Onaiyekan Peter O, Passos Valéria L, Horstman Klasien
General Practice, Namoi Medical Services, Narrabri, AUS.
CAPHRI (Care and Public Health Research Institute) Faculty of Health, Medicine & Life Sciences, Maastricht University, Maastricht, NLD.
Cureus. 2022 May 24;14(5):e25268. doi: 10.7759/cureus.25268. eCollection 2022 May.
Objectives Cycling is an important means of transportation in the Netherlands. Unfortunately, the number of cycling accidents and their adverse outcomes (injury and death) are on the rise. We set out to observe the nature of these accidents in Maastricht from 2001 to 2015 and analyzed the recommendations of stakeholders on ways to improve cycling safety. Methods An explanatory sequential mixed methodology was used for this population-based study. In the first phase, a retrospective quantitative analysis of the VIA® accident database for Maastricht was done. This was followed by a thematic analysis of data from five semi-structured interviews. Integration was at the Interpretation stage. Result The first phase showed males (54%) and under-25s (59.9%) had the most cycling accidents, while a larger percentage of females (50.7%) and people >65 years (67%) had adverse outcomes with accidents. More accidents occurred at intersections (52.6%), on shared roads (61.4%), and involved motorized vehicles (95.6%). Bivariate analysis and multivariable logistic regression showed that cycling accidents involving elderly people, women, wet weather or road surfaces, an innocent cyclist, the northeastern district, and morning hours had a higher chance of injury or death. Thematic analysis summarised stakeholder opinions under four themes: role in cycling safety; partners of cycling safety; the importance of accurate data; and investing in safety. Most of the respondents felt improvements in the city's accident database, cycling policy, and infrastructure were needed. Conclusion Our findings suggest that there has been a decrease in the overall number of cycling accidents in the 15-year period studied. However, differences in sociodemographic variables still determine the distribution and severity of accidents in Maastricht. The existing cycling database at the time of the study needed improvements with data collection and the city needs to involve more stakeholders in its policy-making process.
目标 骑自行车是荷兰重要的出行方式。不幸的是，自行车事故及其不良后果（受伤和死亡）的数量正在上升。我们着手观察2001年至2015年马斯特里赫特这些事故的性质，并分析利益相关者关于提高自行车安全性方法的建议。方法 本基于人群的研究采用了解释性顺序混合方法。在第一阶段，对马斯特里赫特的VIA®事故数据库进行了回顾性定量分析。随后对五次半结构化访谈的数据进行了主题分析。整合在解释阶段进行。结果 第一阶段显示，男性（54%）和25岁以下人群（59.9%）发生的自行车事故最多，而女性（50.7%）和65岁以上人群（67%）在事故中出现不良后果的比例更高。更多事故发生在十字路口（52.6%）、共用道路（61.4%），并且涉及机动车辆（95.6%）。双变量分析和多变量逻辑回归表明，涉及老年人、女性、潮湿天气或路面、无辜骑车人、东北部地区以及早晨时段的自行车事故导致受伤或死亡的可能性更高。主题分析将利益相关者的意见归纳为四个主题：在自行车安全中的作用；自行车安全的伙伴；准确数据的重要性；以及对安全的投资。大多数受访者认为需要改进城市的事故数据库、自行车政策和基础设施。结论 我们的研究结果表明，在所研究的15年期间，自行车事故总数有所下降。然而，社会人口统计学变量的差异仍然决定了马斯特里赫特事故的分布和严重程度。研究时现有的自行车数据库在数据收集方面需要改进，并且城市需要让更多利益相关者参与其决策过程。
