Individual and environmental factors associated with death of cyclists involved in road crashes in Spain: a cohort study

To quantify the connections between fatal cycling accidents in Spain and cyclist and environmental characteristics, the authors performed a cohort study of 65,977 cyclists injured in road accidents between 1993 and 2013 recorded in the Spanish General Directorate of Traffic’s Register of Road Crashes with Victims. The authors employed a multiple imputation method to mitigate the effect of missing values. Differences between regions managed with multilevel analysis at the cyclist and province levels. Incidence density ratios (IDR) with 95% commission of infraction (CI) were calculated with a multivariate Poisson model. Results indicated that non-use of helmets is directly associated with fatalities. Cyclists over 30 years old are directly associated with fatalities, especially so in cyclists over 74 years old. The connection with fatality was the same in work-related cycling and non-work cycling. There was an inverse association with fatalities for crashes in urban areas and on community roads. Bad weather conditions also showed a direct association with fatalities, while improvements in road surfaces showed an inverse connection. Nighttime accidents were directly associated with fatalities, peaking between 3:00 and 6:00 am. The authors found strong direct and inverse connections between cyclist and environment variables and fatalities. These variables need to be considered when creating public health measures aimed at reduction in the number of fatalities among cyclists.

  • Record URL:
  • Authors:
    • Molina-Soberanes, Daniel
    • Martinez-Ruiz, Virginia
    • Lardelli-Claret, Pablo
    • Pulido-Manzanero, Jose
    • Martin-delosReyes, Luis Miguel
    • Moreno-Roldan, Elena
    • Jimenez-Mejias, Eladio
  • Publication Date: 2019


  • English

Media Info

  • Media Type: Web
  • Features: References; Tables;
  • Pagination: 11p
  • Serial:

Subject/Index Terms

Filing Info

  • Accession Number: 01765609
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Jan 27 2021 5:16PM