Does empirical evidence support the effectiveness of the Safe System approach to road safety management?

The objective of this paper is to evaluate the effectiveness of the Safe System approach to road safety management, as implemented in Norway. The paper proposes simple operational definitions of key elements of the Safe System approach to road safety management. The relationship between these elements and changes over time in the number of killed or seriously injured road users in Norway is studied by means of negative binomial regression models. These models do not support a causal interpretation of the findings, but predict systematic patterns in findings that, if replicated in other data sets, at least make a causal interpretation plausible, although not incontestable. The findings reported in this paper are broadly consistent with theoretical predictions and therefore support the effectiveness of the Safe System approach. It is highly likely that the adoption of the Safe System approach to road safety management in Norway has contributed to a larger improvement in road safety than would otherwise have occurred.

The impact of the COVID-19 pandemic on socially marginalised women: Material and mental health outcomes.

There is little knowledge about how the COVID-19 pandemic has impacted people who are socially marginalised, including individuals who face barriers when attempting to access services such as social safety nets, the labour market, or housing. There is even less understanding about women living under these circumstances. The aims of this study are therefore to examine the material and mental impacts of COVID-19 among socially marginalised women (compared with socially marginalised men) as well as influencing factors. The study is based on survey data (N = 304) involving people who are clients of social care organisations in thirteen European countries. The sample includes clients: a) living in their homes, b) in facilities, and c) on the street and in temporary accommodations. Results indicate that although material impacts were not significantly different for female and male respondents, socially marginalised women have experienced more severe mental impacts of the COVID-19 pandemic than socially marginalised men. Female respondents have been significantly more worried about COVID-19 infection than men, and they report significantly more PTSD-symptoms related to the pandemic. Quantitative results indicate that these differences are related to the fact that the female respondents worry more about health risks (e.g. falling ill). Female respondents also seem to be harder hit mentally by the material impacts of COVID-19. Among the free text survey answers regarding the biggest problem for the respondents after the outbreak of the pandemic, the most prevalent reply (among both men and women) was related to material impacts of the pandemic (39% of the respondents), particularly the loss of work (65%). While women reported deterioration of social relations more often, men mentioned lacking access to services more frequently.

Socio-economic outcomes of COVID-19 on the marginalised: Who have taken the hardest hit?

This article aims to examine the socioeconomic outcomes of COVID-19 for socially marginalised people who are clients of social care organisations (e.g. people experiencing homelessness), and the factors influencing these outcomes. We tested the role of individual and socio-structural variables in determining socioeconomic outcomes based on a cross-sectional survey with 273 participants from eight European countries and 32 interviews and five workshops with managers and staff of social care organisations in ten European countries. 39% of the respondents agreed that the pandemic has had a negative effect on their income and access to shelter and food. The most common negative socio-economic outcome of the pandemic was loss of work (65% of respondents). According to multivariate regression analysis, variables such as being of a young age, being an immigrant/asylum seeker or residing in the country without documentation, living in your own home, and having (in)formal paid work as the main source of income are related to negative socio-economic outcomes following the COVID-19 pandemic. Factors such as individual psychological resilience and receiving social benefits as the main source of income tend to "protect" respondents from negative impacts. Qualitative results indicate that care organisations have been an important source of economic and psycho-social support, particularly significant in times of a huge surge in demand for services during the long-term crises of pandemic.

Self-imposed social isolation among clients of social care organisations in the COVID-19 pandemic.

Although self-imposed social isolation is an important way of reducing the risk of COVID-19 infection, previous research indicates that this behaviour varies substantially between different groups and individuals. Socially marginalized people are generally less involved in protective health behaviours, but there are few studies of their COVID-19 protective behaviours. The aims of the paper are therefore to: 1) compare self-imposed social isolation to avoid COVID-19 among socially marginalized groups, and to 2) examine factors influencing this, focusing especially on the role of social capital, risk awareness and sources of information about COVID-19. The study is based on survey data (N = 173) from people who are clients of social care organisations in Estonia, Norway, Hungary and Portugal. The sample involves clients living: a) in their homes, b) in facilities, and c) on the street or under temporary arrangements. Results indicate that the level of social isolation among the marginalized groups is comparable to that of the general population in previous studies. As hypothesized, we find that respondents living on the street or under temporary arrangements engage in less self-imposed social isolation than e.g. the respondents living in their homes. We also find lower levels of risk awareness, social capital and trust in authorities' information about COVID-19 among people living on the street or under temporary arrangements. Only linking social capital and trust in authorities' information was significantly related to respondents' social isolation, and not worry for COVID-19 infection. Thus, it seems that respondents largely self-isolated because of "duty" and not worry for infection.

Resilience in care organisations: challenges in maintaining support for vulnerable people in Europe during the Covid-19 pandemic.

The Covid-19 pandemic has challenged the resilience of care organisations (and those dependent on them), especially when services are stopped or restricted. This study focuses on the experiences of care organisations that offer services to individuals in highly precarious situations in 10 European countries. It is based on 32 qualitative interviews and three workshops with managers and staff. The four key types of organisations reviewed largely had the same adaptation patterns in all countries. The most drastic changes were experienced by day centres, which had to suspend or digitise services, whereas night shelters and soup kitchens had to reorganise broadly their work; residential facilities were minimally affected. Given the drastic surge in demand for services, reliance on an overburdened (volunteer) workforce, and a lack of crisis plans, the care organisations with long-term trust networks with clients and intra-organisational cooperation adapted easier. The outcomes were worse for new clients, migrants, psychologically vulnerable people, and those with limited communicative abilities.

How can regulatory authorities improve safety in organizations by influencing safety culture? A conceptual model of the relationships and a discussion of implications.

Regulators have increasingly started to focus on safety culture. The causal link between regulatory initiatives to improve safety culture and a potential decline in accidents may, however, appear like a "black box", involving social processes that seem hard to foresee and influence. We need a better conceptual understanding of this. The aims of our study are to: 1) Map studies of regulatory efforts to influence safety culture in companies, 2) Use the identified studies to develop a conceptual model of the analytical relationships between regulatory initiatives to improve safety culture and accidents in these studies, including the factors influencing these analytical relationships and 3) discuss practical implications. The review is reported according to PRISMA-guidelines, and focuses on professional transport (aviation, sea, rail, road) and the Norwegian petroleum sector. Our review indicates at least six analytical relationships, mediating between regulatory attempts to influence organizational safety culture and accidents. These are between: 1) Rules and regulators, 2) Regulators and companies, 3) Managers and employees in the companies, 4) Organizational members' shared ways of thinking and acting, which are the two key elements of safety culture, 5) Safety culture and safety behaviour, and between 6) Safety behaviour and accidents. Regulatory attempts to influence safety culture may fail or succeed at each level, through factors involved in the different relationships.

Factors influencing safety in a sample of marked pedestrian crossings selected for safety inspections in the city of Oslo.

This paper reports an analysis of factors influencing safety in a sample of marked pedestrian crossings in the city of Oslo, Norway. The sample consists of 159 marked pedestrian crossings where a total of 316 accidents were recorded during a period of five years. The crossings were selected for inspection because of they were, for various reasons, regarded as sub-standard. The sample of crossings is therefore not representative of all pedestrian crossings in Oslo. Factors influencing the number of accidents were studied by means of negative binomial regression. Factors that were studied included the volume of pedestrians and vehicles, the number of traffic lanes at the crossing, the location of the crossing (midblock or junction), the type of traffic control, the share of pedestrians using the crossing and the speed of approaching vehicles. The analysis confirmed the presence of a "safety-in-numbers" effect, meaning that an increase in the number of pedestrians is associated with a lower risk of accident for each pedestrian. Crossings located in four-leg junctions or roundabouts had more accidents than crossings located in three-leg junctions or on sections between junctions. A high share of pedestrians crossing the road outside the marked crossing was associated with a high number of accidents. Increased speed was associated with an increased number of accidents.

Traffic safety among motorcyclists in Norway: a study of subgroups and risk factors.

Although it is widely recognized that motorcyclists have a particularly high accident risk, our knowledge of the mechanisms producing this accident risk is incomplete. The aims of the present paper are to identify subgroups of motorcyclists with a particularly high accident risk and to identify the relevant risk factors at work. The study presented in this paper relies both on a questionnaire (N=3356) relating rider characteristics, behaviors and accident risk, and analyses of fatal motorcycle accidents (ca. 100) from 2005 to 2008 in Norway. The results reveal that riders of racing replica bikes (sport bikes), and riders younger than 19 years, including especially youths (16-17 years) riding light motorcycles (≤125 cm(3)), are subgroups of Norwegian motorcyclists with particularly high accident risks. Analysis of fatal motorcycle accidents reveals that about half of the fatal accidents involve sport bikes. Nearly all fatal accidents with sport bikes involved excessive speed. The combination of low age, low experience, risky behavior and "unsafe" attitudes seems to be a particular potent risk factor for Norwegian motorcyclists.