2026-06-14T05:05:17Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/87382025-06-19T10:44:48Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19613col_20.500.12105_16959
Repisalud
author
Molina-Soberanes, Daniel
author
Martínez-Ruiz, Virginia
author
Lardelli-Claret, Pablo
author
Pulido, Jose
author
Martín-delosReyes, Luis Miguel
author
Moreno-Roldán, Elena
author
Jiménez-Mejías, Eladio
funder
Consejo Nacional de Ciencia y Tecnología (México)
2019-12-03T13:39:39Z
2019-12-03T13:39:39Z
2019-08-22
BMJ Open. 2019 Aug 22;9(8):e028039.
10.1136/bmjopen-2018-028039
2044-6055
2044-6055
BMJ open
31444182
http://hdl.handle.net/20.500.12105/8738
OBJECTIVE: To quantify the magnitude of associations between cyclist fatalities and both cyclist and environment related characteristics in Spain during the first 24 hours after a crash. DESIGN: Cohort study. SETTING: Spain. PARTICIPANTS: 65 977 cyclists injured in road crashes recorded between 1993 and 2013 in the Spanish Register of Road Crashes with Victims. MAIN OUTCOME: Death within the first 24 hours after the crash. METHODS: A multiple imputation procedure was used to mitigate the effect of missing values. Differences between regions were assumed and managed with multilevel analysis at the cyclist and province levels. Incidence density ratios (IDR) with 95% CI were calculated with a multivariate Poisson model. RESULTS: Non-use of a helmet was directly associated with death (IDR 1.43, 95% CI 1.25 to 1.64). Among other cyclist characteristics, age after the third decade of life was also directly associated with death, especially in older cyclists ('over 74' category, IDR 4.61, 95% CI 3.49 to 6.08). The association with death did not differ between work-related cycling and other reasons for cycling. There was an inverse association with death for crashes in urban areas and on community roads. Any adverse meteorological condition also showed a direct association with death, whereas altered road surfaces showed an inverse association. Crashes during nighttime were directly associated with death, with a peak between 3:00 and 5:59 am (IDR 1.58, 95% CI 1.03 to 2.41). CONCLUSIONS: We found strong direct and inverse associations between several cyclist and environment related variables and death. These variables should be considered in efforts to prioritise public health measures aimed at reducing the number of cycling-related fatalities.
eng
Bicycling
Cyclist
Fatality
Injuries
Risk factor
Road crash
Individual and environmental factors associated with death of cyclists involved in road crashes in Spain: a cohort study
research article
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IndividualAndEnvironmentalFactors_2019.pdf
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IndividualAndEnvironmentalFactors_2019.pdf.txt