UK and Europe · Public discussion

Re: New BMA briefing paper. WARNING: Long, contains H word.

Started by Phil Armstrong · · Last activity · 2 posts · 454 views

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UK and Europe
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19 March 2008
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19 March 2008
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Phil Armstrong
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  1. Just zis Guy said:

    I'd post a link but didn't get sent one, only the document.
    Authorship is attributed to Andrew Curran, of BeHIT, which tells you
    everything you need to know. I recommend vicious use of irony.

    I particularly liked the way they liberally sprinkled emotive case
    studies througout the paper. It's a good piece of PR work.

    Interesting that they feel they have to at least acknowlege the risk
    compensation criticisms, rather than dismiss them out of hand:

    Quoted message said:

    Risk compensation theory
    Hypotheses on risk homeostasis and compensation are based on
    assumptions that persons adapt their behaviour toward greater or
    lesser risk in relation to how they subjectively perceive risk. This
    has been one of the arguments used against the introduction of
    mandatory cycle helmet wearing. Some opponents to legislation
    believe that cyclists who opt to use a helmet may feel safer (that
    is, they may perceive less risk of being injured as a result of a
    crash), and this may lead them to use more careless cycling
    behaviours. Spanish research (where legislation exists for mandatory
    helmet wearing) did not find evidence of the existence of a strong
    risk compensation mechanism among helmeted cyclists. [Reference 19]


    [snip]

    Quoted message said:

    19. Lardelli-Claret P., de Dios Luna-del-Castillo J.,
    Jiminez-Moleon J. J., Garcia Martin M., Bueno-Cavinallas A &
    Galvez-Vargas R (2003), Risk compensation theory and voluntary
    helmet use by cyclists in Spain, Injury Prevention, 9, 128-132

    Interestingly, the conclusion of this paper states:

    "The results suggest that the subgroup of cyclists with a higher
    risk of suffering a traffic crash are also those in which the
    health consequences of the crash will probably be higher. Although
    the findings do not support the existence of a strong risk
    compensation mechanism among helmeted cyclists, this possibility
    cannot be ruled out."

    A few quotes:

    "What are the implications of our findings regarding risk
    compensation theory? Clearly, their usefulness in clarifying this
    question is limited." (P131)

    "These considerations prevent us from making definite statements
    concerning the validity of risk compensation theory. Evidently, our
    results do not support the existence of a strong risk compensation
    mechanism in connection with voluntary helmet use in Spain,
    although they obviously cannot rule out that such a mechanism may
    operate." (P132)

    What the paper actually showed was that people who don't wear helmets
    tend to commit more infractions of the rules of the road which lead to
    them having accidents. That's the only conclusion they could
    reasonably draw from the data.

    Of course, the BMJ position paper says nothing which is actually
    dishonest about the conclusions, but to quote it at all in this
    context is, I believe, meant to imply that the paper supports the case
    that risk compensation as a result of helmet wearing does not
    occur. The paper makes no such claims.

    Phil

    --
    http://www.kantaka.co.uk/ .oOo. public key: http://www.kantaka.co.uk/gpg.txt

  2. On Wed, 19 Mar 2008 10:57:25 +0000,

    Phil Armstrong said:
    Just zis Guy said:

    I'd post a link but didn't get sent one, only the document.
    Authorship is attributed to Andrew Curran, of BeHIT, which tells you
    everything you need to know. I recommend vicious use of irony.

    I particularly liked the way they liberally sprinkled emotive case
    studies througout the paper. It's a good piece of PR work.

    Interesting how the author is someone with a conflict of interest.
    Surely someone without a dog in the fight would be the best person
    to write a balanced position paper.

    [snip]

    Quoted message said:

    Of course, the BMJ position paper says nothing which is actually
    dishonest about the conclusions, but to quote it at all in this
    context is, I believe, meant to imply that the paper supports the case
    that risk compensation as a result of helmet wearing does not
    occur. The paper makes no such claims.

    I would consider that intellectually dishonest.

    --
    Andy Leighton => [email hidden]
    "The Lord is my shepherd, but we still lost the sheep dog trials"
    - Robert Rankin, _They Came And Ate Us_

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