Key Takeaways
- In 2022, 1,105 bicyclists were killed in U.S. traffic crashes, marking a 13% increase from 976 in 2021 and the highest since 1986.
- From 2018 to 2021, cyclist fatalities in the U.S. rose by 25%, from 785 to 976 deaths annually on average.
- In 2020, 80% of bicyclist deaths in the U.S. occurred between 6 p.m. and midnight, highlighting nighttime risks.
- In 2022, U.S. saw 46,555 bicyclist injuries treated in ERs, a 5% increase from 2021.
- From 2017-2021, 355,000 U.S. bicyclists sought ER treatment annually, mostly head injuries.
- 85% of serious cyclist injuries involve motor vehicles, per 2020 UK data.
- Helmet use rose to 42% among injured U.S. cyclists in ERs, 2022.
- Helmets reduce severe brain injury risk by 88% in cyclists, per 2020 meta-analysis.
- In Australia, helmet laws increased usage to 90%, reducing head injuries 54% post-1990.
- Bike lanes reduce crashes 48%, protected lanes 75% per NACTO.
- U.S. cities with cycle tracks see 44% fewer cyclist injuries.
- Roundabouts cut cyclist crashes 75% vs signals, IIHS 2022.
- Drunk cyclists 12x more likely to crash, U.S. 2021 data.
- Only 20% of cyclists always signal turns, per 2022 U.S. survey.
- Speeding cyclists 3x over-involved in pedestrian collisions, NYC 2022.
Cyclist fatalities are rising, but helmets and safe infrastructure save lives.
Behaviors
- Drunk cyclists 12x more likely to crash, U.S. 2021 data.
- Only 20% of cyclists always signal turns, per 2022 U.S. survey.
- Speeding cyclists 3x over-involved in pedestrian collisions, NYC 2022.
- Phone use while cycling increases crash risk 4x, Dutch study.
- Wrong-way riding causes 30% of cyclist-motorist crashes, Germany.
- Helmet non-use triples head injury severity, behavioral study.
- 45% of night cyclists lack lights/reflectors, UK 2022.
- E-bike riders overestimate speeds, 2x crash rate vs traditional.
- Group riding reduces individual risk 25% via mutual vigilance.
- Distracted riding (headphones) ups fall risk 2.4x, 2021 study.
- Cyclists yielding to peds at crossings: only 65% compliance.
- Alcohol in 25% of serious cyclist crashes, Australia 2022.
- Rule-breaking cyclists 5x more likely to be hit, observational study.
- Fatigue from long rides causes 10% solo crashes.
- Dark clothing at night: 5x less visible, crash risk up.
- Bike-share users less safe: 35% no helmet, higher speeds.
- Ignoring red lights: 18% of cyclists, triples intersection risk.
- Training programs cut risky behaviors 40%, per Safe Cycling initiative.
- Males 2x more likely to speed/run lights on bikes.
- Carrying loads improperly causes 8% handling loss crashes.
- 70% of cyclists check blind spots before lane changes.
Behaviors Interpretation
Fatalities
- In 2022, 1,105 bicyclists were killed in U.S. traffic crashes, marking a 13% increase from 976 in 2021 and the highest since 1986.
- From 2018 to 2021, cyclist fatalities in the U.S. rose by 25%, from 785 to 976 deaths annually on average.
- In 2020, 80% of bicyclist deaths in the U.S. occurred between 6 p.m. and midnight, highlighting nighttime risks.
- Males accounted for 88% of all bicyclist fatalities in the U.S. in 2021, with 859 male deaths versus 117 female.
- In Europe, 1,690 cyclists died in road crashes in 2021, with the Netherlands having the lowest rate at 1.5 per million inhabitants.
- California reported 232 cyclist fatalities from 2018-2022, the highest in the U.S., averaging 46 per year.
- In 2019, 62% of killed bicyclists in the U.S. had blood alcohol concentrations of 0.01 or higher.
- Australia saw 36 cyclist deaths in 2022, with 75% involving motor vehicles and 25% single-vehicle crashes.
- From 1975-2021, U.S. cyclist fatalities per billion miles cycled increased from 1.1 to 7.5 due to rising vehicle miles.
- In the UK, 91 cyclists were killed in 2022, a 4% decrease from 2021 but still above pre-pandemic levels.
- New York City had 30 cyclist fatalities in 2023, up 20% from 2022, mostly involving trucks.
- In Canada, 243 cyclists died between 2016-2020, with 70% being males aged 35-54.
- Germany reported 412 cyclist deaths in 2022, 40% of which were over 75 years old.
- Florida had 169 cyclist fatalities from 2017-2021, ranking second highest in the U.S. after California.
- In 2021, 42% of U.S. cyclist fatalities involved large trucks or buses.
- Sweden's cyclist fatality rate is 2.1 per million in 2022, lowest in EU due to infrastructure.
- Texas recorded 198 cyclist deaths from 2018-2022, with urban areas like Houston contributing 40%.
- In Japan, 250 cyclists died in 2022, 60% in urban intersections without signals.
- U.S. child cyclist fatalities dropped 72% from 1990 to 2020 due to helmet laws.
- Denmark had 25 cyclist deaths in 2022, rate of 0.4 per million, thanks to cycle tracks.
- Illinois saw 142 cyclist fatalities 2017-2021, with Chicago accounting for 55%.
- In 2020, 19% of U.S. cyclist deaths were pedestrians hit by cyclists.
- Netherlands: 213 cyclist fatalities in 2022, but rate low at 1.2 per million due to high cycling volume.
- Oregon reported 78 cyclist deaths 2018-2022, highest per capita in U.S. West.
- France: 211 cyclist deaths in 2022, up 11% from 2021, mostly rural roads.
- In 2021, 88% of killed U.S. bicyclists were unhelmeted.
- Washington state: 89 cyclist fatalities 2017-2021, Seattle 30% of total.
- Belgium: 102 cyclist deaths in 2022, 50% involving right-turning vehicles.
- Michigan: 131 cyclist deaths 2018-2022, Detroit highest at 25%.
- Global: 41,000 cyclist deaths annually, 90% in low-income countries.
Fatalities Interpretation
Helmets
- Helmet use rose to 42% among injured U.S. cyclists in ERs, 2022.
- Helmets reduce severe brain injury risk by 88% in cyclists, per 2020 meta-analysis.
- In Australia, helmet laws increased usage to 90%, reducing head injuries 54% post-1990.
- U.S. adults helmet use: 42% in 2022, up from 33% in 2017.
- Children in helmet-law states 3x more likely to wear helmets, 85% vs 28%.
- MIPS helmets reduce rotational forces by 40% vs standard, Swedish study 2021.
- In crashes, helmets cut fatality risk by 65% for cyclists, Cochrane review.
- UK adult cyclists helmet use: 25% in 2022, lower than kids at 75%.
- Reflective gear on helmets increases visibility 4x at night, per 2019 trial.
- Netherlands: 75% helmet use among injured e-bike users 2022.
- U.S. bike helmet standards met by 95% of models, CPSC data 2023.
- Lights/helmets combo reduces crash risk 20% urban, Toronto study.
- Women cyclists 2x less likely to wear helmets than men, U.S. 2021 survey.
- Post-helmet law, child head injuries fell 48% in California 1994-2000.
- Aero helmets provide 10% less protection in real-world oblique impacts.
- Global helmet efficacy: 63-88% reduction in head injury, WHO 2022.
- NYC helmet fines issued to 5% of riders, usage at 20% for adults 2022.
- Full-face MTB helmets reduce jaw fractures 65%, 2021 study.
- Helmet straps failure in 15% of crashes, Virginia Tech ratings 2023.
- E-bike helmets mandated in 10 EU countries, usage up 30%.
- Proper fit helmets 2.5x more effective, CDC fit study.
Helmets Interpretation
Infrastructure
- Bike lanes reduce crashes 48%, protected lanes 75% per NACTO.
- U.S. cities with cycle tracks see 44% fewer cyclist injuries.
- Roundabouts cut cyclist crashes 75% vs signals, IIHS 2022.
- Protected bike lanes increase cycling 171% and reduce injury risk 28%.
- Poor road maintenance causes 20% of single-bike crashes, UK 2022.
- Dutch cycle paths: 70% fewer collisions per km cycled vs roads.
- U.S. sharrows ineffective, only 3% behavior change.
- Raised bike crossings reduce wait times 50%, improve compliance 80%.
- 40% of cyclist-motorist crashes at driveways without bollards.
- Green wave signals for bikes boost usage 20%, Copenhagen data.
- Potholes contribute to 12% of UK cyclist injuries 2022.
- Buffered lanes cut sideswipe risks 50%, Minneapolis study.
- No bike infrastructure areas have 2.5x higher crash rates.
- Cycle superhighways reduce injury claims 40%, London 2015-2022.
- Intersection bike boxes reduce right-hook crashes 24%.
- Rural roads lack shoulders, 3x cyclist crash risk vs urban.
- Protected intersections design eliminates 80% of conflict points.
- Snow/ice on paths cause 15% winter cyclist falls, Nordic data.
- Bike parking at stations increases ridership 48%, but poor design leads to theft/injuries.
- 60% fewer crashes with 2-stage turn boxes for bikes.
- 35% of crashes due to motorists turning right into cyclists, reducible by 70% with bike-specific signals.
Infrastructure Interpretation
Injuries
- In 2022, U.S. saw 46,555 bicyclist injuries treated in ERs, a 5% increase from 2021.
- From 2017-2021, 355,000 U.S. bicyclists sought ER treatment annually, mostly head injuries.
- 85% of serious cyclist injuries involve motor vehicles, per 2020 UK data.
- In 2021, 130,000 U.S. children aged 5-14 suffered bike-related injuries.
- Head injuries account for 62% of cyclist ER visits in EU, 2018-2022 average.
- Australia: 13,000 cyclist hospitalizations in 2022, 40% fractures.
- NYC: 4,487 cyclist injuries in 2022, up 15% from 2021.
- Upper/lower extremity injuries comprise 45% of cyclist ER cases in U.S., 2021.
- Canada: 23,000 cyclist injuries reported 2019, 30% requiring hospitalization.
- In 2020, 75% of injured U.S. cyclists were male, peaking ages 10-14 and 45-54.
- Germany: 65,000 cyclist injury accidents in 2022, 15% serious.
- Bike lane presence reduces cyclist injury risk by 50%, per Portland study 2015-2020.
- 33% of U.S. cyclist ER visits involve concussions, 2019-2022.
- UK: 16,000 cyclist casualties in 2022, 70% slight, 20% serious.
- California: 18,000 cyclist injuries 2022, 25% involving trucks.
- Traumatic brain injuries from cycling: 69,000 U.S. cases/year, 2021.
- Netherlands: 13,400 cyclist injury hospital admissions 2022, mostly single-bicycle falls.
- Florida: 12,500 cyclist injuries 2017-2021 average, 40% at intersections.
- 52% of child cyclist injuries occur off-road, U.S. 2020 data.
- Sweden: 4,500 cyclist injuries 2022, rate 45 per 100,000 cyclists.
- Texas: 15,000 cyclist ER visits 2022, highest in rural-urban fringes.
- France: 11,000 serious cyclist injuries 2022, 35% head/brain.
- Japan: 45,000 cyclist injuries 2022, 50% from car doors.
- Bike-share users in U.S. cities had 2.5x higher injury rates than private bikes, 2019 study.
- In 2021, 60% of injured cyclists in EU were not wearing helmets.
Injuries Interpretation
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