Accident risk, behaviour and habits of older cyclists

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Faculty of Science, Department of Psychology, Assessment and Intervention Accident risk, behaviour and habits of older cyclists Carmen Hagemeister Groningen, 29 th August, 2012

Overview Aim of the study Pro and cons of cycling as an older person Participants Differences between cyclists with and without accident Risk factors for older cyclists

Aim Why research on behaviour of older cyclists? Pros of cycling: Regular physical exercise keeps healthy WHO recommendation for adults: at least 30 minutes of physical actictivity at least 3 days/week, better 7 days/week but: only 10% of older persons in Germany have enough exercise Cycling might a good means to be physically active Cons of cycling: In Germany in every second fatal cyclist accident the cyclist is 65 years or older -manymorethanexpectedfromexposition Is the cause only higher physical vulnerability? Are there differences between older cyclists with and without accident? How do physical difficulties which become more frequent with age contribute to this risk?

Participants of standardised interview Age and place of residence

207 Participants of standardised interview Frequency of cycling

Standardised Interview Topics Mobility habits Behaviour in traffic cycle where feeling of safety violations Accident (including falls) after 59 th birthday? If yes: details Health / physical difficulties and their compensation motility cardiovascular system neurological system muscle strength diabetes vision hearing 1 to 2 hours

Accidents after 59 th birthday No accident: 109 persons At least one cycling accident: 97 persons Last accident 33 collisions 15 car 14 bike 2 pedestrian 1 motor assisted bike 1 dog 64 accidents without any other party

Differences between cyclists with and without accident: Exposition Cyclists in more densely populated areas have more accidents (p =.001, chi-quare) Persons cycling (nearly) daily have more accidents than persons cycling less (p <=.001, chi-square) But: Persons cycle more often in the more densely populated areas Partial correlations remain if other variable is partialed out

Differences between cyclists with and without accident Cycling in unfriendly or any weather Persons with accident cycle more often in the rain (r =.12, p =. 002, N = 206) when it is wet (r =.15, p =.029, N = 206) No differences for wind (r =.13, p =.051, N = 206) heat (r =.09, p =.183, N = 206) fallen leaves (r =.08, p =.252, N = 206) snow/ice (r =.05, p =.441, N = 206) gloomy weather (r =.05, p =.489, N = 206)

Differences between cyclists with and without accident Feeling of safety Persons with accident feel safer on cycle lane (p =.044, U-test) and on minor road (p =.023, U-test) No differences for safety on cycle path (separate, shared), main street, Helmet Persons who own a helmet are more likely to have had an accident: r =.15, p =.031, N = 206 No correlations with frequency of wearing the helmet. No questions when and why they began to wear a helmet.

Differences between cyclists with and without accident Violations: Persons with more violations have more accidents "I cycle according to the rules" (no/yes) r = -.31 (p <=.001) run red lights (no/yes) r =.31 (p <=.001) cycle on the footpath (no/yes) r =.24 (p <=.001) cycle on roads which are forbidden for all traffic r =.21 (p =.003) cycle in the wrong direction on the cycle path r =.18 (p =.012) run stop signs (no/yes) r =.14 (p =.046) Not: one-way roads in wrong direction: r =.05 pedestrian areas (only relevant for N = 108): r =.14 Most relevant violations according to accident statistics: cycling on footpath and on cycle path on wrong side Best predictor of accidents: running red lights

Differences between cyclists with and without accident Reported physical problems: No significant correlation with accident (1=no problem, 5=severe problems): Motility (rho =.07) Cardiovascular system (rho =.07) Neurological (rho =.07) Muscle strength (rho = -.01) Diabetes (rho =.05) Vision (rho =.04) Hearing (rho =.02) and how much the physical problems impair the persons when cycling. Correlation of accident and maximum impairment by any of these 7 problems: rho =.15, p =.037, N = 206 "Because of my declined motilty I have problems getting on or off my bike" (no/yes): r =.28 (p =.011, N = 85 with motility problems)

Differences between cyclists with and without accident Compensation of physical problems: Some instances of insufficient compensation of physical problems are related to accidents: - Problems with vision and NOT mainly taking familiar routes: r =.24, p =.041, N = 74 with problems with vision - Having a hearing aid and switching if OFF when cycling: r =.47, p =.031, N = 21 with hearing aid

Discussion Exposition: Cycling more and cycling in denser traffic leads to more accidents Cycling under "all" conditions. Reasons: - Instrumental: most practical means of transport? - Emotional? - Habit? - "Bike captives"

Discussion Violations: Related to accidents by one mechanism or more? Statistics: Dangers arise from cycling on the footpath and cycling on cycle paths on the wrong side where drivers do not expect cyclists. Running red lights is not very dangerous (but very much in the focus of the media and the public). Does it show how a cyclists perceives risks? Open question: How do attitudes and behaviour towards rules change with age?

Discussion Physical problems: Limitation of the study: Rather healthy sample No high correlation between accidents and (reported) physical problems which are related to aging Candidates for further research: - Vision and self-restriction - Hearing aids: for all ages - Motility: getting on and off the bike

Thanks to you foryourattention to Eugen-Otto-Butz-Stifung for funding the study