BMC Public Health | |
Bicycling crash circumstances vary by route type: a cross-sectional analysis | |
Meghan Winters7  Mary Chipman6  Shelina Babul2  Lee Vernich6  Melody Monro5  Garth Hunte3  Steven M Friedman4  Michael D Cusimano6  Jeff Brubacher3  Peter A Cripton8  Conor CO Reynolds9  M Anne Harris1  Hui Shen5  Theresa Frendo5  Kay Teschke5  | |
[1] School of Occupational and Public Health, Ryerson University, Toronto, ON, Canada;British Columbia Injury Research and Prevention Unit, Vancouver, BC, Canada;Department of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada;Emergency Medicine, University Health Network, Toronto, ON, Canada;School of Population and Public Health, University of British Columbia, 2206 East Mall, Vancouver, BC, Canada;School of Public Health, University of Toronto, Toronto, ON, Canada;Faculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada;Department of Mechanical Engineering, ICORD and the Brain Research Centre, University of British Columbia, Vancouver, BC, Canada;Institute for Resources, Environment and Sustainability, University of British Columbia, Vancouver, BC, Canada | |
关键词: Traffic accidents; Bike lanes; Bicycling injuries; | |
Others : 1122911 DOI : 10.1186/1471-2458-14-1205 |
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received in 2014-03-25, accepted in 2014-11-06, 发布年份 2014 | |
【 摘 要 】
Background
Widely varying crash circumstances have been reported for bicycling injuries, likely because of differing bicycling populations and environments. We used data from the Bicyclists’ Injuries and the Cycling Environment Study in Vancouver and Toronto, Canada, to describe the crash circumstances of people injured while cycling for utilitarian and leisure purposes. We examined the association of crash circumstances with route type.
Methods
Adult cyclists injured and treated in a hospital emergency department described their crash circumstances. These were classified into major categories (collision vs. fall, motor vehicle involved vs. not) and subcategories. The distribution of circumstances was tallied for each of 14 route types defined in an earlier analysis. Ratios of observed vs. expected were tallied for each circumstance and route type combination.
Results
Of 690 crashes, 683 could be characterized for this analysis. Most (74%) were collisions. Collisions included those with motor vehicles (34%), streetcar (tram) or train tracks (14%), other surface features (10%), infrastructure (10%), and pedestrians, cyclists, or animals (6%). The remainder of the crashes were falls (26%), many as a result of collision avoidance manoeuvres. Motor vehicles were involved directly or indirectly with 48% of crashes. Crash circumstances were distributed differently by route type, for example, collisions with motor vehicles, including “doorings”, were overrepresented on major streets with parked cars. Collisions involving streetcar tracks were overrepresented on major streets. Collisions involving infrastructure (curbs, posts, bollards, street furniture) were overrepresented on multiuse paths and bike paths.
Conclusions
These data supplement our previous analyses of relative risks by route type by indicating the types of crashes that occur on each route type. This information can guide municipal engineers and planners towards improvements that would make cycling safer.
【 授权许可】
2014 Teschke et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
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20150215024226104.pdf | 385KB | download | |
Figure 2. | 44KB | Image | download |
Figure 1. | 33KB | Image | download |
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【 参考文献 】
- [1]Pucher J, Dill J, Handy S: Infrastructure, programs, and policies to increase cycling: an international review. Prev Med 2010, 50(Suppl 1):S106-S125.
- [2]Reynolds CO, Harris MA, Teschke K, Cripton PA, Winters M: The impact of transportation infrastructure on bicycling injuries and crashes: a review of the literature. Environ Health 2009, 8:47. BioMed Central Full Text
- [3]Teschke K, Harris MA, Reynolds CCO, Winters M, Babul S, Chipman M, Cusimano MD, Brubacher J, Friedman SM, Hunte G, Monro M, Shen H, Vernich L, Cripton PA: Route infrastructure and the risk of injuries to bicyclists: a case-crossover study. Am J Public Health 2012, 102:2336-2343.
- [4]Harris MA, Reynolds CCO, Winters M, Cripton PA, Shen H, Chipman ML, Cusimano MD, Babul S, Brubacher JR, Friedman SM, Hunte G, Monro M, Vernich L, Teschke K: Comparing the effects of infrastructure on bicycling injury at intersections and non-intersections using a case-crossover design. Inj Prev 2013, 19:303-310.
- [5]Thomas B, DeRobertis M: The safety of urban cycle tracks: a review of the literature. Accid Anal Prev 2013, 52:219-227.
- [6]Minikel E: Cyclist safety on bicycle boulevards and parallel arterial routes in Berkeley, California. Accid Anal Prev 2012, 45:241-247.
- [7]Broach J, Dill J, Gliebe J: Where do cyclists ride? A route choice model developed with revealed preference GPS data. Trans Res Part A 2012, 46:1730-1740.
- [8]Walgren L, Schantz P: Exploring bikeability in a metropolitan setting: stimulating and hindering factors in commuting route environments. BMC Public Health 2012, 12:168. BioMed Central Full Text
- [9]Winters M, Davidson G, Kao D, Teschke K: Motivators and deterrents of bicycling: comparing influences on decisions to ride. Transportation 2011, 38:153-168.
- [10]Winters M, Teschke K: Route preferences among adults in the near market for cycling: findings of the cycling in cities study. Am J Health Promot 2010, 25:40-47.
- [11]Nielsen TAS, Skov-Petersen H, Carstensen TA: Urban planning practices for bikeable cities – the case of Copenhagen. Urban Res Practice 2013, 6:110-115.
- [12]Amoros E, Chiron M, Thélot B, Laumon B: The injury epidemiology of cyclists based on a road trauma registry. BMC Public Health 2011, 11:653. BioMed Central Full Text
- [13]Boufous S, de Rome L, Senserrick T, Ivers RQ: Single- versus multi-vehicle bicycle road crashes in Victoria, Australia. Inj Prev 2013, 19:358-362.
- [14]Eilert-Petersson E, Schelp L: An epidemiological study of bicycle-related injuries. Accid Anal Prev 1997, 29:363-372.
- [15]Hamann C, Peek-Asa C, Lynch CF, Ramirez M, Torner J: Burden of hospitalizations by motor vehicle involvement: United States, 2002–2009. J Trauma Acute Care Surg 2013, 75:870-876.
- [16]Heesh KC, Garrard J, Sahlqvist S: Incidence, severity and correlates of bicycling injuries in a sample of cyclists in Queensland, Australia. Accid Anal Prev 2011, 43:2085-2092.
- [17]Tin Tin S, Woodward A, Ameratunga S: Injuries to pedal cyclists on New Zealand Roads, 1988–2007. BMC Public Health 2010, 10:655. BioMed Central Full Text
- [18]Wee JH, Park JH, Park KN, Choi SP: A comparative study of bike lane injuries. J Trauma 2012, 72:448-453.
- [19]Schepers P: A Safer Road Environment for Cyclists. PhD Thesis. Delft University of Technology, Department of Civil Engineering and Geosciences; 2013. http://www.swov.nl/rapport/Proefschriften/Paul_Schepers.pdf webcite Accessed February 25, 2014
- [20]de Rome L, Boufous S, Georgeson T, Senserrick T, Richardson D, Ivers R: Bicycle crashes in different riding environments in the Australia Capital Territory. Traffic Inj Prev 2014, 15:81-88.
- [21]Becker J, Runer A, Neunhauserer D, Frick N, Resch H, Moroder P: A prospective study of downhill mountain biking injuries. Brit J Sports Med 2013, 47:458-462.
- [22]Isaksson-Hellman I: A study of bicycle and passenger car collisions based on insurance claims data. Ann Adv Automotive Med 2012, 56:563-12.
- [23]Chen WS, Dunn RY, Chen AJ, Linakis JG: Epidemiology of nonfatal bicycle injuries presenting to United States emergency departments, 2001–2008. Acad Emerg Med 2013, 20:570-575.
- [24]Harris MA, Reynolds CCO, Winters M, Chipman M, Cripton PA, Cusimano MD, Teschke K: The Bicyclists’ injuries and the cycling environment study: a protocol to tackle methodological issues facing studies of bicycling safety. Inj Prev 2011, 17(5):e6.
- [25]Wilson EB: Probable inference, the law of succession, and statistical inference. J Am Stat Assoc 1927, 22:209-212.
- [26]Newcombe RG: Two-sided confidence intervals for the single proportion: comparison of seven methods. Stat Med 1998, 17:857-872.
- [27]Yan X, Ma M, Huang H, Abdel-Aty M, Wu C: Motor vehicle – bicycle crashes in Beijing: irregular manouvers, crash patterns, and injury severity. Accid Anal Prev 2011, 43:1751-1758.
- [28]Johnson M, Newstead S, Oxley J, Charlton J: Cyclists and open vehicle doors: crash characteristics and risk factors. Safety Sci 2013, 59:135-140.
- [29]de Geus B, Vandembulke G, Int Panis L, Thomas I, DeGraeuwe B, Cumps E, Aertsens J, Torfs R, Meeusen R: A prospective cohort study involving commuter cyclists in Belgium. Accid Anal Prev 2012, 45:683-693.
- [30]Grundy C, Steinbach R, Edwards P, Green J, Armstrong B, Wilkinson P: Effect of 20 mph traffic speed zones on road injuries in London, 1986–2006: controlled interrupted time series analysis. BMJ 2009, 339:b4469.
- [31]Tan C: Crash-Type Manual for Bicyclists. 1996. http://www.fhwa.dot.gov/publications/research/safety/pedbike/96104/ webcite Accessed February 25, 2014