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Electric scooter users are more likely to ride drunk and ride helmetless than cyclists, according to a study.
It comes amid widespread concerns about the growing use of e-scooters in the UK, which led to the death of social media star Emily Hartridge in 2019.
Norwegian researchers examined 3,000 emergency department attendances due to e-scooters and bicycles in Oslo since 2019.
The rider was wearing a helmet in just one in 50 accidents involving an e-scooter, which can reach speeds of up to 80mph, compared to two-thirds of bike crashes.
Four in 10 electric scooter users were intoxicated when they suffered injuries and more than six in 10 happened at night.
Meanwhile, less than one in 10 cyclists were drunk at the time of their accident and four in 10 were at night.
The researchers called for strict alcohol bans for electric scooter riders and for them to be rationed at nighttime.
It comes amid a fierce debate around whether they should be rolled out in the UK amid safety concerns.
Nine deaths were attributed to e-scooters in 2021 alone, up from just one in 2019.
Emily Hartridge was the first person killed in an e-scooter crash in Britain when she crashed into a lorry in 2019
She was riding the vehicle on a busy roundabout in Battersea, south-west London, when she was hit by a lorry and killed in July 2019
The reported number of casualties in collisions involving e-scooters skyrocketed in the UK in 2021
The most common age of person involved in a collision with an e-scooter, not including the rider, was aged between 50 and 59
It comes amid a fierce debate around whether they should be rolled out in the UK amid safety concerns. They are currently only legal to hire
The UK Government is considering whether to legalise e-scooters to help cut traffic congestion and pollution.
Since October 2021, Britons been allowed to ride e-scooters as part of trials in 30 areas, including Liverpool, Newcastle and parts of London, that are expected to run until November.
Under the trial, it is only legal to rent the scooters ad use them on roads and in cycle lanes, but not on pavements.
Helmets are supposed to be worn but it is not enforced. Police also scarcely intervene when riders are seen riding them on pavements.
The vehicles are only allowed to be driven at 15.5mph and they must include lights at the front and rear, first-ride policies’ requiring new users to take an e-learning safety course and a ban on riding on pavements.
In 2021 alone, there were 1,280 collisions involving e-scooters, causing 1,359 casualties and nine deaths.
E-scooters — which cost around £3.25 for a 15 minute journey — have also been linked to fires, with 130 catching fire in London alone when batteries were being charged.
YouTube star Emily Hartridge was riding her electric scooter on a busy roundabout in Battersea, south-west London, when she was hit by a lorry and killed in July 2019.
The former Channel 4 presenter, 35, was the first person to die in the UK in an accident involving an e-scooter — leaving behind her devastated family and boyfriend.
At the time of Ms Hartridge’s death, e-scooters were illegal in the UK — except on private land with the landowner’s permission.
E-scooters were introduced in Norway in March 2019.
They became quickly popular and it became obvious that riders were often drunk and not wearing helmets, researchers from the University of Oslo said.
While experts hoped they could indirectly boost public health by being more climate-friendly than cars, less than a tenth of users (8 per cent) swapped their car for an e-scooter. In most cases (60 per cent) it replaced walking.
The team said it was important to understand the risks and benefits of new transport, so looked at injury rates.
A graph taken from the Norwegian study shows the number of injuries among e-scooter (blue) and bike (yellow) riders in relation to their age (horizontal axis). It shows that most harmed e-scooter riders were aged 20 to 40, while the variation in age among cyclists was much wider
The time of e-scooter (blue) and bike (yellow) injuries is shown in the graph. While most bike injuries happen between 6am and 6pm (61 per cent), e-scooter injuries were more common between 5pm and 5am (66.4 per cent)
UK Department of Transport graph shows the number of reported casualties in collisions involving e-scooters for 2020 and 2021. There has been an upward trend in the last two years, with two dips during the second and third coronavirus lockdowns. The drop in the last three months of 2021 could be affected by missing data
The graph shows the number of reported e-scooter user casualties, by age and sex in the UK in 2021. There are more male than female e-scooter user casualties, especially amongst those aged between 10 and 39
UK data shows the number of reported casualties other than e-scooter users in collisions involving e-scooters by age in 2020 and 2021. Casualties are spread across all age groups with the three biggest categories being between 30 and 59
DfT data shows the number of casualties involved in e-scooter collisions by time of the day, in 2020 and 2021. The trend is the same for both years, an upward trend starting at 6am and ending at 4pm with a dip at 10am, followed by a downward trend from 4pm to 10pm
They gathered data on the number of people who had shown up at emergency departments in Oslo with bicycle and e-scooter injuries between January 2019 and March 2020.
They noted the gender and age of the patients, the time of their injury, along with the body part affected and its severity. The team also logged whether a helmet was used and if patients were drunk.
The results, published in scientific journal JAMA Network Open, show that 2,341 cyclists and 850 people on e-scooters suffered an injury.
This means the number of injuries was three-times higher for rides on bikes (340 per 100,000 people) than e-scooters (120,000).
But e-scooter riders were more reckless.
Four in 10 (39.5 per cent) were drunk and only one in 50 were wearing a helmet (2.1 per cent).
For comparison, just one in 13 (7.7 per cent) cyclists were drunk and two-thirds (62.2 per cent) were wearing a helmet.
The difference is likely down to the ‘unplanned’ nature of e-scooter travel, with no clothing change or freshen up needed, meaning people are less likely to have a helmet on-hand, the researchers said.
As e-scooter travel is often unplanned, it is also more likely to happen on route to a social gathering, outside of working hours, or after drinking alcohol.
And while most bike injuries happened during weekdays (70 per cent) and between 6am and 5pm (61 per cent), e-scooter injuries were more common during the weekend (46.6 per cent) and between 5pm and 6am (66.4 per cent).
The results also show that, across both cyclists and e-scooter users, two-thirds of those injured were men.
The researchers said this was most likely down to ‘gender difference in everyday risk-taking behaviour’.
Most harmed e-scooter riders were aged 20 to 40, while the variation in age among cyclists was much wider. Meanwhile, under-18s were involved in a fifth of bike accidents but just a tenth of e-scooter crashes.
The team said most e-scooter companies imposed age limit rues which reduces the number of young people in accidents.
Meanwhile, e-scooter users were more likely to suffer head or neck injuries, while cyclists were more likely to hurt their arm or shoulder.
The researchers said there is ‘no clear explanation’ for the finding but it is ‘tempting to attribute’ to low helmet use among e-scooters.
Overall, most injured their arm or shoulder (42.1 per cent), head or neck (24.8 per cent), leg or foot (23.9 per cent), or back or abdomen (9.1 per cent).
However, e-scooter riders were slightly more likely to suffer two or more injuries (3.3 per cent vs 2.2 per cent).
The researchers called for mandatory helmet use and similar alcohol policies for e-scooters that are in place for cars.
Awareness campaigns about the risks of e-scooters targeted at young people, separate lanes for e-scooters and cyclists and restricted e-scooter use at night should also be brought in.
The team noted they relied on self-reported drunk rates among patients, who may have lied about whether they were under the influence.
And they started monitoring e-scooter accidents from April 2019, as soon as they were introduced. As it takes time for more people to pick-up new methods of transport, injury data may be under-reported in the first few months they were available.