Coming from a bio background, I’ve always been confused why auto fatality stats are normalized per miles driven. Epidemiological metrics like incidence or prevalence seem like they would work fine? Town A would be “safer” than town B if people’s commutes are 20% shorter, even if accidents occur w same frequency
Because it yields a simple corollary that to make travelling safer you can reduce the number of miles driven. Mostly by giving people viable alternatives to driving, be it long-distance rail or bike lanes to move around quicker and safer in the city.
Pretty sure I've seen exposure-adjusted incidence rates used in clinical trials.
Miles is simply a proxy for exposure.
Given risk here does vary by exposure time and trip length varies so much, it seems reasonable to use - at least in combination with crude rates.