Evidence map›Paper›PMID 41286717›Full record

ArticleBMC public health2025

The escalating burden of cyclist road injuries among reproductive-aged women in china: a longitudinal and gender-specific analysis of the global burden of disease study 1990-2021.

Cong Zhang, Peidong Zhang, Tingxuan Tang, Deng Chen, Jialiu Luo, Shunyao Chen, Zhiqiang Lin, Shuaipeng Gu, Youxie Shen, Hui Li and 3 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Cong ZhangDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Peidong ZhangDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Tingxuan TangDepartment of Orthopedics, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Deng ChenDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Jialiu LuoDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Shunyao ChenDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Zhiqiang LinDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Shuaipeng GuDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Youxie ShenDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Hui LiDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Liming DongDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Teding ChangDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Zhaohui TangDepartment of Trauma Surgery, Emergency Surgery & Surgical Critical, Tongji Trauma Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China. tangzh@tjh.tjmu.edu.cn.

Funding

National Natural Science Foundation of China 81873870
6 · The paper itself

Abstract

objectiveTo quantify the burden, trends, and gender-specific disparities of cyclist road injuries in China following the micro-mobility revolution and identify systemic drivers of rising mortality among reproductive-aged women.

methodsUsing Global Burden of Disease (GBD) 2021 subnational data (1990-2021), we analyzed age-standardized incidence (ASIR), mortality (ASMR), and disability-adjusted life year rates (ASDAR) for cyclist injuries. Joinpoint regression identified temporal inflection points. Infrastructure deficits were mapped via OpenStreetMap. ARIMAX models projected burdens to 2050, incorporating Socio-Demographic Index (SDI) and demographic covariates.

resultsRoad injuries were the leading cause of death among reproductive-aged adults (15-49 years) in China in 2021 (ASMR 16.8 per 100,000). Cyclist injuries constituted a uniquely severe burden, with China ranking 6th globally in ASDAR. Women aged 15-49 years experienced the planet's highest cyclist mortality (ASMR rank 1st; ≈60% higher than males). A 2016 inflection point reversed previous declines in ASMR/ASDAR, coinciding with rapid micro-mobility expansion. Systemic failures likely contributed: dedicated bike lanes covered only 0.3% of roads, regulatory frameworks lacked bicycle-specific protections, and occupational cycling heightened exposure among women. By 2050, ASIR and ASDAR among reproductive-aged women are projected to rise by 23.7% and 19.4%, respectively, signaling a crisis of long-term disability from fractures and neurotrauma.

conclusionsChina's cycling safety crisis constitutes a demographic emergency, with women facing catastrophic mortality due to infrastructural abandonment, regulatory neglect, and unmitigated micro-mobility risks. Urgent gender-responsive interventions-mandating segregated lanes, enforcing WHO-aligned bicycle legislation (helmets, lighting), and integrating bone health into occupational safety-are essential to avert 81,000 projected disability life-years lost annually by 2050 and align green mobility goals with equitable health protection.

Indexed as

Accidents, TrafficBicyclingWounds and InjuriesAdolescentAdultChinaDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseHumansIncidenceLongitudinal StudiesMaleMiddle AgedSex FactorsYoung AdultCyclist injuriesGender disparityMicro-mobilityRoad injuriesRoad safety policy

Identifiers

PMID41286717
PMCPMC12642345

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.