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Bicycle Injury Interventions
Bicycle Lanes and Paths
Background
Bicycle lanes are defined as portions of
the roadway designated for the use of bicycles.36 Where bicycle lane policies
exist, shoulder lanes are 1 m wide in each travel direction, separated from the
roadway by a minimum buffer distance of at least 0.5 m. This buffer zone is usually
increased along sections of road with higher motor vehicle speed. Paved surfaces
are required in the few states where bicycle lane policies exist, but most paved
shoulders are not intended for bicyclist use. In North America, bicycle traffic
is permitted on most highway shoulders in Canada, while bicyclists in the United
States are restricted from utilizing interstate highways and limited access highways in most
states.37
Bicycle paths are defined as physically separated
rights of way for the exclusive use of bicyclists and pedestrians.36Policies regarding bicycle paths could not be found for this
review, but are presumed to be similar to bicycle lanes with respect to travel direction
width.
Note: no new studies- only Wachtel, 1994 and Lott, 1976 included in previous
review.
Review of bicycle lane studies:
Author | Wachtel et al., 1994 |
Study design and target population | Case control study Police
reports of bicycle accidents in Palo Alto, CA, from July 1985 to June 1989.
Cases: motor vehicle/bicycle collisions at intersections
Controls: observed cyclists during one day in 1987. |
Intervention | No real intervention, but did examine
risk ratios for MV/bicycle collisions with respect to sidewalk and roadside
bicycle use. |
Outcomes | Reported MV/bicycle accidents at intersections
along three stretches of road in Palo Alto. (Intersections defined as any point
where turning or crossing movements are possible for the bicyclist or motorist,
including the junctions between driveways and sidewalks, and driveways and roadways.)
Direction of travel among accidents |
Results | Older cyclists (>17) have over
twice the risk of collisions with motor vehicles compared to younger riders,
adjusted for sidewalk/roadway use and wrong-way travel (OR=2.2, 1.6-3.1).
Bicyclists traveling against traffic have a greater risk (OR=3.8,
2.6-5.2) adjusted for age and riding on sidewalk/road. |
Study quality and conclusions | Shared use of the roadway in the same
direction is associated with a decrease in accident risk between bicycle and
motor vehicle. Sidewalk bicycling adjacent to busy
intersections should not be encouraged.
Did not compare accident rates on roads with lanes to roads
without lanes.
No controlling for such potential confounders as miles ridden,
speed, weather, and road surface. |
Author | Lott and Lott, 1976 |
Study design and target population | Ecological study Police
reports of bicycle-car collisions in Davis, CA, 1970-73 (n=145). |
Intervention | Bicycle lane use |
Outcomes | Reported bicycle-car collisions stratified
into 10 subjective categories (improper left turn by cyclist, motorist failed
to yield, etc.). Frequency of incidents in Davis, CA,
(with bike lanes) compared to Santa Barbara, CA (without bike lanes).
Within Davis, CA, frequency of incidents on streets with bike
lanes compared to streets without bike lanes. |
Results | Bicycle lanes suggest (as a ratio
of accident expectation rate with bike lanes to without bike lanes) a protective
effect for certain types of bike-car collisions (cyclist exiting driveway, 0.12;
motorist exiting driveway, 0.49; improper right turn by motorist, 0.58; cyclist
traveling against traffic, 0.26; motorist overtaking cyclist, 0.12) but increase
risk of crash when cyclist turns left into traffic (1.8). |
Study quality and conclusions | No data on exposure of bicyclists
(e.g., miles traveled). Low visibility and nonclassifiable incidents excluded
from analysis. Davis, CA, data include non-bike lane incidents. Bike lanes not
placed randomly among streets. Incidents stratified subjectively; no objective basis for determining
neutral incidents. |
Summary of bicycle lane
studies
The studies reviewed here present some evidence
that bicycle lanes may provide protection against bicycle/motor vehicle collisions.
Unfortunately, comparisons between roads with and without bike lanes did not take
exposure into account and the conclusions reached are therefore speculative at best.
Evidence is also presented that indicates riding with the flow of traffic reduces
ones chance of collision with a motor vehicle. There are some preliminary
data indicating that bicycle paths may have an impact on accident rates, but no
conclusions can be reached until data collection and analysis are complete.39
Recommendations on effectiveness
of bicycle lanes
Where bicycle lanes exist, riding should
be restricted to the direction of motor vehicle travel. Paved riding surfaces should
be mandatory for bicycle lanes, as well as a wide buffer zone (preferably > 2.0
m) between motor vehicle traffic and bicyclists, increasing in direct proportion
to the speed of the motor vehicles. There is some speculatory data that bicycle
lane widths should increase if rumble strips are used between motor and bicycle
traffic zones40 so that bicyclists do not ride over the strips accidentally.
Recommendations for future
research
Randomized controlled trials
examining the effectiveness of bicycle paths and/or bicycle lanes are not feasible
given the construction cost of such features. To determine whether bike lanes or
paths are effective in reducing bicycle accidents not only with other bicyclists
and pedestrians but also with motor vehicles, a cohort study design might be implemented
comparing two groups of ridersthose using a bicycle lane/path (exposed) and
those not using the lane/path (unexposed)and their respective accident incidence
rates. This would, however, require large groups of cyclists. The cohort study might
also be conducted in which the cohorts are roads versus paths and the rate of crashes
calculated for each. This approach would require reliable data on usage of bicycle
paths and roads, such as miles traveled.
Harborview Injury Prevention and
Research Center ©1997 University of Washington Last
updated: 09-July-2001
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