title: Impact of road safety interventions on traffic-related occupational injuries in Spain, 2004-2010.
abstract: OBJECTIVE
  To evaluate the impact of road safety interventions, including the penalty point system (PPS) and the reformed Spanish penal code (RPC), on traffic-related occupational injuries in Spain.
  
  
  METHODS
  The study design was an interrupted time-series with a comparison group. The study group had traffic-related, occupational injuries incurred during working and commuting hours; the comparison group had non-traffic-related injuries incurred at the work site. A negative binomial regression model was used to determine the relative risk (RR) of sustaining occupational injuries for the post-intervention periods compared to the non-intervention period.
  
  
  RESULTS
  Non-fatal, traffic-related injuries did not significantly change after the PPS and RPC implementations, except for those occurred in commuting hours, which increased significantly after the PPS. On the other hand, after the RPC, fatal, traffic-related injuries decreased significantly during working hours (0.79; 95%CI 0.65 to 0.97) and commuting hours (RR: 0.63; 95%CI:0.56 to 0.72), although fatal, non-traffic-related injuries also decreased at the work site.
  
  
  CONCLUSIONS
  Road safety interventions did not clearly affect traffic-related occupational injuries in Spain. Specific occupational risk factors could influence the occurrence of those injuries.
authors: CIBER Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health, Universitat Pompeu Fabra, Spain. Electronic address: maria.lopez@upf.edu.
authors: María
authors: M
authors: López-Ruiz
authors: CIBER Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health, Universitat Pompeu Fabra, Spain.
authors: José Miguel
authors: JM
authors: Martínez
authors: CIBER Epidemiología y Salud Pública (CIBERESP), Spain; Agència de Salut Pública de Barcelona, Spain; Institut d'Investigació Biomédica (IIB Sant Pau), Spain.
authors: Katherine
authors: K
authors: Pérez
authors: Agència de Salut Pública de Barcelona, Spain; Institut d'Investigació Biomédica (IIB Sant Pau), Spain.
authors: Ana M
authors: AM
authors: Novoa
authors: Institute of Environmental Assessment and Water Research (IDAEA), Spanish Council for Scientific Research (CSIC), Spain.
authors: Aurelio
authors: A
authors: Tobías
authors: CIBER Epidemiología y Salud Pública (CIBERESP), Spain; Center for Research in Occupational Health, Universitat Pompeu Fabra, Spain; IIS IMIM - Parc Salut Mar, Spain.
authors: Fernando G
authors: FG
authors: Benavides
mesh_terms: D000056:Accident Prevention; D000062:Accidents, Occupational / Q000517:prevention & control* / Q000706:statistics & numerical data; D000063:Accidents, Traffic / Q000517:prevention & control* / Q000706:statistics & numerical data; D006801:Humans; D060051:Occupational Injuries / Q000453:epidemiology / Q000517:prevention & control*; D015397:Program Evaluation; D012044:Regression Analysis; D013030:Spain / Q000453:epidemiology
keywords: Evaluation; Injury prevention; Occupational health