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Canadian Family Physician logoLink to Canadian Family Physician
. 1994 Jun;40:1126–1131.

Increasing bicycle helmet use in the community. Measuring response to a wide-scale, 2-year effort.

B A Morris 1, N E Trimble 1, S J Fendley 1
PMCID: PMC2380217  PMID: 8019189

Abstract

OBJECTIVE: To determine whether a wide-scale, long-term community promotional effort would increase the use of bicycle helmets among children. DESIGN: Over 2 years, a non-profit group coordinated a range of activities to promote helmet use. On one date before the intervention began and three dates during the intervention, observers surveyed students riding bicycles. SETTING: Cyclists were observed at 5 elementary schools, three secondary schools, and two community college entrances. PARTICIPANTS: A total of 851 cyclists were observed, 536 of them at elementary schools in a convenience sample. INTERVENTIONS: Print, radio, and television advertising; posters; pamphlets; bicycle rodeos; and a play were used in a public awareness campaign. Health promotion activities included education, social marketing, community development, and legislative action. MAIN OUTCOME MEASURES: Number of cyclists and whether they wore helmets. RESULTS: Combining the two observation dates for each year, helmet use increased from 5.4% in 1990 to 15.4% in 1991. The greatest increase was observed among elementary school students, the group most at risk of serious head injury or death. Overall, girls were twice as likely to wear helmets as boys. CONCLUSIONS: Wide-scale, long-term community promotion appears to be effective in increasing the use of bicycle helmets.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Coté T. R., Sacks J. J., Lambert-Huber D. A., Dannenberg A. L., Kresnow M. J., Lipsitz C. M., Schmidt E. R. Bicycle helmet use among Maryland children: effect of legislation and education. Pediatrics. 1992 Jun;89(6 Pt 2):1216–1220. [PubMed] [Google Scholar]
  2. Cushman R., Down J., Macmillan N., Waclawik H. Bicycle helmet use in Ottawa. Can Fam Physician. 1990 Apr;36:697–700. [PMC free article] [PubMed] [Google Scholar]
  3. Cushman R., James W., Waclawik H. Physicians promoting bicycle helmets for children: a randomized trial. Am J Public Health. 1991 Aug;81(8):1044–1046. doi: 10.2105/ajph.81.8.1044. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Cushman R., Pless R., Hope D., Jenkins C. Trends in bicycle helmet use in Ottawa from 1988 to 1991. CMAJ. 1992 May 1;146(9):1581–1585. [PMC free article] [PubMed] [Google Scholar]
  5. DiGuiseppi C. G., Rivara F. P., Koepsell T. D., Polissar L. Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989 Oct 27;262(16):2256–2261. [PubMed] [Google Scholar]
  6. Greensher J. Non-automotive vehicle injuries in adolescents. Pediatr Ann. 1988 Feb;17(2):114, 117-21. doi: 10.3928/0090-4481-19880201-08. [DOI] [PubMed] [Google Scholar]
  7. Morris B. A., Trimble N. E. Promotion of bicycle helmet use among schoolchildren: a randomized clinical trial. Can J Public Health. 1991 Mar-Apr;82(2):92–94. [PubMed] [Google Scholar]
  8. Thompson R. S., Rivara F. P., Thompson D. C. A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989 May 25;320(21):1361–1367. doi: 10.1056/NEJM198905253202101. [DOI] [PubMed] [Google Scholar]
  9. Weiss B. D. Bicycle helmet use by children. Pediatrics. 1986 May;77(5):677–679. [PubMed] [Google Scholar]
  10. Weiss B. D. Trends in bicycle helmet use by children: 1985 to 1990. Pediatrics. 1992 Jan;89(1):78–80. [PubMed] [Google Scholar]

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