Risky Driving and the Perception of Motorcycle Accident Causes Among Chinese Motorcyclists in Hong Kong

Abstract
Objective: The primary purposes of this study were to explore the relationship between risk-taking acts while driving motorcycles and perceived causes of motorcycle accidents, as well as their contribution to active involvement in traffic accidents among Chinese motorcyclists in Hong Kong. Active involvement means the riders was likely at fault for the crash. Methods: A total of 774 motorcyclists were recruited, of whom 292 had been involved in active motorcycle accident in the previous 3 years. All were asked to fill in a questionnaire, which was developed to assess their risk-taking acts while driving a motorcycle and perception of motorcycle accident causes. Results: The results of the study revealed 3 dimensions of accident causes, namely, driving-related, environment-related, and belief-related causes. These motorcycle accident causes were correlated with risk-taking acts while driving a motorcycle. A multivariate logistic regression analysis showed that risk-taking acts while driving motorcycles (adjusted odds ratio [OR]: 1.036, 95% confidence interval [CI]: 1.020–1.052), perception of driving-related cause (adjusted OR: 0.941, 95% CI: 0.916–0.967), and belief-related cause (adjusted OR: 1.134, 95% CI: 1.088–1.182) were significant factors contributing to involvement in active traffic accidents by motorcycle riders after controlling for concurrent demographic variables. Conclusions: The study highlights that perceived causes of motorcycle accidents are multidimensional, including those areas related to driving, the environment, and beliefs. It substantiates previous studies that a higher degree of driving-related risk perception is related to a lower degree of risk-taking acts while driving. Further research is needed to understand why belief-related causes, sometimes called superstitions, lead riders to believe that it is beyond their ability to affect accident causation and prevention.