PDF(Pubmed)
Abstract：
Micromobility initiatives, including electric scooters (e-scooters), are part of the United Kingdom government\'s sustainability drive. Since summer 2020, multiple trials have been conducted across the United Kingdom. Safety concerns have been raised around e-scooters joining other vehicles on United Kingdom roads, alongside the numerous private e-scooters illegally ridden on public land. Although literature has been published abroad on perceptions, risk-taking behaviours and attitudes surrounding e-scooters, independent United Kingdom research has concentrated on analysing trauma. Our aim was to identify common themes and recommendations to form conclusions on factors affecting e-scooter trauma hospital admissions.
A systematic literature search in June 2023 extracted studies focused on the primary outcomes of risk factors, perceptions, and attitudes surrounding e-scooters globally from the EMBASE, PubMed, and Web of Sciences databases. Two independent reviewers conducted a critical appraisal to extract potential biases and study characteristics. A critical appraisal skills programme (CASP) analysis was also completed. Two online surveys distributed in Birmingham and Wolverhampton focused on: public perception towards e-scooters, and road user attitudes around e-scooters. The target population was residents of the West Midlands who were both riders and non-riders of e-scooters. The surveys were opened in late-March 2023 and closed in late-July 2023.
443 studies were retrieved with 13 studies being eligible according to our inclusion and exclusion criteria. CASP assessment concluded that the studies were of good quality, however heterogeneity meant sample sizes could not be meaningfully aggregated. Many studies focused on safety concerns whilst others observed risk-taking behaviour, non-rider perceptions, and infrastructure. Our surveys received 299 responses and respondents reported risk-taking behaviours such as pavement riding, alcohol consumption, and minimal helmet use. However, positive opinions were expressed on e-scooter convenience but concerns were raised regarding rider and non-rider safety.
Whilst global literature had investigated e-scooter attitudes, risk-taking behaviours and perceptions, there was no comparable independent United Kingdom literature. Our literature review and analysis of survey responses concluded that e-scooters were perceived as a sustainable form of transport; however, safety concerns were raised. Our study points to risk-taking behaviours by riders being associated with admissions into hospital emergency departments. We conclude that well maintained infrastructure could improve the safety of both e-scooter riders and vulnerable pedestrians, whilst education and enforcement of clear rules may reduce risk-taking behaviour. The recommendations found in the PACTS reports, and documents from the RNIB confirm our findings. We recommend that hospital data and future studies should differentiate between private and rental e-scooters for robust conclusions to be made.
A systematic literature search in June 2023 extracted studies focused on the primary outcomes of risk factors, perceptions, and attitudes surrounding e-scooters globally from the EMBASE, PubMed, and Web of Sciences databases. Two independent reviewers conducted a critical appraisal to extract potential biases and study characteristics. A critical appraisal skills programme (CASP) analysis was also completed. Two online surveys distributed in Birmingham and Wolverhampton focused on: public perception towards e-scooters, and road user attitudes around e-scooters. The target population was residents of the West Midlands who were both riders and non-riders of e-scooters. The surveys were opened in late-March 2023 and closed in late-July 2023.
443 studies were retrieved with 13 studies being eligible according to our inclusion and exclusion criteria. CASP assessment concluded that the studies were of good quality, however heterogeneity meant sample sizes could not be meaningfully aggregated. Many studies focused on safety concerns whilst others observed risk-taking behaviour, non-rider perceptions, and infrastructure. Our surveys received 299 responses and respondents reported risk-taking behaviours such as pavement riding, alcohol consumption, and minimal helmet use. However, positive opinions were expressed on e-scooter convenience but concerns were raised regarding rider and non-rider safety.
Whilst global literature had investigated e-scooter attitudes, risk-taking behaviours and perceptions, there was no comparable independent United Kingdom literature. Our literature review and analysis of survey responses concluded that e-scooters were perceived as a sustainable form of transport; however, safety concerns were raised. Our study points to risk-taking behaviours by riders being associated with admissions into hospital emergency departments. We conclude that well maintained infrastructure could improve the safety of both e-scooter riders and vulnerable pedestrians, whilst education and enforcement of clear rules may reduce risk-taking behaviour. The recommendations found in the PACTS reports, and documents from the RNIB confirm our findings. We recommend that hospital data and future studies should differentiate between private and rental e-scooters for robust conclusions to be made.
摘要：
■微移动计划，包括电动滑板车（电动滑板车），是英国政府可持续发展计划的一部分。自2020年夏季以来，在英国进行了多项试验。在英国道路上加入其他车辆的电动踏板车引起了人们的安全担忧，以及在公共土地上非法骑行的众多私人电动踏板车。尽管国外已经发表了关于感知的文献，围绕电动滑板车的冒险行为和态度，独立的英国研究集中在分析创伤。我们的目的是确定共同的主题和建议，以就影响电动踏板车创伤住院的因素得出结论。
■2023年6月进行的系统文献检索，提取的研究集中在风险因素的主要结果，感知，以及EMBASE对全球电动踏板车的态度，PubMed,和WebofSciences数据库。两名独立的审查员进行了批判性评估，以提取潜在的偏见并研究特征。还完成了关键评估技能计划（CASP）分析。在伯明翰和伍尔弗汉普顿进行的两项在线调查集中在：公众对电动踏板车的看法，以及道路使用者对电动踏板车的态度。目标人群是西米德兰兹郡的居民，他们既是电动踏板车的骑手，也不是电动踏板车的骑手。调查于2023年3月下旬开始，并于2023年7月下旬结束。
■得到443项研究，其中13项研究符合纳入和排除标准。CASP评估得出的结论是，这些研究质量很好，然而异质性意味着样本量不能有意义地聚集.许多研究关注安全问题，而另一些研究则观察到冒险行为，非骑手感知，和基础设施。我们的调查收到了299份回复，受访者报告了冒险行为，如人行道骑行，酒精消费,和最少的头盔使用。然而,对电动踏板车的便利性表达了积极的意见，但对骑手和非骑手的安全提出了担忧。
■虽然全球文献调查了电动踏板车的态度，冒险行为和观念，没有可比的独立英国文献。我们的文献回顾和对调查答复的分析得出的结论是，电动踏板车被认为是一种可持续的交通工具；然而，提出了安全问题。我们的研究指出，骑手的冒险行为与入院急诊科有关。我们得出的结论是，维护良好的基础设施可以提高电动踏板车骑手和弱势行人的安全性，而教育和执行明确的规则可能会减少冒险行为。PACTS报告中的建议，RNIB的文件证实了我们的发现。我们建议医院数据和未来的研究应区分私人和租赁电动滑板车，以得出可靠的结论。
■2023年6月进行的系统文献检索，提取的研究集中在风险因素的主要结果，感知，以及EMBASE对全球电动踏板车的态度，PubMed,和WebofSciences数据库。两名独立的审查员进行了批判性评估，以提取潜在的偏见并研究特征。还完成了关键评估技能计划（CASP）分析。在伯明翰和伍尔弗汉普顿进行的两项在线调查集中在：公众对电动踏板车的看法，以及道路使用者对电动踏板车的态度。目标人群是西米德兰兹郡的居民，他们既是电动踏板车的骑手，也不是电动踏板车的骑手。调查于2023年3月下旬开始，并于2023年7月下旬结束。
■得到443项研究，其中13项研究符合纳入和排除标准。CASP评估得出的结论是，这些研究质量很好，然而异质性意味着样本量不能有意义地聚集.许多研究关注安全问题，而另一些研究则观察到冒险行为，非骑手感知，和基础设施。我们的调查收到了299份回复，受访者报告了冒险行为，如人行道骑行，酒精消费,和最少的头盔使用。然而,对电动踏板车的便利性表达了积极的意见，但对骑手和非骑手的安全提出了担忧。
■虽然全球文献调查了电动踏板车的态度，冒险行为和观念，没有可比的独立英国文献。我们的文献回顾和对调查答复的分析得出的结论是，电动踏板车被认为是一种可持续的交通工具；然而，提出了安全问题。我们的研究指出，骑手的冒险行为与入院急诊科有关。我们得出的结论是，维护良好的基础设施可以提高电动踏板车骑手和弱势行人的安全性，而教育和执行明确的规则可能会减少冒险行为。PACTS报告中的建议，RNIB的文件证实了我们的发现。我们建议医院数据和未来的研究应区分私人和租赁电动滑板车，以得出可靠的结论。
