| Literature DB >> 29191968 |
Rachel Aldred1, Rahul Goel2, James Woodcock2, Anna Goodman3.
Abstract
INTRODUCTION: The 'Safety in Numbers' (SiN) phenomenon refers to a decline of injury risk per time or distance exposed as use of a mode increases. It has been demonstrated for cycling using cross-sectional data, but little evidence exists as to whether the effect applies longitudinally -that is, whether changes in cycling levels correlate with changes in per-cyclist injury risks.Entities:
Keywords: bicycle; cross sectional study; time series
Mesh:
Year: 2017 PMID: 29191968 PMCID: PMC6582732 DOI: 10.1136/injuryprev-2017-042498
Source DB: PubMed Journal: Inj Prev ISSN: 1353-8047 Impact factor: 2.399
Descriptive statistics for Britain
| 1991 | 2001 | 2011 | Relative change (%) | Relative change (%) | ||
| Travel | Commuters (n) | 22 860 406 | 23 496 787 | 25 943 690 | +2.8 | +10.4 |
| Behaviour | Commuters cycling (n) | 709 484 | 681 831 | 775 204 | −3.9 | +13.7 |
| % Commuters cycling | 3.1 | 2.9 | 3.0 | −6.5 | +3.0 | |
| Commuters walking (n) | 2 836 709 | 2 618 039 | 2 835 170 | −7.7 | +8.3 | |
| % Commuters walking | 12.4 | 11.1 | 10.9 | −10.5 | −1.9 | |
| Commuters using motor vehicles* (n) | 17 861 048 | 18 313 956 | 19 759 587 | +2.5 | +7.9 | |
| % Commuters using motor vehicles | 78.1 | 77.9 | 76.2 | −0.3 | −2.3 | |
| Injuries | KSI (n) | 175 329 | 121 531 | 74 326 | −30.7 | −38.8 |
| KSIs among cyclists (n) | 12 781 | 7898 | 9303 | −38.2 | +17.8 | |
| % KSIs among cyclists | 7.3 | 6.5 | 12.5 | −10.9 | +92.6 | |
| KSIs among pedestrians (n) | 46 579 | 27 193 | 17 491 | −41.6 | −35.7 | |
| % KSIs among pedestrians | 26.6 | 22.4 | 23.5 | −15.8 | +5.2 | |
| KSIs among motor vehicle users (n) | 112 318 | 83 721 | 46 108 | −25.5 | −44.9 | |
| % KSIs among motor vehicle users | 64.1 | 68.9 | 62.0 | +7.5 | −10.0 | |
| Injuries per commuter | KSIs per 1000 commuters, cyclists | 18.0 | 11.6 | 12.0 | −35.7 | +3.6 |
| KSIs per 1000 commuters, pedestrians | 16.4 | 10.4 | 6.2 | −36.7 | −40.6 | |
| KSIs per 1000 commuters, motor vehicle users | 6.3 | 4.6 | 2.3 | −27.3 | −49.0 |
*Motor vehicle use includes travelling by car, van, taxi or motorcycle, as a driver or passenger, or travelling by bus.
KSI, killed or seriously injured.
Changes in commuting and killed or seriously injured (KSI) by authority, 1991–2001
| Authorities where cycle KSIs per commuter fell, 1991–2001 | Authorities where cycle KSIs per commuter grew, 1991–2001 | All | |
| Authorities where cycle commuting (as %) declined, 1991–2001 | 95 (90%) | 11 (10%) | 106 |
| Authorities where cycle commuting (as %) increased, 1991–2001 | 93 (97%) | 3 (3%) | 96 |
| All | 188 (93%) | 14 (7%) | 202 |
Changes in killed or seriously injured (KSI) and commuting by authority, 2001–2011
| Authorities where cycle KSIs per commuter fell, 2001–2011 | Authorities where cycle KSIs per commuter grew, 2001–2011 | All | |
| Authorities where cycle commuting (as %) declined, 2001–2011 | 54 (44%) | 69 (56%) | 123 |
| Authorities where cycle commuting (as %) increased, 2001–2011 | 48 (61%) | 31 (39%) | 79 |
| All | 102 (50%) | 100 (50%) | 202 |
Cross-sectional models, with and without adjustment for population (n=202)
| Cross-sectional 1991 | Cross-sectional 2001 | Cross-sectional 2011 | Repeated measures cross-sectional (1991, 2001, 2011) | |||||
| Model A | Model B | Model A | Model B | Model A | Model B | Model A | Model B | |
| Cycle commuters | 0.48 | 0.42 | 0.68 | 0.52 | 0.75 | 0.62 | 0.61 | 0.47 |
| Motor vehicle kilometres | 0.30 | −0.13 | 0.14 | −0.32 | 0.15 | −0.10 | 0.16 | −0.24 |
| Population | 0.69 (0.51 to 0.86) | 0.86 (0.67 to 1.05) | 0.50 (0.29 to 0.71) | 0.76 (0.62 to 0.91) | ||||
Model A implements equation 2a, model B implements equation 2b: the difference between the two is that model B additionally adjusts for the local authority population size.
Longitudinal models, with and without adjustment for population (n=202)
| Relative change in cycle KSI, 1991–2001 | Relative change in cycle KSI, 2001–2011 | |||
| Model A | Model B | Model A | Model B | |
| Relative change in cycle commuters | 0.33 (0.10 to 0.56) | 0.34 (0.11 to 0.57) | 0.79 (0.50 to 1.08) | 0.75 (0.42 to 1.08) |
| Relative change in motor vehicle kilometres | −1.14 (−2.35 to 0.08) | −1.16 (−2.39 to 0.07) | 2.15 (0.87 to 3.43) | 2.19 (0.89 to 3.49) |
| Relative change in population | −0.13 (−0.75 to 0.50) | 0.45 (−1.19 to 2.08) | ||
Model A implements equation 3a, model B implements equation 3b: the difference between the two is that model B additionally adjusts for the local authority population size.
KSI, killed or seriously injured.