Motorcyclist injury risk as a function of real-life crash speed and other contributing factors.

The Vision Zero approach advocates for a road transport system designed with human injury tolerance and human fallibility as its basis. While biomechanical limits and the relationship between speed and injury outcome has been extensively investigated for car occupants and pedestrians, research analyzing this relationship for motorcyclists remains limited. The aim of this study was to address this issue by developing multivariate injury risk models for motorcyclists that estimate the relationship between speed and injury severity. For that purpose, motorcycle injury crashes from the German In-Depth Accident Study (GIDAS) database for the period 1999-2017 (n = 1037) were extracted. Different models were tested using logistic regression and backwards elimination of non-significant variables. The best fitting model in the current study included relative speed, type of crash opponent, impact location on the motorcycle and impact mechanism of the rider during the crash. A strong and significant relationship between relative speed and injury severity in motorcycle crashes was demonstrated. At 70 km/h, the risk for at least serious injuries in collisions with wide objects, crash barriers and narrow objects was 20%, 51%, and 64%, respectively. Further, it was found that head-on collisions between motorcycles and passenger cars, with both vehicles traveling at 60 km/h (a relative speed at 120 km/h), present 55% risk of at least serious injury to the motorcycle rider. More research is needed to fully understand the boundary conditions needed to design a safe road transport system for motorcyclists. However, this study provides important insights into the relationship between speed and injury severity for riders in various crash situations. The results may be useful in the discussion of appropriate speed limits and in determining the benefits of countermeasures which aim to reduce crash speed.

Misuse of booster cushions among children and adults in Shanghai-an observational and attitude study during buckling up.

OBJECTIVE: Traffic crashes are one of the leading causes of fatalities among Chinese children. Booster cushion usage in China is low, and there are no studies showing how a population with limited experience handles booster cushions during buckling up. The purpose of this study was to evaluate the handling of and explore the attitudes toward booster cushions among children, parents, and grandparents in Shanghai. METHODS: An observational study including a convenience sample of 254 children aged 4-12 years was conducted in 2 passenger cars at a shopping center in Shanghai. Parents, grandparents, or the children themselves buckled up the child on 2 types of booster cushions, a 2-stage integrated booster cushion (IBC) and an aftermarket booster cushion (BC). The test participants were observed during buckling up, first without and then with instructions. The test leaders conducted structured interviews. RESULTS: Ninety-eight percent of the uninstructed participants failed to buckle up without identified misuse on the aftermarket booster cushion and 31% of those uninstructed on the integrated booster cushion. The majority of misuse was severe, including placing the belt behind the arm and the lap belt routing above the guiding loops. Instruction reduced misuse to 58% (BC) and 12% (IBC), respectively, and, in particular, severe misuse. Some misuse was related to limited knowledge of how to buckle up on the booster cushion, and some misuse was intentional in order to reduce discomfort. The participants, both children and adults, reported that they preferred the IBC due to good comfort and convenience. Safety was reported as the main reason for adults using booster cushions in general, whereas children reported comfort as the most important motivation. CONCLUSIONS: Education is needed to ensure frequent and correct use of booster cushions in China and to raise safety awareness among children and adults. Furthermore, it is important that the booster cushions offer intuitively correct usage to a population with limited experience of booster cushions. This is the first study published on the handling of and attitude toward booster cushions after child restraints laws were introduced in Shanghai 2014.