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Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting

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  • Carlos Lam
  • Chih-Wei Pai
  • Chia-Chang Chuang
  • Yu-Chun Yen
  • Chia-Chieh Wu
  • Shih-Hsiang Yu
  • Kuo-Sheng Hung
  • Wen-Ta Chiu

Abstract

Objective: In Taiwan, light motorcycles (LMCs) with cylinder capacities between 50 and 250 cc are widely used for daily commute. These vehicles are operated in a mixed traffic environment and prohibited on highways. In light of increasing motorcycle casualties, we conducted a multicentre study to analyse rider factors affecting injury severity. Methods: Riders hospitalised upon LMC crashes were contacted. Information on demographics, comorbidities, and riding behaviours was collected through questionnaires and linked to hospital data. The injury severity score (ISS) and length of hospitalisation (LOH) were used as injury severity measures. Results: In total, 725 patients (mean age: 37.7 years; 64% men) completed their questionnaires. Multivariate analysis results showed that age ≥ 65 years, half-face helmets, protective clothing, collisions with a bus/truck or car, and fatigue riding were risk factors for having an ISS of ≥9. Age ≥ 65 years; motorcycle crashes ≥2 times in the previous year; anaemia; rural crashes; half-face helmets; protective boots; collisions with a bus/truck, car, or a stationary object; alcohol/stimulating refreshment consumption; and fatigue riding were risk factors for increased LOH. A protective factor was individuals working in commerce. Collisions with opening car doors caused low risks of having an ISS of ≥9 and a short LOH. Conclusion: Certain factors were significantly associated with riders’ injury severity and related medical resource consumption. Because of differences in the power output, use, and riding environment, risk factors for severe injuries in LMC crashes are dissimilar from those for heavy motorcycles (cylinder capacities > 250 cc) in developed countries and deserve more attention for injury prevention. Further in-depth evaluation of significant factors based on this study’s results can yield valuable information to reduce severe injuries after LMC crashes in countries and areas with a high dependency on motorcycles, even considering the popularity of electric motorcycles.

Suggested Citation

  • Carlos Lam & Chih-Wei Pai & Chia-Chang Chuang & Yu-Chun Yen & Chia-Chieh Wu & Shih-Hsiang Yu & Kuo-Sheng Hung & Wen-Ta Chiu, 2019. "Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    • Handle: RePEc:plo:pone00:0219132
    DOI: 10.1371/journal.pone.0219132
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    References listed on IDEAS

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    1. Chen, Ching-Fu & Lai, Wen-Tai, 2011. "The effects of rational and habitual factors on mode choice behaviors in a motorcycle-dependent region: Evidence from Taiwan," Transport Policy, Elsevier, vol. 18(5), pages 711-718, September.
    2. Jones, Luke R. & Cherry, Christopher R. & Vu, Tuan A. & Nguyen, Quang N., 2013. "The effect of incentives and technology on the adoption of electric motorcycles: A stated choice experiment in Vietnam," Transportation Research Part A: Policy and Practice, Elsevier, vol. 57(C), pages 1-11.
    3. Chiu, W.-T. & Kuo, C.-Y. & Hung, C.-C. & Chen, M., 2000. "The effect of the Taiwan motorcycle helmet use law on head injuries," American Journal of Public Health, American Public Health Association, vol. 90(5), pages 793-796.
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    1. Ta-Chien Chan & Chih-Wei Pai & Chia-Chieh Wu & Jason C. Hsu & Ray-Jade Chen & Wen-Ta Chiu & Carlos Lam, 2022. "Association of Air Pollution and Weather Factors with Traffic Injury Severity: A Study in Taiwan," IJERPH, MDPI, vol. 19(12), pages 1-15, June.
    2. Thanapong Champahom & Chamroeun Se & Sajjakaj Jomnonkwao & Tassana Boonyoo & Vatanavongs Ratanavaraha, 2023. "A Comparison of Contributing Factors between Young and Old Riders of Motorcycle Crash Severity on Local Roads," Sustainability, MDPI, vol. 15(3), pages 1-24, February.
    3. Heng-Yu Lin & Jian-Sing Li & Chih-Wei Pai & Wu-Chien Chien & Wen-Cheng Huang & Chin-Wang Hsu & Chia-Chieh Wu & Shih-Hsiang Yu & Wen-Ta Chiu & Carlos Lam, 2022. "Environmental Factors Associated with Severe Motorcycle Crash Injury in University Neighborhoods: A Multicenter Study in Taiwan," IJERPH, MDPI, vol. 19(16), pages 1-16, August.

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