Injuries to bicyclists in Wuhan, People's Republic of China

Am J Public Health. 1997 Jun;87(6):1049-52. doi: 10.2105/ajph.87.6.1049.


Objectives: This study examined the morbidity and mortality from bicycling injuries in Wuhan, China.

Methods: Police department data for the year 1993 complemented by data from emergency room interviews were analyzed.

Results: The death rate from bicycling injuries was estimated as 2.2 per 100000 population, more than seven times the rate for the United States. At least 79% of the fatalities and 17% of the emergency room cases sustained head injuries, the majority (71%) of which resulted from contact of the head with the concrete or asphalt road. None of the patients was wearing a helmet at the time of injury, and helmet use among the general bicyclist population was nonexistent.

Conclusions: Bicycle-related head injury is an important public health issue in China. The effectiveness of safety helmets in developing countries needs to be evaluated.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidents, Traffic / mortality*
  • Adolescent
  • Adult
  • Bicycling / statistics & numerical data*
  • Child
  • China / epidemiology
  • Emergency Service, Hospital / statistics & numerical data
  • Female
  • Humans
  • Male
  • Middle Aged
  • Police / statistics & numerical data
  • Retrospective Studies
  • Wounds and Injuries / epidemiology