.

Results. A multivariate conditional logistic regression analysis showed that speed humps were associated with lower odds of children being injured within their neighborhood (adjusted odds ratio [OR] = 0.47) and being struck in front of their home (adjusted OR = 0.40). Ethnicity (but not socioeconomic status) was independently associated with child pedestrian injuries and was adjusted for in the regression model.

Conclusions. Our findings suggest that speed humps make children’s living environments safer.

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