Mark Stevenson (epidemiologist)

Last updated

Mark Stevenson
Born (1964-02-10) February 10, 1964 (age 60)
NationalityAustralian
EducationMaster of Public Health
Doctor of Philosophy (Distinction)
Alma mater The University of Western Australia
Curtin University
Occupation(s)Epidemiologist, author and academic
Known for Epidemiology, road injury, public health, urban health
Scientific career
Institutions World Health Organization
Urban Analytica
The University of Melbourne
Thesis A study of the distribution and determinants of childhood pedestrian injuries in Perth, Western Australia  (1994)

Mark Stevenson (born February 10, 1964) is an Australian epidemiologist, author, and academic. He is a professor of Urban Transport and Public Health at The University of Melbourne, where he directs the Transport, Health, and Urban Systems Research Lab. [1] Additionally, he serves as an International Scholar at Tongji University, while also working as an Advisor for injury to the Director General of the World Health Organization and Chief Scientist of Urban Analytica. [2]

Contents

Stevenson's research encompasses epidemiology pertaining to both transport safety and public health. [3] He has authored over 300 publications, including The Scientific Basis of Injury Prevention and Control. [4] In addition, he has served as an advisor on policy matters for both Australian federal and state governments. [5] For his work on injury prevention in Australia, he received both the Australian National Road Safety Award and the Australian Injury Prevention Network Award. [6]

Stevenson was appointed a Fellow of the Australian Academy of Health and Medical Sciences in 2022 [7] and a Lifetime Fellow of the Australasian College of Road Safety. [8] He served as an Associate Editor of Injury Prevention . [9]

Education and early career

Stevenson completed his undergraduate studies in New Zealand. He then completed a Postgraduate Diploma in Health Science majoring in Epidemiology and Biostatistics from Curtin University in 1987, followed by a Master of Public Health in 1988, [10] and held positions as Senior Lecturer, Lecturer, and Senior Tutor at the School of Public Health at Curtin University from 1989 to 1995. He graduated with a Doctor of Philosophy from The University of Western Australia (UWA) in 1995 and served his Postdoctoral Fellowship at Harvard School of Public Health. [11]

Career

Stevenson assumed the role of Senior Lecturer and Head of the Department of Epidemiology and Biostatistics at Curtin University in 1997, later moving to UWA, where he served as Associate Professor and Director of the Injury Research Centre until 2003. [12] Following this, he served as a professor of Injury Prevention at The University of Sydney and subsequently served as a Professor and Director at the Accident Research Centre at Monash University from 2010 to 2015. [13] Since 2018, he has served as an International Scholar at Tongji University in Shanghai and is a professor of Urban Transport and Public Health at the University of Melbourne, an appointment he holds across the Melbourne Schools of Design, Engineering, and Population and Global Health, and is the director of the Transport, Health, and Urban Systems Research Lab there as well. [10] [14]

Stevenson served as an Epidemiologist at the US Centers for Disease Control and Prevention in 1998, [15] and held the position of Senior Director of Research and Development at The George Institute for Global Health in Sydney, where he also directed the Injury and Trauma Care Division. [16] From 2007 to 2022, he held National Health & Medical Research Council Research Fellowships. [17] Since 2008, he has served as an advisor for injury to the director general of the World Health Organization and also holds the appointment of Chief Scientist and co-founder of Urban Analytica a data analytics company focused on sustainable transport solutions. [18]

Research

Stevenson has concentrated his research efforts on increasing public awareness of transportation safety, with a particular focus on preventing road injuries in urban settings and implementing transport policies to promote population health. [3]

Transport safety

Stevenson's highly cited publications and advocacy efforts have influenced transport and public health policies, prompting legislative changes. [19] He conducted a large-scale study on mobile phone use while driving, revealing a three-fold increased crash risk across all driver demographics which led to legislative changes in Australia, New Zealand, Canada, USA, and UK. [20] From 2007 to 2013, he led a case-control study on sleepiness, sleep disorders, and the work environment in heavy vehicle crashes, [21] [22] influencing the Australian Government's Road Safety Remuneration Bill 2011 and Fair Work Legislation Amendment Bill 2023 to mitigate driver risk-taking behaviors. [23] His advocacy, including media appearances and opinion editorials, led to the implementation of graduated driver licensing schemes (GLS) with peer passenger and night driving restrictions across a number of Australian States. [24] He also led a study on reducing driving behaviors contributing to crashes by providing individualized real-time feedback via a smartphone app, along with financial incentives. [25] [26]

Injury prevention

Stevenson emphasized the role of injury as a primary cause of death and disability worldwide prioritizing comprehension of essential scientific foundations for effective harm mitigation in his book titled The Scientific Basis of Injury Prevention and Control. In his study on the aftermath of the May 2008 earthquake in Wenchuan, he highlighted the widespread occurrence of injuries, attributing them to significant loss of life and productivity, proposing low-cost prevention measures to deal with the public health issue of injury-related mortality and morbidity in China. [27] In addition, he presented an overview of the injury severity score (ISS) and the new injury severity score (NISS), illustrated their statistical properties through descriptive analysis, revealing a positively skewed distribution with no improvement in skewness through transformation. [28]

Stevenson's 2003 study was the first to demonstrate an almost 2-fold increased risk of child drowning in 3-sided (where the house acted as a barrier) versus 4-sided (isolated) fenced swimming pools. [29] These findings influenced legislative changes regarding isolation pool fencing and were cited in the WHO's and UNICEF's World Report on Child Injury Prevention as key evidence for the effectiveness of isolation pool fencing in preventing child drowning. [30]

Public health

Stevenson has contributed to epidemiological studies focused on identifying risk factors that promote health. He researched, with colleagues, the association between antibiotics and hospital-acquired Clostridioides difficile infections, highlighting the gaps in research because of incorrect control groups and emphasizing the need for well-designed studies to identify true risk factors. [31] In collaborative efforts, he proposed eight interventions for healthier, more sustainable cities through urban planning, advocating for multisector leadership prioritizing health and livability. [32] Employing a health impact assessment framework to analyze the effects of alternative land-use and transport policies, his research also showcased how the transition toward compact cities promotes health benefits in diabetes, cardiovascular disease, and respiratory disease. [33]

On September 6, 2020, Stevenson's research lab presented modeling to the Victorian Premier, outlining a roadmap for managing the second wave of the COVID-19 crisis. It emphasized the significant impact of the chosen trigger for easing public health restrictions on the risk of another lockdown by Christmas. [34] These recommendations were adopted by the governments of Australia and New Zealand. [35]

Awards and honors

Bibliography

Selected books

Selected articles

Related Research Articles

<span class="mw-page-title-main">Cycling</span> Riding a bicycle

Cycling, also known as bicycling or biking, is the activity of riding a bicycle or other type of cycle. It encompasses the use of human-powered vehicles such as balance bikes, unicycles, tricycles, and quadricycles. Cycling is practised around the world for purposes including transport, recreation, exercise, and competitive sport.

<span class="mw-page-title-main">Road traffic safety</span> Methods and measures for reducing the risk of death and injury on roads

Road traffic safety refers to the methods and measures used to prevent road users from being killed or seriously injured. Typical road users include pedestrians, cyclists, motorists, vehicle passengers, and passengers of on-road public transport.

<span class="mw-page-title-main">Major trauma</span> Injury that could cause prolonged disability or death

Major trauma is any injury that has the potential to cause prolonged disability or death. There are many causes of major trauma, blunt and penetrating, including falls, motor vehicle collisions, stabbing wounds, and gunshot wounds. Depending on the severity of injury, quickness of management, and transportation to an appropriate medical facility may be necessary to prevent loss of life or limb. The initial assessment is critical, and involves a physical evaluation and also may include the use of imaging tools to determine the types of injuries accurately and to formulate a course of treatment.

<span class="mw-page-title-main">Bicycle helmet</span> Type of helmet

A bicycle helmet is a type of helmet designed to attenuate impacts to the head of a cyclist in collisions while minimizing side effects such as interference with peripheral vision.

<span class="mw-page-title-main">Risk compensation</span> Behavioral theory

Risk compensation is a theory which suggests that people typically adjust their behavior in response to perceived levels of risk, becoming more careful where they sense greater risk and less careful if they feel more protected. Although usually small in comparison to the fundamental benefits of safety interventions, it may result in a lower net benefit than expected or even higher risks.

<span class="mw-page-title-main">Safety in numbers</span> Hypothesis

Safety in numbers is the hypothesis that, by being part of a large physical group or mass, an individual is less likely to be the victim of a mishap, accident, attack, or other bad event. Some related theories also argue that mass behaviour can reduce accident risks, such as in traffic safety – in this case, the safety effect creates an actual reduction of danger, rather than just a redistribution over a larger group.

<span class="mw-page-title-main">Motorcycle safety</span> Study of the risks and dangers of motorcycling

Motorcycle safety is the study of the risks and dangers of motorcycling, and the approaches to mitigate that risk, focusing on motorcycle design, road design and traffic rules, rider training, and the cultural attitudes of motorcyclists and other road users.

<span class="mw-page-title-main">Bicycle safety</span> Safety practices to reduce risk associated with cycling

Bicycle safety is the use of road traffic safety practices to reduce risk associated with cycling. Risk can be defined as the number of incidents occurring for a given amount of cycling. Some of this subject matter is hotly debated: for example, which types of cycling environment or cycling infrastructure is safest for cyclists. The merits of obeying the traffic laws and using bicycle lighting at night are less controversial. Wearing a bicycle helmet may reduce the chance of head injury in the event of a crash.

Injury prevention is an effort to prevent or reduce the severity of bodily injuries caused by external mechanisms, such as accidents, before they occur. Injury prevention is a component of safety and public health, and its goal is to improve the health of the population by preventing injuries and hence improving quality of life. Among laypersons, the term "accidental injury" is often used. However, "accidental" implies the causes of injuries are random in nature. Researchers prefer the term "unintentional injury" to refer to injuries that are nonvolitional but often preventable. Data from the U.S. Centers for Disease Control show that unintentional injuries are a significant public health concern: they are by far the leading cause of death from ages 1 through 44. During these years, unintentional injuries account for more deaths than the next three leading causes of death combined. Unintentional injuries also account for the top ten sources of nonfatal emergency room visits for persons up to age 9 and nine of the top ten sources of nonfatal emergency room visits for persons over the age of 9.

Bicycle helmets have been mandatory for bicycle riders of all ages in New Zealand since January 1994.

<span class="mw-page-title-main">Falling (accident)</span> Cause of injury or death

Falling is the action of a person or animal losing stability and ending up in a lower position, often on the ground. It is the second-leading cause of accidental death worldwide and a major cause of personal injury, especially for the elderly. Falls in older adults are a major class of preventable injuries. Construction workers, electricians, miners, and painters are occupations with high rates of fall injuries.

<span class="mw-page-title-main">Traffic collision</span> Incident when a vehicle collides with another object

A traffic collision, also known as a motor vehicle collision, or car crash, occurs when a vehicle collides with another vehicle, pedestrian, animal, road debris, or other moving or stationary obstruction, such as a tree, pole or building. Traffic collisions often result in injury, disability, death, and property damage as well as financial costs to both society and the individuals involved. Road transport is statistically the most dangerous situation people deal with on a daily basis, but casualty figures from such incidents attract less media attention than other, less frequent types of tragedy. The commonly used term car accident is increasingly falling out of favor with many government departments and organizations, with the Associated Press style guide recommending caution before using the term. Some collisions are intentional vehicle-ramming attacks, staged crashes, vehicular homicide or vehicular suicide.

<span class="mw-page-title-main">Bicycle helmets in Australia</span>

Australia was the first country to make wearing bicycle helmets mandatory. The majority of early statistical data regarding the effectiveness of bicycle helmets originated from Australia. Their efficacy is still a matter of debate.

<span class="mw-page-title-main">Bicycle helmet laws</span> Laws mandating helmet use by cyclists

Some countries and lower jurisdictions have enacted laws or regulations which require cyclists to wear a helmet in certain circumstances, typically when riding on the road or a road-related area. In some places this requirement applies only to children under a certain age, while in others it applies to cyclists of all ages.

<span class="mw-page-title-main">Work-related road safety in the United States</span>

People who are driving as part of their work duties are an important road user category. First, workers themselves are at risk of road traffic injury. Contributing factors include fatigue and long work hours, delivery pressures, distractions from mobile phones and other devices, lack of training to operate the assigned vehicle, vehicle defects, use of prescription and non-prescription medications, medical conditions, and poor journey planning. Death, disability, or injury of a family wage earner due to road traffic injury, in addition to causing emotional pain and suffering, creates economic hardship for the injured worker and family members that may persist well beyond the event itself.

<span class="mw-page-title-main">Safety of cycling infrastructure</span> Overview of bicycle safety concerns

There is debate over the safety implications of cycling infrastructure. Recent studies generally affirm that segregated cycle tracks have a better safety record between intersections than cycling on major roads in traffic. Furthermore, cycling infrastructure tends to lead to more people cycling. A higher modal share of people cycling is correlated with lower incidences of cyclist fatalities, leading to a "safety in numbers" effect though some contributors caution against this hypothesis. On the contrary, older studies tended to come to negative conclusions about mid-block cycle track safety.

<span class="mw-page-title-main">Caroline Finch</span> Australian statistician

Caroline Finch AO is an Australian sports injury epidemiologist and sports injury prevention researcher. Her research has been adopted and used to directly inform safety policy by Government Departments of Sport and Health, health promotion and injury prevention agencies, and peak sports bodies both within Australia and internationally. Her injury prevention research has been applied to falls in older people, road safety, workplace safety and injuries in children.

Rebecca Q. Ivers is an Australian academic known for her work in injury prevention and trauma care research.

Robyn Ngaire Norton is a New Zealand health researcher who is James Martin Fellow and Professor of Public Health at the University of New South Wales. Her research considers women and girls' health. She is the Founder of the George Institute for Global Health.

Phil Edwards is a British statistician, epidemiologist and academic. He is a Chartered Statistician of the Royal Statistical Society and a professor in the Department of Population Health at the London School of Hygiene and Tropical Medicine (LSHTM).

References

  1. "Governance". AURIN.
  2. "Are Australia's roads becoming more dangerous? Here's what the data says".
  3. 1 2 "Cities in motion" (PDF).
  4. "Professor Mark Stevenson".
  5. Muma, Carla (October 14, 2022). "Professor Mark Stevenson - AAHMS". aahms.org.
  6. 1 2 "Awards History". AIPN.
  7. 1 2 "Fellowships - AAHMS". aahms.org.
  8. 1 2 "Australasian College of Road Safety Fellowship Award".
  9. "Injury Prevention" (PDF).
  10. 1 2 "Mark Stevenson Professorial Fellow, Urban Transport & Public HLTH Architecture, Building and Planning".
  11. Stefanic, Tiana (January 19, 2024). "Professor Mark Stevenson". Melbourne School of Design.
  12. "Study on brain injury in rugby players will enhance safety and recovery". EurekAlert!.
  13. "Curtin-Monash Accident Research Centre" (PDF).
  14. "Professor Mark Stevenson - Latest research stories and news | Pursuit by The University of Melbourne". pursuit.unimelb.edu.au.
  15. "About the Editors".
  16. "NSW Injury Risk Management Research Centre" (PDF).
  17. Meuleners, Lynn; Fraser, Michelle; Stevenson, Mark; Roberts, Paul (September 2023). "Personalized driving safety: Using telematics to reduce risky driving behavior among young drivers". Journal of Safety Research. 86: 164–173. doi:10.1016/j.jsr.2023.05.007. PMID   37718043.
  18. "Mark Stevenson". www.elsevier.com.
  19. Ivers, Rebecca; Blows, Stephanie; Kardamanidis, Katina; Liu, Bette C.; Lo, Sing Kai; Norton, Robyn; Stevenson, Mark S.; Zhang, Junhua (2004). "Motorcycle helmet legislation for preventing injuries in motorcyclists". Cochrane Database of Systematic Reviews. doi:10.1002/14651858.CD004891.
  20. McEvoy, Suzanne P.; Stevenson, Mark R.; McCartt, Anne T.; Woodward, Mark; Haworth, Claire; Palamara, Peter; Cercarelli, Rina (August 18, 2005). "Role of mobile phones in motor vehicle crashes resulting in hospital attendance: a case-crossover study". BMJ. 331 (7514): 428. doi:10.1136/bmj.38537.397512.55. PMC   1188107 . PMID   16012176.
  21. Stevenson, Mark; Sharwood, Lisa N.; Wong, Keith; Elkington, Jane; Meuleners, Lynn; Ivers, Rebecca Q.; Grunstein, Ron R.; Williamson, Ann; Haworth, Narelle; Norton, Robyn (March 26, 2010). "The Heavy Vehicle Study: a case-control study investigating risk factors for crash in long distance heavy vehicle drivers in Australia". BMC Public Health. 10 (1): 162. doi: 10.1186/1471-2458-10-162 . PMC   2859397 . PMID   20338064.
  22. Elkington, J.; Stevenson, M. (February 25, 2013). "The heavy vehicle study: final report".
  23. "Fair Work Legislation Amendment Bill 2023".
  24. Walker, Clara; Thompson, Jason; Stevenson, Mark (May 19, 2017). "Road trauma among young Australians: Implementing policy to reduce road deaths and serious injury". Traffic Injury Prevention. 18 (4): 363–368. doi:10.1080/15389588.2016.1212189. PMID   27575668 via CrossRef.
  25. Stevenson, Mark; Mortimer, Duncan; Meuleners, Lynn; Harris, Anthony; Senserrick, Teresa; Thompson, Jason; De Silva, Anurika; Barrera-Jimenez, Humberto; Streatfield, Avita; Perera, Maneesha (October 18, 2023). "FEEDBACK trial - A randomised control trial to investigate the effect of personalised feedback and financial incentives on reducing the incidence of road crashes". BMC Public Health. 23 (1): 2035. doi: 10.1186/s12889-023-16886-z . PMC   10585737 . PMID   37853342.
  26. "Giving Australians 'smart' incentives to drive safe". Pursuit. April 3, 2023.
  27. Wang, Sy; Li, Yh; Chi, Gb; Xiao, Sy; Ozanne-Smith, J; Stevenson, M; Phillips, Mr (November 2008). "Injury-related fatalities in China: an under-recognised public-health problem". The Lancet. 372 (9651): 1765–1773. doi:10.1016/S0140-6736(08)61367-7. PMID   18930527.
  28. Stevenson, M.; Segui-Gomez, M.; Lescohier, I.; Scala, C. Di; McDonald-Smith, G. (March 1, 2001). "An overview of the injury severity score and the new injury severity score". Injury Prevention. 7 (1): 10–13. doi:10.1136/ip.7.1.10. PMC   1730702 . PMID   11289527 via injuryprevention.bmj.com.
  29. Stevenson, Mark R.; Rimajova, Miroslava; Edgecombe, Dean; Vickery, Ken (2003). "Childhood Drowning: Barriers Surrounding Private Swimming Pools". Pediatrics. 111 (2): e115–e119. doi:10.1542/peds.111.2.e115. PMID   12563083.
  30. "Child Drowning Evidence for a newly recognized cause of child mortality in low and middle-income countries in Asia" (PDF).
  31. Thomas, C.; Stevenson, M.; Riley, T. V. (2003). "Antibiotics and hospital-acquired Clostridium difficile-associated diarrhoea: A systematic review". Journal of Antimicrobial Chemotherapy. 51 (6): 1339–1350. doi:10.1093/jac/dkg254. PMID   12746372.
  32. Giles-Corti, Billie; Vernez-Moudon, Anne; Reis, Rodrigo; Turrell, Gavin; Dannenberg, Andrew L.; Badland, Hannah; Foster, Sarah; Lowe, Melanie; Sallis, James F.; Stevenson, Mark; Owen, Neville (2016). "City planning and population health: A global challenge". The Lancet. 388 (10062): 2912–2924. doi:10.1016/S0140-6736(16)30066-6. PMID   27671668.
  33. Stevenson, Mark; Thompson, Jason; De Sá, Thiago Hérick; Ewing, Reid; Mohan, Dinesh; McClure, Rod; Roberts, Ian; Tiwari, Geetam; Giles-Corti, Billie; Sun, Xiaoduan; Wallace, Mark; Woodcock, James (2016). "Land use, transport, and population health: Estimating the health benefits of compact cities". The Lancet. 388 (10062): 2925–2935. doi:10.1016/S0140-6736(16)30067-8. PMC   5349496 . PMID   27671671.
  34. "Modelling Victoria's escape from COVID-19".
  35. Thompson, J.; McClure, R.; Blakely, T.; Wilson, N.; Baker, M. G.; Wijnands, J. S.; De Sa, T. H.; Nice, K.; Cruz, C.; Stevenson, M. (2023). "Modelling SARS-CoV-2 disease progression in Australia and New Zealand: An account of an agent-based approach to support public health decision-making". Australian and New Zealand Journal of Public Health. 46 (3): 292–303. doi:10.1111/1753-6405.13221. PMC   9111129 . PMID   35238437.