Ram Tika, Green Judith, Steinbach Rebecca, Edwards Phil
Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
National Infection Service, UK Health Security Agency, 61 Colindale Ave, NW9 5EQ, London, UK.
J Transp Health. 2022 Mar;24:101340. doi: 10.1016/j.jth.2022.101340.
Increasing levels of active travel in the population brings many public health benefits, but may also change the risks of road injury for different road users. We examined changes in rates of pedestrian injuries resulting from collisions with pedal cycles and motor vehicles in England during 2005-2015, a period of increased cycling activity, and described the gender, age distribution and locations of pedestrians injured in collisions with pedal cycles and motor vehicles.
Collisions data were obtained from police STATS19 datasets We used two measures of cycle/motor vehicle use; miles per annum, and estimated average travel time, and assessed evidence for trends towards increase over time using Poisson regression analysis.
There were 3414 pedestrians injured in collisions with one or more pedal cycles in England during 2005-2015, 763 of whom were killed or seriously injured (KSI). This accounted for 1.3% of the total pedestrians KSI from all vehicles. Of those KSI in collisions with cycles, 62% were female; 42% over the age of 60; 26% were on the footway or verge and 24% were on a pedestrian crossing. There was a 6% (IRR 1.056; 95% CI 1.032-1.080, p < 0.001) annual increase in the pedestrian KSI rate per billion vehicle miles cycled in England over the time span. This increase was disproportionate to the increase in cycle use measured by vehicle miles or time spent cycling.
Increases in cycling were associated with disproportionate increases in pedestrian injuries in collisions with pedal cycles in England, although these collisions remain a very small proportion of all road injury. Increased active travel is essential for meeting a range of public health goals, but needs to be planned for with consideration for potential impact on pedestrians, particularly older citizens.
人群中主动出行水平的提高带来了诸多公共卫生益处，但也可能改变不同道路使用者的道路受伤风险。我们研究了2005年至2015年期间英格兰因与自行车和机动车碰撞导致的行人受伤率的变化情况，这一时期自行车骑行活动有所增加，并描述了在与自行车和机动车碰撞中受伤行人的性别、年龄分布及地点。
碰撞数据取自警方的STATS19数据集。我们使用了两种衡量自行车/机动车使用情况的指标：每年行驶英里数和估计平均出行时间，并使用泊松回归分析评估随时间增加的趋势证据。
2005年至2015年期间，英格兰有3414名行人在与一辆或多辆自行车的碰撞中受伤，其中763人死亡或受重伤（KSI）。这占所有车辆导致的行人KSI总数的1.3%。在与自行车碰撞导致的KSI中，62%为女性；42%年龄在60岁以上；26%在人行道或边缘，24%在人行横道上。在这一时间段内，英格兰每十亿自行车行驶英里数导致的行人KSI率每年增加6%（发病率比值比1.056；95%置信区间1.032 - 1.080，p < 0.001）。这种增加与按车辆英里数或骑行时间衡量的自行车使用量的增加不成比例。
在英格兰，自行车使用量的增加与与自行车碰撞中行人受伤人数的不成比例增加有关，尽管这些碰撞在所有道路伤害中所占比例仍然很小。增加主动出行对于实现一系列公共卫生目标至关重要，但需要在规划时考虑对行人，尤其是老年公民的潜在影响。
