Cyclists' clothing and reduced risk of injury in crashes

de Rome, Liz, Boufous, Soufiane, Georgeson, Thomas, Senserrick, Teresa and Ivers, Rebecca 2014, Cyclists' clothing and reduced risk of injury in crashes, Accidental analysis and prevention, vol. 73, pp. 392-398, doi: 10.1016/j.aap.2014.09.022.

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Title Cyclists' clothing and reduced risk of injury in crashes
Author(s) de Rome, LizORCID iD for de Rome, Liz
Boufous, Soufiane
Georgeson, Thomas
Senserrick, Teresa
Ivers, Rebecca
Journal name Accidental analysis and prevention
Volume number 73
Start page 392
End page 398
Total pages 7
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2014-12
ISSN 0001-4575
Keyword(s) Bicycle
Injury reduction
Protective clothing
Accidents, Traffic
Australian Capital Territory
Cross-Sectional Studies
Gloves, Protective
Head Protective Devices
Logistic Models
Middle Aged
Risk Reduction Behavior
Wounds and Injuries
Young Adult
Summary INTRODUCTION: A majority of cyclists' hospital presentations involve relatively minor soft tissue injuries. This study investigated the role of clothing in reducing the risk of cyclists' injuries in crashes. METHODS: Adult cyclists were recruited and interviewed through hospital emergency departments in the Australian Capital Territory. This paper focuses on 202 who had crashed in transport related areas. Eligible participants were interviewed and their self-reported injuries corroborated with medical records. The association between clothing worn and injury was examined using logistic regression while controlling for potential confounders of injury. RESULTS: A high proportion of participants were wearing helmets (89%) and full cover footwear (93%). Fewer wore long sleeved tops (43%), long pants (33%), full cover gloves (14%) or conspicuity aids (34%). The primary cause of injury for the majority of participants (76%) was impact with the ground. Increased likelihood of arm injuries (Adj. OR=2.06, 95%CI: 1.02-4.18, p=0.05) and leg injuries (Adj. OR=3.37, 95%CI: 1.42-7.96, p=0.01) were associated with wearing short rather than long sleeves and pants. Open footwear was associated with increased risk of foot or ankle injuries (Adj. OR=6.21, 95%CI: 1.58-23.56, p=0.01) compared to enclosed shoes. Bare hands were associated with increased likelihood of cuts, lacerations or abrasion injuries (Adj. OR=4.62, 95%CI: 1.23-17.43, p=0.02) compared to wearing full cover gloves. There were no significant differences by fabric types such as Lycra/synthetic, natural fiber or leather. CONCLUSIONS: Clothing that fully covers a cyclist's body substantially reduced the risk of injuries in a crash. Coverage of skin was more important than fabric type. Further work is necessary to determine if targeted campaigns can improve cyclists' clothing choices and whether impact protection can further reduce injury risk.
Language eng
DOI 10.1016/j.aap.2014.09.022
Field of Research 099999 Engineering not elsewhere classified
1117 Public Health And Health Services
1507 Transportation And Freight Services
1701 Psychology
Socio Economic Objective 970110 Expanding Knowledge in Technology
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2014, Elsevier
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