ArticleBMJ open2015
Bicycling injury hospitalisation rates in Canadian jurisdictions: analyses examining associations with helmet legislation and mode share.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Risk of bicycle collisions and 'safety in numbers': a natural experiment using the local introduction of e-scooters in England.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- National Burden of Bicyclist Hospitalizations in the United States by Rurality, 2016-2020.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Effectiveness of road safety interventions: An evidence and gap map.Campbell systematic reviews · 2024Article
- Predictors of Mortality in Bicycle-Related Trauma: An Eight-Year Experience in a Level One Trauma Center.Journal of personalized medicine · 2022Article
- Estimating walking and bicycling in Canada and their road collision fatality risks: The need for a national household travel survey.Preventive medicine reports · 2021Article
- Severity and predictors of head injury due to bicycle accidents in Western Australia.Acta neurochirurgica · 2021Article
- Bicycle Helmets and Bicycle-Related Traumatic Brain Injury in the Netherlands.Neurotrauma reports · 2020Article
- Bicycling-related concussions leading to postconcussion syndrome in adults.BMJ open sport & exercise medicine · 2020Article
- Long-Term Effects of Education and Legislation Enforcement on All-Age Bicycle Helmet Use: A Longitudinal Study.Journal of community health · 2017Observational
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study was to calculate exposure-based bicycling hospitalisation rates in Canadian jurisdictions with different helmet legislation and bicycling mode shares, and to examine whether the rates were related to these differences.
methodsAdministrative data on hospital stays for bicycling injuries to 10 body region groups and national survey data on bicycling trips were used to calculate hospitalisation rates. Rates were calculated for 44 sex, age and jurisdiction strata for all injury causes and 22 age and jurisdiction strata for traffic-related injury causes. Inferential analyses examined associations between hospitalisation rates and sex, age group, helmet legislation and bicycling mode share.
resultsIn Canada, over the study period 2006-2011, there was an average of 3690 hospitalisations per year and an estimated 593 million annual trips by bicycle among people 12 years of age and older, for a cycling hospitalisation rate of 622 per 100 million trips (95% CI 611 to 633). Hospitalisation rates varied substantially across the jurisdiction, age and sex strata, but only two characteristics explained this variability. For all injury causes, sex was associated with hospitalisation rates; females had rates consistently lower than males. For traffic-related injury causes, higher cycling mode share was consistently associated with lower hospitalisation rates. Helmet legislation was not associated with hospitalisation rates for brain, head, scalp, skull, face or neck injuries.
conclusionsThese results suggest that transportation and health policymakers who aim to reduce bicycling injury rates in the population should focus on factors related to increased cycling mode share and female cycling choices. Bicycling routes designed to be physically separated from traffic or along quiet streets fit both these criteria and are associated with lower relative risks of injury.
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