Bicycle Helmet Safety Institute
--------

A Compendium of Statistics
from Various Sources

Statistics from the Insurance Institute for Highway Safety
Fatality Facts: Bicycles

as of October 2000

Only 2 percent of motor vehicle-related deaths are bicyclists. Among a majority of those killed, the most serious injuries are to the head, so it's important for bicyclists to wear helmets. Sixteen states have helmet laws applying to young bicyclists; none of these laws applies to all riders. Local ordinances in a few states do require some or all bicyclists to wear helmets. Helmets are important for riders of all ages, especially because older bicyclists represent more than two-thirds of bicycle deaths.

Responsibility for serious collisions between bicycles and motor vehicles corresponds to rider age. (Responsibility refers to crash initiation, not necessarily legal culpability.) Young riders most often are responsible for their crashes, and then probable responsibility decreases with age. Older riders more often aren't responsible for their crashes.1

The following facts are based on analysis of data from the U.S. Department of Transportation's Fatality Analysis Reporting System:

  • 746 bicyclists were killed in crashes with motor vehicles in 1999. This is 1 percent fewer than in 1998 and down 26 percent since 1975.
  • Bicycle deaths are most likely to occur in summer. Deaths are most likely to occur on Fridays and Saturdays. The peak time is 3-9 pm.

Note: BHSI does not endorse the following item!
Please see this link for more info casting doubt on the 98% number.

  • Ninety-eight percent of bicyclists killed in 1999 reportedly weren't wearing helmets.

AGE AND GENDER

Deaths of older bicyclists are an increasing problem. Seventy-one percent of 1999 bicycle deaths were riders 16 years and older. This compares with 32 percent of bicycle deaths in 1975.

About 7 times as many bicycle deaths are males compared with females. At every age older than 4, more male than female bicyclists are killed. Deaths per million people are higher among males than females at all ages older than 4.

Bicycle deaths per million people rise rapidly among males beginning at about 5 years old and are highest among 14 and 15 year-olds. Death rates also are high among 13- and 16-year-old males.

WHERE THEY DIED

Four states (California, Florida, New York, and Texas) accounted for 43 percent of bicycle deaths in 1999.

More bicyclists were killed in urban areas than in rural areas (64 percent compared with 36 percent) in 1999.

Thirty-five percent of bicycle deaths in 1999 occurred at intersections.

ROAD TYPES

Fifty-seven percent of bicycle deaths in 1999 occurred on major roads, and 37 percent occurred on local roads.

Fifty-nine percent of bicycle deaths among children younger than 13 and 27 percent of adult bicycle deaths occur on minor roads. Adult bicyclists are more likely than children to be killed on major roads (67 percent compared with 38 percent).

Tables - (Originals on the IIHS site)

  • Total Bicycle Deaths
·          
·         Year    Male    Female  Total
·         1975     820     183    1,003
·         1976     751     163      914
·         1977     730     192      922 
·         1978     714     178      892 
·         1979     759     173      932
·         1980     782     183      965
·         1981     748     181      929
·         1982     720     144      864
·         1983     700     130      830
·         1984     684     153      837
·         1985     732     137      869
·         1986     789     140      929
·         1987     826     114      940
·         1988     773     128      901
·         1989     696     126      822
·         1990     732     121      853
·         1991     715     121      836
·         1992     627      90      717
·         1993     702     104      806
·         1994     687     109      796
·         1995     699     128      827
·         1996     654     107      761
·         1997     712      99      811
·         1998     659      99      758
·         1999     653      93      746
·          
·          
·         Percent of bicycle deaths involving

·         people 16 years and older
·          
·         1975     32
·         1976     33
·         1977     33
·         1978     36
·         1979     40
·         1980     45
·         1981     47
·         1982     52
·         1983     47
·         1984     50
·         1985     50
·         1986     52
·         1987     53
·         1988     56
·         1989     55
·         1990     65
·         1991     63
·         1992     58
·         1993     62
·         1994     62
·         1995     65
·         1996     67
·         1997     69
·         1998     69
·         1999     71
·          
·          
·         Distribution of bicycle deaths by month, 1999
·                             
·                       Percent
·         January          6
·         February         5
·         March            7
·         April            6
·         May              9
·         June            10
·         July            12
·         August          11
·         Septembe        11
·         October         10
·         November         8
·         December         5
·          
·          
·         Distribution of bicycle deaths by day of week, 1999
·          
·                       Percent
·         Sunday          13
·         Monday          15
·         Tuesday         11
·         Wednesday       12
·         Thursday        12
·         Friday          18
·         Saturday        17
·          
·          
·         Distribution of bicycle deaths by time of day, 1999 
·          
·                           Percent
·         Midnight - 3 am      7
·         3 am - 6 am          3
·         6 am - 9 am          9
·         9 am - Noon          8
·         Noon - 3 pm         11
·         3 pm - 6 pm         22
·         6 pm - 9 pm         26
·         9 pm - Midnight     13
·          
·          

REFERENCES

1 Williams, A.F. 1976. Factors in the initiation of bicycle-motor vehicle collisions. American Journal of Diseases of Children 130:370-77.

Downloaded March, 2001. See the IIHS site for the most recent data.

Statistics from the Institute for Traffic Safety Analysis

Traffic Fatality Trends in the US, UK and Australia: A Comparative Analysis

Riley Geary has compiled and presented comparative fatality stats for the three countries. The format is stark, but easy to master in a few minutes, and the results are illuminating. In injury reduction we are well behind Australia (mandatory helmets) and the UK (fewer helmets than here). Is it possible that we are not doing something right?

Here is the ITSA analysis of FARS fatality data.

And here is the ITSA analysis reexamining the FARS helmet data.

Statistics from the Consumer Product Safety Commission

Here are "head injury" statistics from CPSC, based on their data from hospital emergency rooms. Unfortunately, the head injury numbers for kids under 15 are not statistically significant, and even worse, all head injuries in the table are lumped together. You may be looking at a cut chin that required three stitches, or maybe at a severe concussion. But it is sure that you can not tell from these numbers what percentage should have been mitigated by a helmet. If the rider had one.

Note: BHSI does not endorse the optimistic findings of this study! In addition, the total number of riders killed cited in point two has not been accurate for a decade, and current deaths each year are closer to 800.

Statistics from the Consumer Product Safety Commission

  • Bicycle helmet usage has increased from 18 percent in 1991 to 50 percent in 1998
  • Bike-related crashes kill 900 people every year and send about 567,000 to hospital emergency rooms with injuries
  • Wearing a bike helmet can reduce the risk of head injury by 85 percent.
  • Today there are an estimated 80.6 million riders, 43 percent of whom never wear helmets and 7 percent of whom wear helmets less than half the time
  • Of bikers who now report wearing a helmet, 98 percent said they wore a helmet for safety reasons, 70 percent said they wore a helmet because a parent or spouse insisted on it and 44 percent said they did so because a law required it.
  • 69 percent of children under 16 wear a helmet on a regular basis while riding a bike, according to parents.
  • 38 percent of adult bike riders regularly wear their helmets.

Here is the Press Release on the study. There are other estimates further down this page that we consider more realistic for the nation as a whole. For example, the University of North Carolina as conducted reliable observational studies showing a statewide helmet usage rate of 17 per cent.

More Statistics from the Consumer Product Safety Commission's
Consumer Product Safety Review - Spring, 2000
Baby Boomer Sports Injuries

 

  • Sports-related injuries among those ages 35 to 54 (Baby boomers) increased 33 per cent from 1991 to 1998.
  • The population in that age bracket increased from 65 to 79 million, explaining some of the increase.
  • In 1998, bicycling accounted for the largest number treated in hospital emergency rooms. Bike injuries were over 65,000, while basketball injuries in second place were under 50,000.
  • In 1998, a total of 290 boomers died in bicycle crashes, with 255 involving a car (88 per cent).
  • In 1998, no other sport killed as many boomers. Swimming was a distant second with 67 deaths, skiing third with 7 deaths.
  • In 1998, baby boomers on bicycles died from head injuries at nearly twice the rate of children on bikes. CPSC believes that the difference in death rates is due to more helmet use by children.
  • CPSC believes that 69 per cent of children wear bike helmets and only 43 per cent of boomers.
  • It is important for baby boomers to stay active and participate in sports.
  • The article is signed by George Rutherford, CPSC Directorate for Epidemiology

Injuries to Bicyclists
From A Monograph by the Johns Hopkins Injury Prevention Center
Sponsored by the Snell Memorial Foundation

 

Each year in the United States;

  • more than 900 bicyclists are killed - - - [Falling since this was done: in 1997 it was 808]
  • 20,000 are admitted to hospitals
  • 580,000 receive emergency room treatment

For the population as a whole, there are approximately:

  • 1.8 billion bicycle trips
  • 300 injuries per million trips
  • 1 death in every 2 million trips (0.5 per million)

Helmets are needed because head injuries in bicyclists are noted in:

  • 65,000 emergency room cases and 7,700 hospital admissions annually
  • about 40 per cent of bicyclists admitted to hospitals
  • an estimated 70 to 80 per cent of fatally injured bicyclists

Bicyclists hospitalized with head injuries are 20 times as likely to die as those without.

Bicyclist injury rates per million trips are highest at age 5 to 15.

Bicyclist death rates per million trips are highest above age 50.

Bicyclist death rates per 100,000 population are highest at age 10-14.

Fifty-six per cent of fatally injured bicyclists are age 20 or older.

Death rates for male bicyclists age 20-54 have substantially increased in recent years.

Compared with females, males;

  • make 2.5 times as many bicycle trips
  • are 2.4 times as likely to be killed, per trip
  • have a death rate per 100,000 population that is 6 times as high

The death rate per million trips is 8 times as high from 10 PM to 1 AM as from 9 AM to 1 PM.

Motor vehicles are involved in 90-92 per cent of bicyclist deaths and 12 per cent of injuries.

One third of bicyclist fatalities occur on roads with speed limits of 55 mph or higher.

Two-thirds of fatally injured bicyclists are tested for alcohol; 32 per cent of those tested have been drinking.

Bicyclist death rates per trip or per person mile of travel greatly exceed the rates for car occupants.

Injuries to Children
From A Fact Sheet by the National Safe Kids Campaign

Please check their Web page for their latest Fact Sheet on Bicycle Injury.

 

Deaths and Injuries

    • In 1995, more than 250 children ages 14 and under died in bicycle-related crashes. Motor vehicles were involved in 230 of these deaths.
    • In 1996, more than 350,000 children ages 14 and under were treated in hospital emergency rooms for bicycle-related injuries.
    • It is estimated that collisions with motor vehicles account for 90 percent of all bicycle-related deaths and 10 percent of all nonfatal bicycle-related injuries. Collision with a motor vehicle increases the risk of death, severity of injury, and the probability of sustaining a head injury.
    • More than 40 percent of all head injury-related deaths and approximately three-fourths of head injuries occur among children ages 14 and under. Younger children suffer a higher proportion of head injuries than older children.

When and Where Bicycle Deaths and Injuries Occur

    • Children are more likely to die from bicycle crashes at non-intersection locations (66 percent), during the months of May to August (55 percent), and between 3 p.m. and 6 p.m. (39 percent).
    • Nearly 60 percent of all childhood bicycle-related deaths occur on minor roads. The typical bicycle/motor vehicle crash occurs within one mile of the bicyclist's home.
    • Children ages 14 and under are more likely to be injured riding in non-daylight hours (e.g., at dawn, dusk or night). The risk of sustaining an injury during non-daylight conditions is nearly four times greater than during the daytime.
    • Among children ages 14 and under, more than 80 percent of bicycle-related fatalities are associated with the bicyclist's behavior. The most common crashes include riding into a street without stopping; turning left or swerving into traffic that is coming from behind; running a stop sign; and riding against the flow of traffic.

Who is at Risk

    • Riding without a bicycle helmet increases the risk of sustaining a head injury in the event of a crash. Nonhelmeted riders are 14 times more likely to be involved in a fatal crash than bicyclists wearing a helmet.
    • Collision with a motor vehicle and crashes occurring at speeds greater than 15 miles per hour increase the risk of severe bicycle-related injury and death.
    • Children ages 14 and under are five times more likely to be injured in a bicycle-related crash than older riders.
    • Males account for approximately 85 percent of bicycle-related deaths and 70 percent of nonfatal injuries and have higher bicycle-related death and injury rates than females. Children ages 10 to 14, especially males, have the highest death rate from bicycle-related head injury of all ages.
    • Children under age 10 are at greater risk for serious injury and are more likely to suffer head injuries than older riders. Approximately half of all bicycle-related injuries among children under age 10 occur to the head/face, compared to one-fifth among older children.
    • Bicyclists admitted to hospitals with head injuries are 20 times more likely to die as those without head injuries.

Bicycle Helmet Effectiveness

    • Bicycle helmets have been shown to reduce the risk of head injury by as much as 85 percent and the risk of brain injury by as much as 88 percent. Bicycle helmets have also been shown to offer substantial protection to the forehead and mid face.
    • It is estimated that 75 percent of bicycle-related fatalities among children could be prevented with a bicycle helmet.
    • Universal use of bicycle helmets by children ages 4 to 15 could prevent between 135 and 155 deaths, between 39,000 and 45,000 head injuries, and between 18,000 and 55,000 scalp and face injuries annually.
    • Child helmet ownership and use increases with income and educational level, yet decreases with age. Children are more likely to wear a bicycle helmet if riding with others (peers or adults) who are also wearing one and less likely to wear one if their companions are not.

 


Fatality Statistics for School Children
From the FARS Database, USDOT

School-Aged Children (5-18) Killed in Traffic Crashes During the School Year September 1, 1997 to June 15, 1998 Data from the Fatality Analysis Reporting System (FARS) U.S. Department of Transportation

School-aged Pedalcyclists killed between the hours of 6:00 AM to 8:59 AM and 2:00 PM to 4:59 PM

 
 
Alabama          0             Montana               0
Alaska             1             Nebraska     1
Arizona            3             Nevada              1
Arkansas         1             New Hampshire  0
California        5             New Jersey    0
Colorado          0             New Mexico    0
Connecticut     0             New York        1
Dist. of Col.     0             North Carolina       0
Florida            3              North Dakota       0
Georgia           2              Ohio         2
Hawaii            0              Oklahoma     0
Idaho              0               Oregon            1
Illinois            3               Pennsylvania     1
Indiana          0                Rhode Island       0
Iowa               0           South Carolina 2
Kansas           0             South Dakota   0
Kentucky       2               Tennessee      1
Louisiana       0              Texas          1
Maine                1         Utah           0
Maryland        2              Vermont        0
Massachusetts   0              Virginia       0
Michigan        5              Washington     3
Minnesota      0               West Virginia  1
Missouri         1             Wisconsin      0
                               Wyoming        0
 
                                      Total: 44 

A note from the University of California at Berkeley Wellness Letter of Dec 97:

"It's estimated that 96 % of cyclists killed in 1996 were not wearing helmets."

Here is a study from Western Australia that shows that helmet use has reduced the incidence and severity of head injuries there. It is based on hospital data, and shows that the number of closed head injuries was cut in half with increased helmet use over time, though other injuries did not change significantly in number. The head injuries were less serious, and hospital stays were shorter.

Statistics from the abstract of an article from JAMA, the Journal of the American Medical Association:

Bicycle Associated Head Injuries and Deaths in the United States From 1984 Through 1988: How Many Are Preventable?

Jeffrey J. Sacks, MD, MPH; Patricia Holmgreen, MS; Suzanne M. Smith, MD; Daniel M Sosin, MD

Objective. -To estimate the potential benefits from more widespread bicycle safety helmet use.

Design.-Review of death certificates and emergency department injury data for 1984 through 1988. Categorization of deaths and injuries as related to bicycling and head injury. Using relative risks of 3.85 and 6.67 derived from a case-control study and varying helmet usage from 10 per cent to 100 per cent, population attributable risk was calculated to estimate preventable deaths and injuries.

Setting.-Entire United States.

Main Outcome Measures. -Numbers of US residents coded as dying from bicycle related head injuries, numbers of persons presenting to emergency departments for bicycle-related head injuries, and numbers of attributable bicycle related deaths and head injuries.

Main Results. - From 1984 through 1988, bicycling accounted for 2985 head injury deaths (62 per cent of all bicycling deaths) and 905,752 head injuries (32 per cent of persons with bicycling injuries treated at an emergency department). Forty-one percent of head injury deaths and 76 per cent of head injuries occurred among children less than 15 years of age. Universal use of helmets by all bicyclists could have prevented as many as 2500 deaths and 757,000 head injuries, i.e., one death every day and one head injury every 4 minutes.

Conclusions.-Effective community-based education programs and legislated approaches for increasing bicycle safety helmet usage have been developed and await only the resources and commitment to reduce these unnecessary deaths and injuries.

(JAMA, 1991;266:3016-3018)


Statistics from the abstract of a widely-quoted article which appeared in the
New England Journal of Medicine on May 25, 1989.


A Case-Control Study of the Effectiveness of Bicycle Safety Helmets

by Robert S. Thompson, MD, Frederick P. Rivara, MD, M.P.H., and Diane C. Thompson, MS Abstract

Bicycling accidents cause many serious injuries and, in the United States. about 1300 deaths per year, mainly from head injuries. Safety helmets are widely recommended for cyclists. but convincing evidence of their effectiveness is lacking. Over one year we conducted a case-control study in which the case patients were 235 persons with head injuries received while bicycling, who sought emergency care at one of five hospitals. One control group consisted of 433 persons who received emergency care at the same hospitals for bicycling injuries not involving the head. A second control group consisted of 558 members of a large heath maintenance organization who had had bicycling accidents during the previous year.

Seven percent of the case patients were wearing helmets at the time of their head injuries, as compared with 24 percent of the emergency room controls and 23 percent of the second control group. Of the 99 cyclists with serious brain injury only 4 percent wore helmets. In regression analyses to control for age, sex, income, education, cycling experience, and the severity of the accident, we found that riders with helmets had an 85 percent reduction in their risk of heed injury (odds ratio, 0.15; 95 percent confidence interval, 0.07 to 0.29) and an 88 percent reduction in their risk of brain injury (odds ratio, 0.12; 95 percent confidence interval, 0.04 to 0.40).

We conclude that bicycle safety helmets are highly effective in preventing head injury. Helmets are particularly important for children, since they suffer the majority of serious head injuries from bicycling accidents. (N Engl J. Med 1969;320:1361-7)


Statistics from a publication of the U. S. Consumer Product Safety Commission.

Bicycle Use and Hazard Patterns in the United States

Note: We recommend caution in using these figures, since a number of people in the bicycle community questioned the validity of the survey techniques used for this study. - BHSI

The exposure survey found that only 11.8 million (18 percent) of the entire population of about 67 million bicyclists wear helmets all or most of the time. Another 6 percent, representing about 4 million riders, reported that they wear helmets sometimes, but less than half of the time.

The proportion of children under age 15 who wear helmets all or most of the time was about 15 percent. HF reports (in part IV) that the low usage rate for children may be partly related to peer pressure. Some studies show that children are not inclined to wear helmets if their social group disapproves of helmet use. However, helmet use in all age groups appears to be increasing. Just over half of the current users (53 percent) began wearing helmets in the last two years.

And here is Michael Ravnitzky's article on how to get better statistics from CPSC.


Usage Data from Actual Observation of Cyclists in Alaska

Our department initiated a project during the summer of 2000 to document the observed use of bike helmets in communities around Alaska. We needed to develop a statistical baseline of helmet use. The data is preliminary, but it looks to be a 35% use rate in larger places (Anchorage, Fairbanks, Juneau), about 17% in smaller cities, and almost non-existant in rural areas. Source: David Thomson, Health Program Manager, Community Health & EMS, Alaska Division of Public Health

 

Economic Statistics from the Pacific Institute for Research & Evaluation

(Extracted from two emails)

More than 80% of the resource and productivity costs and the quality of life losses associated with pedalcycling, ages 0-19, does not involve a motor vehicle. At the same time, a pedalcycle incident involving a motor vehicle is about 3.5 five times as costly as one that does not involve a motor vehicle ($17,600 versus $4,900 in resource and productivity costs).

Pedalcycle-only incidents are less severe but far more frequent. Overall, pedalcycle crashes are the 4th largest contributor to childhood injury costs and quality of life losses. The above estimates exclude some cases where a pedalcyclist struck a pedestrian.

For the US in 1996, 262 pedalcyclists ages 0-19 died in motor vehicle crashes compared to 23 in crashes without motor vehicles. These numbers are a perfect illustration of the dangers of doing epidemiology with just mortality data. As Charles suggested, they are overwhelmed by a different pattern for nonfatal injuries. Ages 0-19, 5,500 motor vehicle cases were hospital-admitted and 37,000 were medically treated elsewhere. In contrast, 12,400 cases without motor vehicles involved were hospital-admitted and 735,000 were medically treated elsewhere. Hospital-admitted cases are serious. The non-motor vehicle cases are the largest share of these serious injuries.

ADULT NUMBERS
The importance of non-motor vehicle incidents is even more striking among adults. Motor-vehicle involved deaths still predominate, but not as strongly (430 versus 84). For hospital-admissions, the balance swings far more heavily to non-motor-vehicle cases (25,400 versus 4,900). Although many more deaths and hospital-admitted injuries occur among adults than children, other medically treated injuries are far more often a child problem. The estimated frequencies are 21,000 involving motor vehicles and 166,000 not.

Ted Miller
Pacific Institute for Research & Evaluation


Statistics from a publication of the Centers for Disease Control.

Injury Mortality

National Summary of Injury Mortality Data
1986-1992

Data Source:
National Center for Health Statistics, Vital Statistics


Produced by
Office of Statistics, Programming, and Graphics
National Center for Injury Prevention and Control
4770 Buford Highway - K59
Atlanta, GA 30341
(Contact: Steve James 404-488-4656)

U.S. Department of Health and Human Services
Public Health Service
Centers for Disease Control and Prevention (CDC)
February 1995


Introduction

The National Summary of Injury Mortality Data provides tabulations of the total numbers of deaths and the mortality rates per 100,000 population for major and other selected external causes of death from injury, by race, sex, and age groupings. There are two sets of tables. The first set presents national data on injury mortality for 1986 through 1992 and will allow the user to assess short-term trends in numbers of deaths and mortality rates. The second set of tables summarizes national and state data for 1992 on the eight major causes of Injury mortality. The state tables provide a means of comparing the relative magnitude of deaths from these major causes within and across states.

The numbers of deaths by external cause of injury (International Classification of Disease-9th Revision, E-Godes [1]) are from the annual mortality data tapes of the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention. We used population data from the U.S. Bureau of the Census to calculate death rates for 1985 through 1990. Intercensal population estimates were used for 1985 through 1989 and decennial census population counts for 1990. For 1991 and 1992, we used Demo-Detail postcensal population estimates. (For information about the postcensal population estimates, contact Richard Irwin, Director, Demo-Detail, 2303 Apple Hill Road, Alexandria, VA 22308, Phone No. 703-780-9563.)

We computed age-adjusted rates by the direct method and standardized to the total U.S. population as enumerated in 1940. This method and the standard year of 1940 were used to be consistent with data reported by NCHS and with data being tracked for the year 2000 objectives of the U.S. Public Health Service (2). Our age-adjusted death rates may differ slightly from those of NCHS because we used 5-year age categories, as presented in our tables, for calculations and NCHS used 10-year age groups (3).

For the convenience of the user, we have provided mortality rates for each of the race-sex-age groupings In which one or more deaths occurred. (Note: They did, but we did not! See phone number below for more tables. - BHSI) However, because NCHS considers rates based on 20 or fewer deaths to be statistically unreliable, such rates should be regarded with caution. For further details on this and other statistical issues, please refer to the Advance Report of Final Mortality Statistics, 1992 (3). (To obtain a copy of this report, contact NCHS at 301-436-8500).


Pedal Cyclist Deaths and Rates per 100.000

For Years 1988-1992
All Races / Both sexes

 
 
AGE        1988       1989       1990        1991       1992
YRS      No. Rate   No. Rate   No. Rate   No. Rate   No. Rate
 
0-4     18  .10    17  .09    18  .10    14  .07    10  .05
5-9    157  .88   129  .72   104  .58   106  .58    99  .54
10-14  186 1.13   180 1.07   149  .87   161  .91   151  .83
15-19  136  .73   114  .63   124  .69    80  .47    68  .40
20-24   86  .44    68  .35    65  .34    79  .41    48  .25
25-29   69  .32    69  .32   100  .47    60  .29    50  .25
30-34   58  .27    68  .31    63  .29    71  .32    59  .26
35-39   52  .27    44  .23    67  .34    74  .36    58  .27
40-44   33  .20    38  .22    45  .26    39  .21    42  .22
45-49   29  .22    23  .17    37  .27    49  .35    41  .27
50-54   19  .17    19  .17    23  .20    33  .28    26  .22
55-59   19  .18    21  .20    19  .18    26  .25    32  .31
60-64   16  .15    17  .16    26  .24    25  .24    19  .18
65-69   19  .19    12  .12    27  .27    28  .28    23  .23
70-74   22  .28    17  .22    17  .21    22  .27    16  .19
75-79   16  .27    19  .32    16  .26    19  .30    13  .20
80-84    5  .14    12  .31     9  .23    11  .27    14  .34
85+      7  .24     3  .10     7  .23     3  .10     8  .25
UNK AGE  2          0          1          3          0
 
TOTAL* 949   .39  870  .35   917  .37   903  .36   777  .30
AgeAdj**     .42       .38        .39        .38        .32
 

Below is the same data broken down by sex. Guess who has the problem!

All Races / Males

 
AGE       1988        1989        1990        1991       1992
YRS     No. Rate    No. Rate    No. Rate    No. Rate   No. Rate
 
 0-4     12  .13     12  .13     12  .13     11  .11     7  .07
 5-9    128 1.41    105 1.14     81  .88     81  .87    83  .88
10-14   157 1.86    151 1.75    131 1.50    133 1.47   131 1.41
15-19   124 1.31    104 1.12     11 1.23     71  .81    61  .70
20-24    75  .75     61  .62     58  .60     64  .66    43  .44
25-29    60  .55     56  .52     85  .79     52  .50    48  .47
30-34    47  .44     60  .56     56  .52     65  .59    55  .50
35-39    46  .49     37  .38     58  .59     66  .65    49  .47
40-44    28  .35     30  .36     37  .43     31  .33    38  .41
45-49    24  .38     21  .32     30  .45     45  .65    35  .46
50-54    15  .28     18  .33     20  .36     33  .58    23  .39
55-59    13  .25     15  .30     18  .36     25  .50    30  .60
60-64    15  .30     16  .32     22  .44     23  .46    18  .37
65-69    18  .41      9  .20     24  .53     23  .51    20  .45
70-74    22  .66     16  .48     13  .38     21  .59    14  .38
75-79    13  .57     17  .72     13  .54     15  .60    12  .47
80-84     5  .39     11  .83      8  .59     10  .71    12  .82
85+       7  .87      1  .12      6  .71      3  .34     8  .88
UNK AGE   2           0           1           3          0
T0TAL*  811  .68    740  .62    786  .65    775  .63   687  .55
AGEADJ**     .72         .65         .68         .65        .57
 

Below is the same data broken down by sex. Guess who has the problem!

All Races / Females

 
AGE       1988        1989        1990        1991        1992
YRS     No. Rate    No. Rate    No. Rate    No. Rate    No. Rate
 
 0-4      6  .07      5  .06      6  .07      3  .03      3  .03
 5-9     29  .33     24  .27     23  .26     25  .28     16  .18
10-14    29  .36     29  .35     18  .22     28  .32     20  .23
15-19    12  .13     10  .11     11  .13      9  .11      7  .08
20-24    11  .11      7  .07      7  .07     15  .16      5  .05
25-29     9  .08     13  .12     15  .14      8  .08      2  .02
30-34    11  .10      8  .07      7  .06      6  .05      4  .04
35-39     6  .06      7  .07      9  .09      8  .08      9  .08
40-44     5  .06      8  .09      8  .09      8  .08      4  .04
45-49     5  .08      2  .03      7  .10      4  .06      6  .08
50-54     4  .07      1  .02      3  .05      0  .00      3  .05
55-59     6  .11      6  .11      1  .02      1  .02      2  .04
60-64     1  .02      1  .02      4  .07      2  .04      1  .02
65-69     1  .02      3  .05      3  .05      5  .09      3  .05
70-74     0  .00      1  .02      4  .09      1  .02      2  .04
75-79     3  .08      2  .05      3  .08      4  .11      1  .03
80-84     0  .00      1  .04      1  .04      1  .04      2  .07
85+       0  .00      2  .09      1  .05      0  .00      0  .00
UNK AGE   0           0           0           0           0
TOTAL*  138  .11    130  .10    131  .10    128  .10     90  .07
AGEADJ**     .13         .11         .11         .11         .08
 
 

*Total number and crude rate include unknown age.

**Age-adjusted rate excludes unknown age. Standard population is 1940 U.S. all races/both sexes.

Data Sources, National Center for Health Statistics Mortality Data Tapes for number of deaths; U.S. Bureau of Census population estimates; intercensal data are used for 1984-1989 and decennial census data are used for 1990. Demo-Detail postcensal population estimates are used for 1991-92.

Query the FARS Database

The FARS Database is the Fatality Analysis Reporting System put up by NHTSA - DOT. You can construct your own query to generate data on fatalities (not injuries, just fatalities) in your state, by year, by time of day, by many other criteria. They have some Frequently Used Queries as examples.

Statistics from the Bicycle Helmet Safety Institute

Mandatory Helmet Laws

As of August 14, 2001 we know of 20 state laws (including the District of Columbia) requiring minors to wear helmets while bicycling, and another 83 local ordinances, some of which cover all ages. Please check our page on mandatory helmet laws for more current info.

Statistics from the Health Policy Tracking Service, National Conference of State Legislatures

Mandatory Helmet Laws

This source has a detailed chart of state helmet laws with legal citations, but when we last checked in February 2000 they were lacking the Maryland and Pennsylvania laws.

A translation of statistics from a publication of the French Consumer Safety Commission (Commission de la Securite des Consommateurs):

Helmets for Cyclists

·         Bicycle accidents occur two times out of three to children under 15.

·         They occur mostly to boys (71% of the injured; 80% if you include 15 to 25 year olds)

·         Accidents are associated with sports or leisure activities, close to home for the youngest group. Use of the bicycle for transportation is also responsible for a large number of accidents, and of those a large number of victims are over 65.

·         Falls represent 90 per cent of the causes of the accidents.

·         The head is hit in 38 per cent of the accidents. This figure rises to 55 per cent for infants of 1 to 5 years and 48 per cent for those of 5 to 10 years.

·         Contusions are the most important lesions in bicycle accidents (40 per cent of the cases). The rate of fractures is equally large among children of 10 to 15 years of age and those over 65.

·         The rate of hospitalization is high (18 per cent of the accidents). This figure rises to 30 per cent of the people from 45 to 64 years old and 40 per cent of those over 65.


Statistics from a Johns Hopkins U. study published in the Journal of the American Medical Association in February, 2001:

Bicyclists and Alcohol

·         One drink increases a bicyclist's probability of serious injury or death by a factor of six.

·         Four or five drinks increases the probability by a factor of 20.

·         One third of bicycle fatalities have elevated blood alcohol levels.

(We have a page up on Bicycles and Alcohol.)

Statistics from Pure Speculation:

How Many Helmets are Sold Each Year?

(Updated November, 2000)

We have asked many manufacturers if they had a good estimate of how many helmets are sold in the US market each year. If they do have that info, they are not sharing it. The best guesses we have found are in the 13 to 15 million range. The bulk of those would be mass merchant sales, rather than the helmets sold in bike shops. We have heard rumors that mass merchant sales were up as much as 20 per cent in 2000, perhaps linked in part to the increase in scooter sales. We have noted a small price increase in advertised mass merchant sales prices in our area, but some still selling helmets as low as $4.99. (Here is a collage of recent Sunday newspaper ads from our area.)

Below are the only stats we have seen that a manufacturer has published, but they date back to the mid-1990's and the manufacturer is no longer in business.





Old Statistics from the Headstrong Group:


How Many Helmets are Sold Each Year?


From Headstrong Group (no longer in business--this is old stuff!)

Market Share of Some Major Manufacturers:


Manufacturer        1993       1994      Percent     1995 est.

Bell Sports         3,000     4,000        40%       4,500

Cycle Products      1,500     2,000        20        2,000

Headstrong                    1,700        17        3,300

Troxel              1,500     1,000        10        1,000

Other               1,000     1,300        13        2,200
                    -----     -----       -----      -----

     Total          7,000    10,000       100       13,000

Note: The brochure where this chart appears did not make it clear whether these estimates are for the U.S., North American or World helmet markets. It also does not say whether or not it includes the non-bicycle part of Headstrong's sales of baseball, equestrian, ski, snowboard and skating helmets. Source is cited as "Various industry reports and internal estimates." Whatever the accuracy of the figures, we are indebted to Headstrong Group as the only manufacturer to publicly publish their estimates.





Statistics from the Bicycle Market Research Institute:


How Many Active American Cyclists are There?


(As reported in Bicycle Retailer and Industry News on April 15, 1995)

  • There are 58.7 million Americans who are active cyclists.
  • Thirty percent of them live in California, New York and Illinois.
  • California accounts for 14.5 percent of the nation's riders and 18 percent of all its mountain bike riders.


These numbers are much lower than others often cited, including those from the Bicycle Federation and the U.S. Consumer Product Safety Commission. We do not have the definition of "active cyclist" to confirm how the total was reached. This data is contained in a study titled BIKETRAC Bicycling Participation and Usage Study. For more information on purchasing this study you can contact BMRI at (617) 277-5660.





Statistics from the National Sporting Goods Association:


How Many Active American Cyclists are There?


(As reported in Bicycle Retailer and Industry News on September 1, 1995)

  • Some 49.8 million Americans rode their bicycles in 1994.
  • That's an increase from 47.9 million in 1993
  • But it falls well short of the peak figure for 1989, which was 56.9 million.
  • Cycling placed third behind exercise walking and swimming.
  • As a percentage of state population, cycling is the number one sport in Colorado, Iowa and Oregon. In California, cycling placed behind backpacking, camping, hiking and table tennis.


This study defines a bicyclist as someone over the age of 6 who has ridden at least six times during the year. The same participation was applied to walkers and swimmers. Campers, hikers and table tennis players required only one time.

The NSGA will sell you a copy of the full survey for $275. You can call them at (708) 439-4000.



Statistics promised by the National Bicycle Dealers Association:

A Look At Some Of The Bicycle Industry's Vital Statistics

The U.S. bicycle industry is approximately a $3.5 billion per year industry, counting the retail value of bicycles, related parts, and accessories through all channels of distribution, according to the Bicycle Market Research Institute. Bicycle sales for the U.S., including both the dealer and mass merchant channels are as follows:

Year        Million Bicycles Sold *
1994        12.5
1993        13.0
1992        11.6
1991        11.6
1990        10.8
1989        10.7
1988         9.9
1987        12.6
1986        12.3
1985        11.4
1984        10.1
1983         9.0
1982         6.8
1981         8.9
1980         9.0
1979        10.8
1978         9.4
...1973     15.2 (record high year)

*Source: Bicycle Manufacturers Association, includes bicycle wheel sizes 20-in. and over

Bicycles and related products appeal primarily to a recreation market in the United States, though there is an influential and growing number of people using bicycles for transportation.

Bicycle usage is at an all-time high, with over 100 million U.S. bicycle owners, a figure which has grown substantially each year since 1983, according to the Bicycle Institute of America. Of that 100 million, 55 million were adults (age 16 and up), while 45 million were children. 31 million adults rode regularly, defined as at least once a week. There were about 4.9 million bicycle commuters, 250,000 bicycle racers, 25 million mountain bike/hybrid riders, 1.7 million bicycle tourers, and 3.8 million participants in recreational bicycle events.





Statistics from American Bicyclist:


Some Bike Shops Still Do Not Carry Helmets

(As reported in American Bicyclist in August, 1995)

Ninety-three percent of bike shops carry helmets. Two percent plan to add them in the coming year. American Bicyclist asks if that can mean that one bike shop in 20 still does not carry helmets.

Source: American Bicyclist research by Readex.





Statistics from the July 8, 1995, Capital Times of Madison, Wisconsin


Madison Streets may be Safer

  • 86 percent of bike accidents involved an automobile or truck. Only 11 percent involved a bike only and 3 percent a bike and pedestrian.
  • The most common reason for an accident? Motorists failing to yield the right of way to a bike caused 42 percent of accidents. Another 39 percent occurred because cars were making a turn and didn't notice a bike.
  • Car drivers were issued traffic citations in 18 percent of accidents. Bike riders were issued tickets in just 2 percent,
  • Bikes running stop signs or traffic signals resulted in just 1.7 percent of injury accidents. (This is a favorite statistic of mine because motorists continually complain about bikes running through stop signs. Drivers should realize that it's easier for bikes to check traffic while they are rolling through a stop sign than come to a complete stop. This rolling stop practice actually helps keep traffic moving.)
  • Weather may be a factor. The pavement was wet in 12 percent of bike crashes.
  • Booze is sometimes a factor. Bicyclists were noted as drinking in 7 percent of car-bike crashes. Only 3 percent of drivers had been drinking.
  • Helmets may be reducing the number of deaths. There has been only one bicycling fatality on Madison streets since 1989. That death came last year when a 31-year-old man crashed at the comer of Gilman and Butler streets. He was not wearing a helmet.





Statistics from Failure Analysis Associates


Injuries Associated with Example Items in 1989

(Chart copyright 1995 by FaAA, repeated here because it is hard to read on their Web page.)



         Product         Number of Injuries


      Motor Vehicles         1,744,903
      Stairs, Steps, Ramps and Landings             854,500
      Bicycles and accessories 514,700
      Beds                     299,200
      Household Chemicals and Cleaning Products      65,900
      Doors (Not Glass)         46,200
      Pens and Pencils          29,900
      Money                     28,700
      First Aid Equipment       27,300
      Toothpicks                 5,500
      Combs or Hairbrushes       3,700


Note: Emergency room treated injuries projected from Consumer Product 
Safety Commission data...(rest is obscured on their page).


And more estimates from the same source:

Estimate of Fatal Risk by Activity




  Activity                 # Fatalities per 1,000,000 exposure hours
  --------                 -----------------------------------------
  Skydiving                128.71
  General Aviation          15.58
  On-road Motorcycling       8.80
  Scuba Diving               1.98
  Living (all causes of death)                    1.53
  Swimming                   1.07
  Snowmobiling                .88
  Passenger cars              .47
  Water skiing                .28
  Bicycling                   .26
  Flying (scheduled domestic airlines)             .15
  Hunting                     .08
  Cosmic Radiation from transcontinental flights   .035
  Home Living (active)        .027
  Traveling in a School Bus   .022
  Passenger Car Post-collision fire                .017
  Home Living, active & passive (sleeping)         .014
  Residential Fire                                 .003


Data compiled by Failure Analysis Associates, Inc. (see Design News, 10-4-93)

Other Pages to Check