title: Road injuries and relaxed licensing requirements for driving light motorcycles in Spain: a time-series analysis.
abstract: OBJECTIVE
  To assess differences between the risk of injury for motorcycle riders before and after the passing of a law allowing licenced car drivers to drive light motorcycles without having to take a special motorcycle driving test.
  
  
  METHODS
  We carried out a quasi-experimental study involving comparison groups, and a time-series analysis from 1 January 2002 to 30 April 2008. The study group was composed of people injured while driving or riding a light motorcycle (engine capacity 51-125 cubic centimetres), while the comparison groups consisted of riders of heavy motorcycles (engine capacity > 125 cc), mopeds (engine capacity <or= 50 cc) or cars who were injured in a collision within the city limits. The 'intervention' was a law passed in October 2004 allowing car drivers to drive light motorcycles without taking a special driving test. To detect and quantify changes over time we used Poisson regression, with adjustments for trend and seasonality in road injuries and the existence of a driver's licence penalty point system.
  
  
  RESULTS
  The risk of injury among light motorcycle riders was greater after the law than before (relative risk, RR = 1.46; 95% confidence interval, CI: 1.34-1.60). Although less markedly, after the law the risk of injury also increased among heavy motorcycle drivers (RR = 1.15; 95% CI: 1.02-1.29) but remained unchanged among riders of mopeds (RR = 0.92; 95% CI: 0.83-1.01) and cars (RR = 1.06; 95% CI: 0.97-1.16).
  
  
  CONCLUSIONS
  Allowing car drivers to drive motorcycles without passing a special test increases the number of road injuries from motorcycle accidents.
authors: Agència de Salut Pública de Barcelona, Barcelona, Spain. cperez@aspb.cat
authors: Katherine
authors: K
authors: Pérez
authors: Marc
authors: M
authors: Marí-Dell'Olmo
authors: Carme
authors: C
authors: Borrell
authors: Manel
authors: M
authors: Nebot
authors: Joan R
authors: JR
authors: Villalbí
authors: Elena
authors: E
authors: Santamariña
authors: Aurelio
authors: A
authors: Tobias
mesh_terms: D000063:Accidents, Traffic / Q000331:legislation & jurisprudence / Q000706:statistics & numerical data; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D008004:Licensure / Q000331:legislation & jurisprudence*; D008297:Male; D008875:Middle Aged; D009049:Motorcycles; D011640:Public Policy; D013030:Spain / Q000453:epidemiology; D013996:Time and Motion Studies; D014947:Wounds and Injuries / Q000453:epidemiology*; D055815:Young Adult