The New Zealand Medical Journal has this month published a review of cycling deaths in New Zealand, with the key finding being that “the helmet law has failed in aspects of promoting cycling, safety, health, accident compensation, environmental issues and civil liberties”. This is a bold claim which should be held to high scrutiny.
The journal article (accessible only by subscription, which we at the University of Auckland are fortunate enough to have) is available at the journal’s website, but for those without subscription access can only be to the media reports of it such as on Stuff.
The article itself is jam-packed full of statistics from various sources, so please bear with me.
The most important is probably Table 1, which shows that whereas pedestrian hours have remained relatively constant from 1989 to 2009, cycling hour have decreased by half, and Table 2, which shows that both pedestrian AND cyclist deaths have decreased from 1989 to 2009. Whereas both have gone down by half, the ratio has remained constant at about one quarter. However these statistics are then ‘corrected’ for the number of hours walked or cycled.
Given that cycling hours have significantly decreased by about 50%, as have the number of cycling deaths by 50% over the same period, the stark result is that cycling deaths per hour cycled have remained about constant over the study period – and certainly not evidence that the introduction of the helmet law, or any other event, has increased the accident rate. Something else is going on with pedestrian deaths altogether, which have encouragingly decreased substantially per walking hour over 1989-2009.
However, the author places emphasis on a new statistic – the ratio of cycling to pedestrian deaths. Whereas pedestrian deaths per hour have markedly gone down, cyclist deaths per hour have not. The ratio of the two means that cycling deaths have apparently increased (but importantly, only relative to pedestrian deaths).
The pedestrian deaths trend is actually a red herring, as we could well compare cycling deaths to any number of trends. According to Statistics New Zealand crime has also gone down since 1994. We could equally posit that the number of cycling deaths relative to crimes has increased, but would this be an alarming statistic? (are the criminals using bicycles as getaway vehicles?).
The article is also loaded with other fascinating statistical statements such as “that life years gained by cycling outweighed life years lost in accidents by 20 times”, which I will not cover the moral implications of here, but is that supposed to be some solace?
The key result from this study seems to in fact be that the rate of accidents for pedestrians has declined significantly over the period of the review, which has to be good news, especially prior to correction for population growth. That cycling hours have halved may well reflect increased awareness of the dangers of cycling in New Zealand.
Regardless of that main finding, the article commits one of the deadly sins of statistics, implying causation from correlation. That the helmet law was introduced in 1994 is about as relevant as TV2 beginning 24 hour programming, or the Winebox enquiry, both in that same year. We could compare trends before and after but with no experimental relationship between the process and the pattern, as tantalising as a relationship between bike helmet laws and accidents might be, it is only a correlation.