Abstract
OBJECTIVES: This study examined the morbidity and mortality from bicycling injuries in Wuhan, China. METHODS: Police department data for the year 1993 complemented by data from emergency room interviews were analyzed. RESULTS: The death rate from bicycling injuries was estimated as 2.2 per 100000 population, more than seven times the rate for the United States. At least 79% of the fatalities and 17% of the emergency room cases sustained head injuries, the majority (71%) of which resulted from contact of the head with the concrete or asphalt road. None of the patients was wearing a helmet at the time of injury, and helmet use among the general bicyclist population was nonexistent. CONCLUSIONS: Bicycle-related head injury is an important public health issue in China. The effectiveness of safety helmets in developing countries needs to be evaluated.
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Selected References
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- Arokiasamy J. T., Krishnan R. Some epidemiological aspects and economic costs of injuries in Malaysia. Asia Pac J Public Health. 1994;7(1):16–20. doi: 10.1177/101053959400700103. [DOI] [PubMed] [Google Scholar]
- Cameron M. H., Vulcan A. P., Finch C. F., Newstead S. V. Mandatory bicycle helmet use following a decade of helmet promotion in Victoria, Australia--an evaluation. Accid Anal Prev. 1994 Jun;26(3):325–337. doi: 10.1016/0001-4575(94)90006-x. [DOI] [PubMed] [Google Scholar]
- Dannenberg A. L., Gielen A. C., Beilenson P. L., Wilson M. H., Joffe A. Bicycle helmet laws and educational campaigns: an evaluation of strategies to increase children's helmet use. Am J Public Health. 1993 May;83(5):667–674. doi: 10.2105/ajph.83.5.667. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Li G. H., Baker S. P. A comparison of injury death rates in China and the United States, 1986. Am J Public Health. 1991 May;81(5):605–609. doi: 10.2105/ajph.81.5.605. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MacKinney T., Baker T. Impact of motor vehicle injury in Taiwan using potential productive years of life lost. Asia Pac J Public Health. 1994;7(1):10–15. doi: 10.1177/101053959400700102. [DOI] [PubMed] [Google Scholar]
- Mock C. N., Adzotor E., Denno D., Conklin E., Rivara F. Admissions for injury at a rural hospital in Ghana: implications for prevention in the developing world. Am J Public Health. 1995 Jul;85(7):927–931. doi: 10.2105/ajph.85.7.927. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Oluwasanmi A. J. Road accident trends in Nigeria. Accid Anal Prev. 1993 Aug;25(4):485–487. doi: 10.1016/0001-4575(93)90079-c. [DOI] [PubMed] [Google Scholar]
- Oström M., Björnstig U., Näslund K., Eriksson A. Pedal cycling fatalities in northern Sweden. Int J Epidemiol. 1993 Jun;22(3):483–488. doi: 10.1093/ije/22.3.483. [DOI] [PubMed] [Google Scholar]
- Rivara F. P., Thompson D. C., Thompson R. S., Rogers L. W., Alexander B., Felix D., Bergman A. B. The Seattle children's bicycle helmet campaign: changes in helmet use and head injury admissions. Pediatrics. 1994 Apr;93(4):567–569. [PubMed] [Google Scholar]
- Sacks J. J., Holmgreen P., Smith S. M., Sosin D. M. Bicycle-associated head injuries and deaths in the United States from 1984 through 1988. How many are preventable? JAMA. 1991 Dec 4;266(21):3016–3018. [PubMed] [Google Scholar]
- Sahdev P., Lacqua M. J., Singh B., Dogra T. D. Road traffic fatalities in Delhi: causes, injury patterns, and incidence of preventable deaths. Accid Anal Prev. 1994 Jun;26(3):377–384. doi: 10.1016/0001-4575(94)90011-6. [DOI] [PubMed] [Google Scholar]
- Stutts J. C., Williamson J. E., Whitley T., Sheldon F. C. Bicycle accidents and injuries: a pilot study comparing hospital- and police-reported data. Accid Anal Prev. 1990 Feb;22(1):67–78. doi: 10.1016/0001-4575(90)90008-9. [DOI] [PubMed] [Google Scholar]
- Wang C. C., Schoenberg B. S., Li S. C., Yang Y. C., Cheng X. M., Bolis C. L. Brain injury due to head trauma. Epidemiology in urban areas of the People's Republic of China. Arch Neurol. 1986 Jun;43(6):570–572. doi: 10.1001/archneur.1986.00520060034013. [DOI] [PubMed] [Google Scholar]
- Williams M. The protective performance of bicyclists' helmets in accidents. Accid Anal Prev. 1991 Apr-Jun;23(2-3):119–131. doi: 10.1016/0001-4575(91)90043-5. [DOI] [PubMed] [Google Scholar]
- Wood T., Milne P. Head injuries to pedal cyclists and the promotion of helmet use in Victoria, Australia. Accid Anal Prev. 1988 Jun;20(3):177–185. doi: 10.1016/0001-4575(88)90002-4. [DOI] [PubMed] [Google Scholar]
- Wu S. I., Malison M. D. Motor vehicle injuries in Taiwan. Asia Pac J Public Health. 1990;4(1):72–75. doi: 10.1177/101053959000400112. [DOI] [PubMed] [Google Scholar]
