• Bhavna Singichetti, Jamie L Conklin, Kristen Hassmiller Lich, Nasim S Sabounchi, and Rebecca B Naumann.
• Injury Prevention Research Center and Department of Epidemiology, University of North Carolina at Chapel Hill, 725 Martin Luther King Jr Blvd, CB #7505, Chapel Hill, NC, 27599, USA. singichb@live.unc.edu.
• J Urban Health. 2021 Dec 1; 98 (6): 754-771.

AbstractCongestion pricing policies (CPPs) are a common strategy for addressing urban traffic congestion. Research has explored several impacts of these policies (e.g., air quality, equity, congestion relief). The purpose of this review was to synthesize findings from publications examining CPP impacts on road user safety outcomes. We conducted a systematic search of relevant literature in four large research databases (Transport Research International Documentation, Web of Science, PubMed, and Scopus), searching from database inception through January 2021. We identified 18 eligible publications. Safety-related outcomes included overall crashes and injury crashes with stratification by injury severity and road user type (e.g., bicyclist, pedestrian). A majority of the publications examined zone-based CPPs (n = 13) and used observed data involving real policies (n = 10), as compared to a predicted or simulated analysis. Decreases in overall crashes and injuries for some road users were observed (e.g., car occupants). While some studies estimated short-term increases in injuries and crashes for bicyclists and motorcyclists (likely due to shifts from personal vehicle use to other transportation modes and increased exposure), most analyses focused on longer-term impacts and generally found a reversal and eventual decrease in injuries and crashes after a few years. The relative scarcity of safety outcomes in published literature, along with the wide breadth of CPP types, implementation contexts, and outcomes measured, demonstrates that more research on safety outcomes is needed. Cities and regions planning to implement CPPs should consider potential mode shifts and safety supports for all road users (e.g., bicycle and pedestrian infrastructure).© 2021. The New York Academy of Medicine.

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