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Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study
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Zeitschriftentitel: | American Journal of Public Health |
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Personen und Körperschaften: | , , , , , , , , , , , , , |
In: | American Journal of Public Health, 102, 2012, 12, S. 2336-2343 |
Format: | E-Article |
Sprache: | Englisch |
veröffentlicht: |
American Public Health Association
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Schlagwörter: |
author_facet |
Teschke, Kay Harris, M. Anne Reynolds, Conor C. O. Winters, Meghan Babul, Shelina Chipman, Mary Cusimano, Michael D. Brubacher, Jeff R. Hunte, Garth Friedman, Steven M. Monro, Melody Shen, Hui Vernich, Lee Cripton, Peter A. Teschke, Kay Harris, M. Anne Reynolds, Conor C. O. Winters, Meghan Babul, Shelina Chipman, Mary Cusimano, Michael D. Brubacher, Jeff R. Hunte, Garth Friedman, Steven M. Monro, Melody Shen, Hui Vernich, Lee Cripton, Peter A. |
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author |
Teschke, Kay Harris, M. Anne Reynolds, Conor C. O. Winters, Meghan Babul, Shelina Chipman, Mary Cusimano, Michael D. Brubacher, Jeff R. Hunte, Garth Friedman, Steven M. Monro, Melody Shen, Hui Vernich, Lee Cripton, Peter A. |
spellingShingle |
Teschke, Kay Harris, M. Anne Reynolds, Conor C. O. Winters, Meghan Babul, Shelina Chipman, Mary Cusimano, Michael D. Brubacher, Jeff R. Hunte, Garth Friedman, Steven M. Monro, Melody Shen, Hui Vernich, Lee Cripton, Peter A. American Journal of Public Health Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study Public Health, Environmental and Occupational Health |
author_sort |
teschke, kay |
spelling |
Teschke, Kay Harris, M. Anne Reynolds, Conor C. O. Winters, Meghan Babul, Shelina Chipman, Mary Cusimano, Michael D. Brubacher, Jeff R. Hunte, Garth Friedman, Steven M. Monro, Melody Shen, Hui Vernich, Lee Cripton, Peter A. 0090-0036 1541-0048 American Public Health Association Public Health, Environmental and Occupational Health http://dx.doi.org/10.2105/ajph.2012.300762 <jats:p> Objectives. We compared cycling injury risks of 14 route types and other route infrastructure features. </jats:p><jats:p> Methods. We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site from the same trip. </jats:p><jats:p> Results. Of 14 route types, cycle tracks had the lowest risk (adjusted odds ratio [OR] = 0.11; 95% confidence interval [CI] = 0.02, 0.54), about one ninth the risk of the reference: major streets with parked cars and no bike infrastructure. Risks on major streets were lower without parked cars (adjusted OR = 0.63; 95% CI = 0.41, 0.96) and with bike lanes (adjusted OR = 0.54; 95% CI = 0.29, 1.01). Local streets also had lower risks (adjusted OR = 0.51; 95% CI = 0.31, 0.84). Other infrastructure characteristics were associated with increased risks: streetcar or train tracks (adjusted OR = 3.0; 95% CI = 1.8, 5.1), downhill grades (adjusted OR = 2.3; 95% CI = 1.7, 3.1), and construction (adjusted OR = 1.9; 95% CI = 1.3, 2.9). </jats:p><jats:p> Conclusions. The lower risks on quiet streets and with bike-specific infrastructure along busy streets support the route-design approach used in many northern European countries. Transportation infrastructure with lower bicycling injury risks merits public health support to reduce injuries and promote cycling. </jats:p> Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study American Journal of Public Health |
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10.2105/ajph.2012.300762 |
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title |
Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_unstemmed |
Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_full |
Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_fullStr |
Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_full_unstemmed |
Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_short |
Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_sort |
route infrastructure and the risk of injuries to bicyclists: a case-crossover study |
topic |
Public Health, Environmental and Occupational Health |
url |
http://dx.doi.org/10.2105/ajph.2012.300762 |
publishDate |
2012 |
physical |
2336-2343 |
description |
<jats:p> Objectives. We compared cycling injury risks of 14 route types and other route infrastructure features. </jats:p><jats:p> Methods. We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site from the same trip. </jats:p><jats:p> Results. Of 14 route types, cycle tracks had the lowest risk (adjusted odds ratio [OR] = 0.11; 95% confidence interval [CI] = 0.02, 0.54), about one ninth the risk of the reference: major streets with parked cars and no bike infrastructure. Risks on major streets were lower without parked cars (adjusted OR = 0.63; 95% CI = 0.41, 0.96) and with bike lanes (adjusted OR = 0.54; 95% CI = 0.29, 1.01). Local streets also had lower risks (adjusted OR = 0.51; 95% CI = 0.31, 0.84). Other infrastructure characteristics were associated with increased risks: streetcar or train tracks (adjusted OR = 3.0; 95% CI = 1.8, 5.1), downhill grades (adjusted OR = 2.3; 95% CI = 1.7, 3.1), and construction (adjusted OR = 1.9; 95% CI = 1.3, 2.9). </jats:p><jats:p> Conclusions. The lower risks on quiet streets and with bike-specific infrastructure along busy streets support the route-design approach used in many northern European countries. Transportation infrastructure with lower bicycling injury risks merits public health support to reduce injuries and promote cycling. </jats:p> |
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author | Teschke, Kay, Harris, M. Anne, Reynolds, Conor C. O., Winters, Meghan, Babul, Shelina, Chipman, Mary, Cusimano, Michael D., Brubacher, Jeff R., Hunte, Garth, Friedman, Steven M., Monro, Melody, Shen, Hui, Vernich, Lee, Cripton, Peter A. |
author_facet | Teschke, Kay, Harris, M. Anne, Reynolds, Conor C. O., Winters, Meghan, Babul, Shelina, Chipman, Mary, Cusimano, Michael D., Brubacher, Jeff R., Hunte, Garth, Friedman, Steven M., Monro, Melody, Shen, Hui, Vernich, Lee, Cripton, Peter A., Teschke, Kay, Harris, M. Anne, Reynolds, Conor C. O., Winters, Meghan, Babul, Shelina, Chipman, Mary, Cusimano, Michael D., Brubacher, Jeff R., Hunte, Garth, Friedman, Steven M., Monro, Melody, Shen, Hui, Vernich, Lee, Cripton, Peter A. |
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description | <jats:p> Objectives. We compared cycling injury risks of 14 route types and other route infrastructure features. </jats:p><jats:p> Methods. We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site from the same trip. </jats:p><jats:p> Results. Of 14 route types, cycle tracks had the lowest risk (adjusted odds ratio [OR] = 0.11; 95% confidence interval [CI] = 0.02, 0.54), about one ninth the risk of the reference: major streets with parked cars and no bike infrastructure. Risks on major streets were lower without parked cars (adjusted OR = 0.63; 95% CI = 0.41, 0.96) and with bike lanes (adjusted OR = 0.54; 95% CI = 0.29, 1.01). Local streets also had lower risks (adjusted OR = 0.51; 95% CI = 0.31, 0.84). Other infrastructure characteristics were associated with increased risks: streetcar or train tracks (adjusted OR = 3.0; 95% CI = 1.8, 5.1), downhill grades (adjusted OR = 2.3; 95% CI = 1.7, 3.1), and construction (adjusted OR = 1.9; 95% CI = 1.3, 2.9). </jats:p><jats:p> Conclusions. The lower risks on quiet streets and with bike-specific infrastructure along busy streets support the route-design approach used in many northern European countries. Transportation infrastructure with lower bicycling injury risks merits public health support to reduce injuries and promote cycling. </jats:p> |
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spelling | Teschke, Kay Harris, M. Anne Reynolds, Conor C. O. Winters, Meghan Babul, Shelina Chipman, Mary Cusimano, Michael D. Brubacher, Jeff R. Hunte, Garth Friedman, Steven M. Monro, Melody Shen, Hui Vernich, Lee Cripton, Peter A. 0090-0036 1541-0048 American Public Health Association Public Health, Environmental and Occupational Health http://dx.doi.org/10.2105/ajph.2012.300762 <jats:p> Objectives. We compared cycling injury risks of 14 route types and other route infrastructure features. </jats:p><jats:p> Methods. We recruited 690 city residents injured while cycling in Toronto or Vancouver, Canada. A case-crossover design compared route infrastructure at each injury site to that of a randomly selected control site from the same trip. </jats:p><jats:p> Results. Of 14 route types, cycle tracks had the lowest risk (adjusted odds ratio [OR] = 0.11; 95% confidence interval [CI] = 0.02, 0.54), about one ninth the risk of the reference: major streets with parked cars and no bike infrastructure. Risks on major streets were lower without parked cars (adjusted OR = 0.63; 95% CI = 0.41, 0.96) and with bike lanes (adjusted OR = 0.54; 95% CI = 0.29, 1.01). Local streets also had lower risks (adjusted OR = 0.51; 95% CI = 0.31, 0.84). Other infrastructure characteristics were associated with increased risks: streetcar or train tracks (adjusted OR = 3.0; 95% CI = 1.8, 5.1), downhill grades (adjusted OR = 2.3; 95% CI = 1.7, 3.1), and construction (adjusted OR = 1.9; 95% CI = 1.3, 2.9). </jats:p><jats:p> Conclusions. The lower risks on quiet streets and with bike-specific infrastructure along busy streets support the route-design approach used in many northern European countries. Transportation infrastructure with lower bicycling injury risks merits public health support to reduce injuries and promote cycling. </jats:p> Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study American Journal of Public Health |
spellingShingle | Teschke, Kay, Harris, M. Anne, Reynolds, Conor C. O., Winters, Meghan, Babul, Shelina, Chipman, Mary, Cusimano, Michael D., Brubacher, Jeff R., Hunte, Garth, Friedman, Steven M., Monro, Melody, Shen, Hui, Vernich, Lee, Cripton, Peter A., American Journal of Public Health, Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study, Public Health, Environmental and Occupational Health |
title | Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_full | Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_fullStr | Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_full_unstemmed | Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_short | Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
title_sort | route infrastructure and the risk of injuries to bicyclists: a case-crossover study |
title_unstemmed | Route Infrastructure and the Risk of Injuries to Bicyclists: A Case-Crossover Study |
topic | Public Health, Environmental and Occupational Health |
url | http://dx.doi.org/10.2105/ajph.2012.300762 |