Study objectives: To describe the incidence of injuries associated wit
h motorbike use in Bermuda and discuss prevention strategies. Methods:
We conducted a population-based study of all incidents of traffic acc
idents involving motorbikes. Demographic characteristics and mechanism
s, rates, and outcomes of injury for tourists and residents were compa
red. Results: We identified 657 cases of road trauma that occurred bet
ween July and September 1993. Of these cases, 538 (81.9%) involved mot
orbikes. The tourist rate of motorbike-related injury was 94.1/1,000 p
erson-years at risk, whereas that of the local population was 16.6/1,0
00. The injury rate among residents was highest for young males, where
as among tourists it was highest among older persons. The relative ris
k (RR) of injury for tourists was 5.6 (95% confidence interval [CI], 4
.8 to 6.7). Tourists also had an increased risk of fracture (RR, 1.43;
95% CI, 1.22 to 1.67). Conclusion: Tourists visiting Bermuda are at h
igh risk of injury from motorbike use, with rates of injury much highe
r than the local population. Prevention strategies, particularly for o
lder tourists, should be developed and implemented.