Cycling has become a very popular means of transportation in urban areas. This paper uses data from
\nthe Bicyclists\u2019 Injury and Cycling Environment study (BICE) conducted in Vancouver and Toronto to examine
\nenvironmental factors that might influence cyclist injuries in downtown Toronto. It also examines
\nthe effectiveness of matching on intersections as compared to adjusting for intersection status in a randomly
\nmatched model.
\nWe extracted Toronto data (n=276) from the overall BICE data set (n=690). Adult cyclists who had
\nbeen injured and treated at one of three emergency departments in Toronto were recruited. Interviewers
\nidentified three sites along the route the cyclist was following: one where the injury occurred (case)
\nand two other sites (controls), one of which was randomly selected and the other randomly selected
\nafter matching on whether the injury occurred at an intersection or not. The characteristics of each site
\nwere compared using conditional logistic regression.
\nComparing case sites with random control sites, injuries were significantly more likely at locations with
\na downhill grade compared to level sites (OR 3.06; 1.77-5.29). Proximity to streetcar tracks also increased
\nthe odds of injury (OR 3.68; 2.13-6.37), as did proximity to junctions (OR 3.03; 1.29-7.09). Injuries
\nwere significantly less common at intersections than elsewhere on the route (OR 0.63; 0.41-0.96).
\nWhen case sites were compared to intersection-matched control sites, downhill grade and the presence
\nof streetcar tracks remained significant.
\nThese results suggest that the physical environment of Toronto\u2019s streets plays an important part in determining
\nthe injury risks for cyclists and needs improvement to safeguard them.<\/p>\n
<\/div>","protected":false},"excerpt":{"rendered":"
Kumar Balasubramanian, Mary L Chipman, Michael Escobar, Anne Harris, Conor, C. O. Reynolds, Kay Teschke, Meghan Winters<\/p>\n","protected":false},"author":163,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_kad_post_transparent":"default","_kad_post_title":"default","_kad_post_layout":"default","_kad_post_sidebar_id":"","_kad_post_content_style":"default","_kad_post_vertical_padding":"default","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"_kad_post_classname":"","footnotes":""},"categories":[128,346],"tags":[],"class_list":["post-18788","post","type-post","status-publish","format-standard","hentry","category-2014-cmrsc-ccmsr-xxiv-vancouver","category-research-and-evaluation"],"acf":[],"_links":{"self":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/18788","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/users\/163"}],"replies":[{"embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/comments?post=18788"}],"version-history":[{"count":3,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/18788\/revisions"}],"predecessor-version":[{"id":19774,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/posts\/18788\/revisions\/19774"}],"wp:attachment":[{"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/media?parent=18788"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/categories?post=18788"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carsp.ca\/en\/wp-json\/wp\/v2\/tags?post=18788"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}