title: Mortality from motorcycle crashes: the baby-boomer cohort effect.
abstract: BACKGROUND
  Motorcyclists are known to be at substantially higher risk per mile traveled of dying from crashes than car occupants. In 2014, motorcycling made up less than 1 % of person-miles traveled but 13 % of the total mortality from motor-vehicle crashes in the United States. We assessed the cohort effect of the baby-boomers (i.e., those born between 1946 and 1964) in motorcycle crash mortality from 1975 to 2014 in the United States.
  
  
  METHODS
  Using mortality data for motorcycle occupants from the Fatality Analysis Reporting System, we performed an age-period-cohort analysis using the multiphase method and the intrinsic estimator method.
  
  
  RESULTS
  Baby-boomers experienced the highest mortality rates from motorcycle crashes at age 20-24 years and continued to experience excess mortality after age 40 years. After removing the effects of age and period, the estimated mortality risk from motorcycle crashes for baby-boomers was 48 % higher than that of the referent cohort (those born between 1930 and 1934, rate ratio 1.48; 95 % CI: 1.01, 2.18). Results from the multiphase method and the intrinsic estimator method were consistent.
  
  
  CONCLUSIONS
  The baby-boomers have experienced significantly higher mortality from motorcycle crashes than other birth cohorts. To reduce motorcycle crash mortality, intervention programs specifically tailored for the baby-boomer generation are warranted.
authors.affiliation: Epidemiology Department, Columbia University in the City of New York, New York, NY USA.
authors.forename: Victor
authors.initials: V
authors.lastname: Puac-Polanco
authors.affiliation: Epidemiology Department, Columbia University in the City of New York, New York, NY USA.
authors.forename: Katherine M
authors.initials: KM
authors.lastname: Keyes
authors.affiliation: Departments of Anesthesiology and Epidemiology, Columbia University in the City of New York, New York, NY USA.
authors.forename: Guohua
authors.initials: G
authors.lastname: Li
keywords: Baby-boomers; Cohort effect; Crashes; Mortality; Motorcycle