Road traffic injuries, mobility and gender. Patterns of risk in Southern Europe

González-Sánchez, Guadalupe; Maeso-González, Elvira; Olmo-Sánchez, María Isabel; Gutiérrez‐Bedmar, Mario; Mariscal, Alberto; Garcı́a-Rodrı́guez, A.

doi:10.1016/j.jth.2017.11.147

Cited by 16 publications

(20 citation statements)

References 33 publications

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“…Road crash fatality rates in Australia have declined in vehicle occupants at around three times the rate than that for vulnerable road users in the past decade [ 5 ]. International studies demonstrate similar findings [ 4 , 6 ]. Despite motorcycles comprising less than 5% of all registered motor vehicles in Australia [ 7 ], motorcycle riders represent more than one quarter of non-fatal hospital admissions [ 8 , 9 ].…”

Section: Introductionsupporting

confidence: 69%

“…The ambitious goal to halve the number of global deaths and injuries from road traffic crashes by 2020 (United Nations Sustainable Development Goal 3.6) [ 1 ] has not been achieved, despite some improvement in higher income countries [ 2 ]. The most vulnerable road users, including motorcyclists and bicyclists, still account for over half of all road traffic deaths in recent global estimates [ 3 , 4 ]. Road crash fatality rates in Australia have declined in vehicle occupants at around three times the rate than that for vulnerable road users in the past decade [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

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Comparison of physical and psychological health outcomes for motorcyclists and other road users after land transport crashes: an inception cohort study

et al. 2021

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Background Serious injuries and fatalities among vulnerable road users on two wheeled motorised vehicles have increased across Australia and internationally in the past decade yet fallen for motor vehicle occupants. Almost half of all reported motorcycle injury crashes cause serious injury or death, nearly double that of motor vehicle police-reported crashes. This study explores associations with sociodemographic and pre-injury health characteristics and health outcomes after a road traffic injury; aiming to compare motorcyclists with other road users and inform recovery care. Methods An inception cohort study recruited 1854 individuals aged > 17 years, injured following land-transport crashes in New South Wales, Australia (July 2013–November 2016). Interviews conducted at baseline, 6-and 12-months post-injury elicited demographic, socioeconomic, and self-reported health conditions. Results Primary analysis involved 1854 participants who were recruited at baseline as three distinct road user groups; 628 (33.9%) motorcyclists, 927 (50%) vehicle occupants and 299 (16.1%) bicyclists. At baseline, injury patterns differed significantly between road user groups; motorcyclists were more than twice as likely to sustain lower extremity injury (p < 0.001); to have more severe injury severity scores (p < 0.001) and longer hospital stays versus vs vehicle occupants and bicyclists (< 0.001) across these measures. Injured motorcyclists were predominantly male (88.1%, p < 0.001), were younger on average (38 years) than bicyclists (41.5 years), had lower income and education levels, and poorer pre-injury physical health than other road user groups. Despite these differences, at 12 months post-injury motorcyclists had better physical health (SF12-PCS 2.07 (0.77, 3.36), p = 0.002) and reported lower pain scores (− 0.51 (− 0.83, − 0.2), p < 0.001) than vehicle occupants. Motorcyclists displayed less evidence of psychological distress than vehicle occupants, but more than bicyclists across several measures used. Conclusions Road user types differ in important characteristics, including pre-injury health status and recovery after injury. As vulnerable road users experiencing transport crash and considering their higher initial injury severity, the degree of recovery among motorcyclists compared with other user types is remarkable and unexplained. Health and recovery outcomes after land-transport crashes is least favourable among vehicle occupants despite their higher levels of protection in a crash. This information is valuable for targeting early intervention strategies by road user type during the post-crash care phase, to improve long-term recovery.

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Section: Introductionsupporting

confidence: 69%

Section: Introductionmentioning

confidence: 99%

Comparison of physical and psychological health outcomes for motorcyclists and other road users after land transport crashes: an inception cohort study

et al. 2021

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“…Around two-thirds (64%) of all road crash related fatalities in Australia occur among vulnerable road users, compared with 22% occurring among occupants of four-wheeled motor vehicles (3). International studies demonstrate similar ndings (4,5). Despite motorcycles comprising less than 5% of all registered motor vehicles in Australia (6), motorcycle riders represent almost one quarter of non-fatal hospital admissions.…”

Section: Introductionmentioning

confidence: 86%

“…The ambitious goal to halve the number of global deaths and injuries from road tra c crashes by 2020 (United Nations Sustainable Development Goal 3.6) (1) has not been achieved, despite some improvement in higher income countries (2). The most vulnerable road users, including motorcyclists and bicyclists, still account for over half of all road tra c deaths in recent estimates (3,4). Around two-thirds (64%) of all road crash related fatalities in Australia occur among vulnerable road users, compared with 22% occurring among occupants of four-wheeled motor vehicles (3).…”

Section: Introductionmentioning

confidence: 99%

Comparison of physical and psychological health outcomes for motorcyclists and other road users after land transport crashes: an inception cohort study

Sharwood

Kifley

Craig

et al. 2021

Preprint

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Background: Serious injuries and fatalities among vulnerable road users on two wheeled motorised vehicles have increased across Australia and internationally in the past decade, yet fallen for motor vehicle occupants. Almost half of all reported motorcycle injury crashes cause serious injury or death, nearly double that of motor vehicle police-reported crashes. This study explores associations with sociodemographic and pre-injury health characteristics and health outcomes after a road traffic injury; aiming to compare motorcyclists with other road users and inform recovery care. Methods: An inception cohort study recruited 1854 individuals aged >17 years, injured following land-transport crashes in New South Wales, Australia (July 2013-November 2016). Interviews conducted at baseline, 6-and 12-months post-injury elicited demographic, socioeconomic, and self-reported health conditions. Results: 628 (33.9%) motorcyclists, 299 (16.1%) bicyclists and 927 (50%) vehicle occupants were recruited at baseline. Injury patterns differed significantly between groups; motorcyclist injuries were more likely lower extremity, more severe (p<0.001) and result in longer hospital stays (p<0.001). Injured motorcyclists were predominantly male (88.1%, p<0.001), were younger on average (38 years) than bicyclists (41.5 years), had lower income and education levels, and poorer pre-injury physical health than other road user groups. Despite these differences, at 12 months post-injury motorcyclists had better physical health and reported less pain than vehicle occupants. Motorcyclists displayed less evidence of psychological distress than vehicle occupants, but more than bicyclists across several measures used. Conclusions: Road user types differ in important characteristics, including pre-injury health status and recovery after injury, which influences health and recovery outcomes after land-transport crashes. This information could aid post-crash care, such as targeting early intervention strategies not only to injury types, but also to the type of road user, to improve long-term recovery.

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“…For non-users, the main concern about motorcycle use is often the noise they generate. However, the risks experienced by motorcycle users are generally high road travel injury and fatality rates (Dapilah et al, 2017;González-Sánchez et al, 2018), and musculoskeletal problems (Ospina-Mateus and Quintana Jiménez, 2019).…”

Section: Noisementioning

confidence: 99%

Changing aspirations: The future of transport and health

Mindell¹

2019

Journal of Transport & Health

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Changing aspirations: the future of transport and health 1. Sustainability and climate change I write this as the urgent need to prevent global climate change is being brought to everyone's attention through United Nations debates, Climate Strikes and Extinction Rebellion protests. Minovi has written about the need for a 'plastic straw' moment for sustainable and equitable mobility (http://blogs.worldbank.org/transport/advocating-changewhen-will-transport-have-its-plastic-straw-moment#comment-129826). Equity, of course, needs to apply both between and within countries. The Sustainable Development Goals (https://www.un.org/sustainabledevelopment/sustainable-development-goals/) apply to HICs as well as to low and middle income countries (LMICs). These are important not only to improve human health and reduce inequalities [disparities] by age, gender, ethnicity, religion, country and socio-economic circumstances, but also for planetary health. I am therefore pleased to bring to your attention the call for manuscripts for a special issue of this journal on Health equity, social inclusion and mobility (https://www.journals.elsevier.com/journal-oftransport-and-health/call-for-papers/health-equity-social-inclusion-and-mobility). The submission portal will open in 2020, through EMAN (see below).

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Road traffic injuries, mobility and gender. Patterns of risk in Southern Europe

Cited by 16 publications

References 33 publications

Comparison of physical and psychological health outcomes for motorcyclists and other road users after land transport crashes: an inception cohort study

Comparison of physical and psychological health outcomes for motorcyclists and other road users after land transport crashes: an inception cohort study

Comparison of physical and psychological health outcomes for motorcyclists and other road users after land transport crashes: an inception cohort study

Changing aspirations: The future of transport and health

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