title: Motorbike injuries in Bermuda: a risk for tourists.
abstract: OBJECTIVE
  To describe the incidence of injuries associated with motorbike use in Bermuda and discuss prevention strategies.
  
  
  METHODS
  We conducted a population-based study of all incident of traffic accidents involving motorbikes. Demographic characteristics and mechanisms, rates, and outcomes of injury for tourists and residents were compared.
  
  
  RESULTS
  We identified 657 cases of road trauma that occurred between July and September 1993. Of these cases, 538 (81.9%) involved motorbikes. The tourist rate of motorbike-related injury was 94.1/1,000 person-years at risk, whereas that of the local population was 16.6/1,000. The injury rate among residents was highest for young males, whereas among tourists it was highest among older persons. The relative risk (RR) of injury for tourists was 5.6 (95% confidence interval [CI], 4.8 to 6.7). Tourists also had an increased risk of fracture (RR, 1.43; 95% CI, 1.22 to 1.67).
  
  
  CONCLUSIONS
  Tourists visiting Bermuda are at high risk of injury from motorbike use, with rates of injury much higher than the local population. Prevention strategies, particularly for older tourists, should be developed and implemented.
authors.affiliation: Emergency Department, King Edward VII Memorial Hospital, Paget, Bermuda.
authors.forename: M J
authors.initials: MJ
authors.lastname: Carey
authors.forename: M E
authors.initials: ME
authors.lastname: Aitken
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001605:Bermuda / Q000453:epidemiology; D016001:Confidence Intervals; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology; D006260:Head Protective Devices; D006801:Humans; D015994:Incidence; D007869:Leg Injuries / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000453:epidemiology; D015541:Off-Road Motor Vehicles; D018570:Risk Assessment; D017678:Sex Distribution; D012887:Skull Fractures / Q000453:epidemiology; D013124:Spinal Injuries / Q000453:epidemiology; D015996:Survival Rate; D014195:Travel; D014947:Wounds and Injuries / Q000453:epidemiology*