title: Social capital in settings with a high concentration of road traffic injuries. The case of Cuernavaca, Mexico.
abstract: There exists a differential ability within local communities to maintain effective social controls to prevent road traffic injuries (RTIs) in high risks areas. In 2002 we conducted a cross-sectional study in Cuernavaca, Mexico which incorporated 339 adults living in three areas which were characterized by high RTI concentrations. Multivariate analyses demonstrated that even when participants perceived RTIs as a local problem, they expressed no expectations that community members would exert social control through their involvement in local issues and law adherence. The study revealed four key conclusions regarding the association between the low levels of social capital and RTIs: (a) public roads are used solely for transportation, are not viewed as a communal space, and consequently reciprocity is not viewed as a relevant way of controlling behaviors in public places; (b) "strong immediate personal networks" bring about a lack of reciprocity between those sharing the public space which generates uncooperative behavior; (c) high levels of residential instability hinders the identification of common problems; (d) when there exists a low level of civic commitment and a scarcity of social resources directed towards the problem, the possibilities of social control over RTIs are low.
authors.affiliation: Center for Health Systems Research, National Institute of Public Health, Mexico.
authors.forename: Cristina
authors.initials: C
authors.lastname: Inclán
authors.forename: Martha
authors.initials: M
authors.lastname: Hijar
authors.forename: Victor
authors.initials: V
authors.lastname: Tovar
mesh_terms: D000063:Accidents, Traffic / Q000517:prevention & control* / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D002391:Catchment Area, Health; D018672:Community Health Planning / Q000458:organization & administration*; D003256:Community Participation; D003625:Data Collection; D040362:Geographic Information Systems; D006801:Humans; D008800:Mexico; D012111:Residence Characteristics; D012449:Safety / Q000592:standards; D011049:Social Control Policies; D012944:Social Support; D012959:Socioeconomic Factors; D014186:Transportation / Q000592:standards; D014504:Urban Health; D016138:Walking / Q000293:injuries; D014947:Wounds and Injuries / Q000453:epidemiology / Q000517:prevention & control