Evidence map›Paper›PMID 38196814›Full record

ArticleJournal of transport & health2023

Bicycle infrastructure and the incidence rate of crashes with cars: A case-control study with Strava data in Atlanta.

Michael D Garber, Kari E Watkins, W Dana Flanders, Michael R Kramer, R L Felipe Lobelo, Stephen J Mooney, David J Ederer, Lauren E McCullough

Abstract read
In one paragraph

Article in Journal of transport & health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Modern sources of controls in case-control studies.American journal of epidemiology · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Michael D GarberDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Kari E WatkinsCivil and Environmental Engineering, University of California, Davis, Davis, CA, USA.
W Dana FlandersDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Michael R KramerDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
R L Felipe LobeloHubert Department of Global Health, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Stephen J MooneyDepartment of Epidemiology, University of Washington School of Public Health, USA.
David J EdererCivil and Environmental Engineering, Georgia Institute of Technology, Atlanta, GA, USA.
Lauren E McCulloughDepartment of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.

Funding

Evaluating the effect of bike infrastructure on population-level biking and incidence of heart disease, cancer, and mortality using smartphone-generated dataF31HL143900 · NHLBI · EMORY UNIVERSITY · PI GARBER, MICHAEL DAVID · 2018 to 2019
$86k
NHLBI NIH HHS F31 HL143900
6 · The paper itself

Abstract

Introduction: Bicycling has individual and collective health benefits. Safety concerns are a deterrent to bicycling. Incomplete data on bicycling volumes has limited epidemiologic research investigating safety impacts of bicycle infrastructure, such as protected bike lanes. Methods: In this case-control study, set in Atlanta, Georgia, USA between 2016-10-01 and 2018-08-31, we estimated the incidence rate of police-reported crashes between bicyclists and motor vehicles (n = 124) on several types of infrastructure (off-street paved trails, protected bike lanes, buffered bike lanes, conventional bike lanes, and sharrows) per distance ridden and per intersection entered. To estimate underlying bicycling (the control series), we used a sample of high-resolution bicycling data from Strava, an app, combined with data from 15 on-the-ground bicycle counters to adjust for possible selection bias in the Strava data. We used model-based standardization to estimate effects of treatment on the treated. Results: After adjustment for selection bias and confounding, estimated ratio effects on segments (excluding intersections) with protected bike lanes (incidence rate ratio [IRR] = 0.5 [95% confidence interval: 0.0, 2.5]) and buffered bike lanes (IRR = 0 [0,0]) were below 1, but were above 1 on conventional bike lanes (IRR = 2.8 [1.2, 6.0]) and near null on sharrows (IRR = 1.1 [0.2, 2.9]). Per intersection entry, estimated ratio effects were above 1 for entries originating from protected bike lanes (incidence proportion ratio [IPR] = 3.0 [0.0, 10.8]), buffered bike lanes (IPR = 16.2 [0.0, 53.1]), and conventional bike lanes (IPR = 3.2 [1.8, 6.0]), and were near 1 and below 1, respectively, for those originating from sharrows (IPR = 0.9 [0.2, 2.1]) and off-street paved trails (IPR = 0.7 [0.0, 2.9]). Conclusions: Protected bike lanes and buffered bike lanes had estimated protective effects on segments between intersections but estimated harmful effects at intersections. Conventional bike lanes had estimated harmful effects along segments and at intersections.

Indexed as

AtlantaBicycle infrastructureBicycling safetyCase-control studiesCausal inferenceGeorgiaStrava

Identifiers

PMID38196814
PMCPMC10773466

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.