BMC public health · 2025
The escalating burden of cyclist road injuries among reproductive-aged women in china: a longitudinal and gender-specific analysis of the global burden of disease study 1990-2021.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Zhang Cong, Zhang Peidong, Tang Tingxuan, Chen Deng, Luo Jialiu, Chen Shunyao, Lin Zhiqiang, Gu Shuaipeng, Shen Youxie, Li Hui, Dong Liming, Chang Teding, Tang Zhaohui
Аннотация
OBJECTIVE: To quantify the burden, trends, and gender-specific disparities of cyclist road injuries in China following the micro-mobility revolution and identify systemic drivers of rising mortality among reproductive-aged women.
METHODS: Using Global Burden of Disease (GBD) 2021 subnational data (1990-2021), we analyzed age-standardized incidence (ASIR), mortality (ASMR), and disability-adjusted life year rates (ASDAR) for cyclist injuries. Joinpoint regression identified temporal inflection points. Infrastructure deficits were mapped via OpenStreetMap. ARIMAX models projected burdens to 2050, incorporating Socio-Demographic Index (SDI) and demographic covariates.
RESULTS: Road injuries were the leading cause of death among reproductive-aged adults (15-49 years) in China in 2021 (ASMR 16.8 per 100,000). Cyclist injuries constituted a uniquely severe burden, with China ranking 6th globally in ASDAR. Women aged 15-49 years experienced the planet's highest cyclist mortality (ASMR rank 1st; ≈60% higher than males). A 2016 inflection point reversed previous declines in ASMR/ASDAR, coinciding with rapid micro-mobility expansion. Systemic failures likely contributed: dedicated bike lanes covered only 0.3% of roads, regulatory frameworks lacked bicycle-specific protections, and occupational cycling heightened exposure among women. By 2050, ASIR and ASDAR among reproductive-aged women are projected to rise by 23.7% and 19.4%, respectively, signaling a crisis of long-term disability from fractures and neurotrauma.
CONCLUSIONS: China's cycling safety crisis constitutes a demographic emergency, with women facing catastrophic mortality due to infrastructural abandonment, regulatory neglect, and unmitigated micro-mobility risks. Urgent gender-responsive interventions-mandating segregated lanes, enforcing WHO-aligned bicycle legislation (helmets, lighting), and integrating bone health into occupational safety-are essential to avert 81,000 projected disability life-years lost annually by 2050 and align green mobility goals with equitable health protection.
METHODS: Using Global Burden of Disease (GBD) 2021 subnational data (1990-2021), we analyzed age-standardized incidence (ASIR), mortality (ASMR), and disability-adjusted life year rates (ASDAR) for cyclist injuries. Joinpoint regression identified temporal inflection points. Infrastructure deficits were mapped via OpenStreetMap. ARIMAX models projected burdens to 2050, incorporating Socio-Demographic Index (SDI) and demographic covariates.
RESULTS: Road injuries were the leading cause of death among reproductive-aged adults (15-49 years) in China in 2021 (ASMR 16.8 per 100,000). Cyclist injuries constituted a uniquely severe burden, with China ranking 6th globally in ASDAR. Women aged 15-49 years experienced the planet's highest cyclist mortality (ASMR rank 1st; ≈60% higher than males). A 2016 inflection point reversed previous declines in ASMR/ASDAR, coinciding with rapid micro-mobility expansion. Systemic failures likely contributed: dedicated bike lanes covered only 0.3% of roads, regulatory frameworks lacked bicycle-specific protections, and occupational cycling heightened exposure among women. By 2050, ASIR and ASDAR among reproductive-aged women are projected to rise by 23.7% and 19.4%, respectively, signaling a crisis of long-term disability from fractures and neurotrauma.
CONCLUSIONS: China's cycling safety crisis constitutes a demographic emergency, with women facing catastrophic mortality due to infrastructural abandonment, regulatory neglect, and unmitigated micro-mobility risks. Urgent gender-responsive interventions-mandating segregated lanes, enforcing WHO-aligned bicycle legislation (helmets, lighting), and integrating bone health into occupational safety-are essential to avert 81,000 projected disability life-years lost annually by 2050 and align green mobility goals with equitable health protection.