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Although several previous studies have focused on pedestrian safety, most of the studies have focused on urban roads. This study investigated accident data among 1358 pedestrians from 2012 to 2018 on urban, suburban, and rural roads in 16 cities in the Gilan province of Iran using structural equation modelling (SEM). Factor analysis showed that four exogenous latent variables had a significant relationship with fatal accidents among pedestrians. Factors related to roads (coefficient 0.968), vehicles (coefficient 0.632), humans (coefficient 0.306), and the e