The Effects of a 4-year Program Promoting Bicycle Helmet Use Among Children in Quebec

Overview

Journal Am J Public Health

Specialty Public Health

Date 1996 Jan 1

PMID 8561241

Citations 16

Authors

C Farley

S Haddad

B Brown

Affiliations

Soon will be listed here.

Abstract

Objectives: This study assessed the effectiveness of a 4-year program of bicycle helmet promotion that targeted elementary school children in one region of Quebec. The program revolved primarily around persuasive communication and community organization, combining standard educational activities and activities to facilitate helmet acquisition and use.

Methods: Helmet use was compared between more than 8000 young cyclists in municipalities exposed or not exposed to the program. Factors influencing helmet use were controlled through the use of multivariate analyses.

Results: Helmet use increased from 1.3% before program implementation to 33% in 1993. The program was clearly effective in most cycling circumstances and for various groups of children. However, the benefits of the program were unequally distributed; the program was one third as effective in poorer municipalities as in "average-rich" ones.

Conclusions: This community-based program that combined various types of activities appeared to be effective. New intervention models are needed to ensure an equitable distribution of benefits.

Citing Articles

Effectiveness of road safety interventions: An evidence and gap map.

Goel R, Tiwari G, Varghese M, Bhalla K, Agrawal G, Saini G Campbell Syst Rev. 2024; 20(1):e1367.

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Bicycle helmet laws and persistent racial and ethnic helmet use disparities among urban high school students: a repeated cross-sectional analysis.

Kraemer J Inj Epidemiol. 2016; 3(1):21.

PMID: 27747557 PMC: 5011068. DOI: 10.1186/s40621-016-0086-3.

Helmets for Kids: evaluation of a school-based helmet intervention in Cambodia.

Ederer D, Van Bui T, Parker E, Roehler D, Sidik M, Florian M Inj Prev. 2015; 22(1):52-8.

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A descriptive study of bicycle helmet use in Montreal, 2011.

Grenier T, Deckelbaum D, Boulva K, Drudi L, Feyz M, Rodrigue N Can J Public Health. 2013; 104(5):e400-4.

PMID: 24183181 PMC: 6973688. DOI: 10.17269/cjph.104.3936.

Helmet legislation and admissions to hospital for cycling related head injuries in Canadian provinces and territories: interrupted time series analysis.

Dennis J, Ramsay T, Turgeon A, Zarychanski R BMJ. 2013; 346:f2674.

PMID: 23674137 PMC: 3654159. DOI: 10.1136/bmj.f2674.

References

Fife D, Davis J, Tate L, Wells J, Mohan D, Williams A . Fatal injuries to bicyclists: the experience of Dade County, Florida. J Trauma. 1983; 23(8):745-55. View

Kraus J, Fife D, Conroy C . Incidence, severity, and outcomes of brain injuries involving bicycles. Am J Public Health. 1987; 77(1):76-8. PMC: 1646815. DOI: 10.2105/ajph.77.1.76. View

Weiss B . Childhood bicycle injuries. What can we do?. Am J Dis Child. 1987; 141(2):135-6. DOI: 10.1001/archpedi.1987.04460020025018. View

Pless I, Verreault R, Arsenault L, Frappier J, Stulginskas J . The epidemiology of road accidents in childhood. Am J Public Health. 1987; 77(3):358-60. PMC: 1646903. DOI: 10.2105/ajph.77.3.358. View

Wood T, Milne P . Head injuries to pedal cyclists and the promotion of helmet use in Victoria, Australia. Accid Anal Prev. 1988; 20(3):177-85. DOI: 10.1016/0001-4575(88)90002-4. View

Wagenaar A, Molnar L, MARGOLIS L . Characteristics of child safety seat users. Accid Anal Prev. 1988; 20(4):311-22. DOI: 10.1016/0001-4575(88)90058-9. View

Thompson R, Rivara F, Thompson D . A case-control study of the effectiveness of bicycle safety helmets. N Engl J Med. 1989; 320(21):1361-7. DOI: 10.1056/NEJM198905253202101. View

DiGuiseppi C, Rivara F, Koepsell T, Polissar L . Bicycle helmet use by children. Evaluation of a community-wide helmet campaign. JAMA. 1989; 262(16):2256-61. View

Morris B, Trimble N . Promotion of bicycle helmet use among schoolchildren: a randomized clinical trial. Can J Public Health. 1991; 82(2):92-4. View

10.

Cushman R, Down J, Macmillan N, Waclawik H . Helmet promotion in the emergency room following a bicycle injury: a randomized trial. Pediatrics. 1991; 88(1):43-7. View

11.

Cushman R, James W, Waclawik H . Physicians promoting bicycle helmets for children: a randomized trial. Am J Public Health. 1991; 81(8):1044-6. PMC: 1405730. DOI: 10.2105/ajph.81.8.1044. View

12.

Cote T, Sacks J, Dannenberg A, Kresnow M, Lipsitz C, SCHMIDT E . Bicycle helmet use among Maryland children: effect of legislation and education. Pediatrics. 1992; 89(6 Pt 2):1216-20. View

13.

Otis J, Lesage D, Godin G, Brown B, Farley C, Lambert J . Predicting and reinforcing children's intentions to wear protective helmets while bicycling. Public Health Rep. 1992; 107(3):283-9. PMC: 1403648. View

14.

Parkin P, Spence L, Hu X, Kranz K, Shortt L, Wesson D . Evaluation of a promotional strategy to increase bicycle helmet use by children. Pediatrics. 1993; 91(4):772-7. View

15.

Dannenberg A, Gielen A, Beilenson P, Wilson M, Joffe A . Bicycle helmet laws and educational campaigns: an evaluation of strategies to increase children's helmet use. Am J Public Health. 1993; 83(5):667-74. PMC: 1694700. DOI: 10.2105/ajph.83.5.667. View

16.

McDermott F, Lane J, Brazenor G, Debney E . The effectiveness of bicyclist helmets: a study of 1710 casualties. J Trauma. 1993; 34(6):834-44; discussion 844-5. DOI: 10.1097/00005373-199306000-00015. View

17.

Schneider M, Ituarte P, Stokols D . Evaluation of a community bicycle helmet promotion campaign: what works and why. Am J Health Promot. 1993; 7(4):281-7. DOI: 10.4278/0890-1171-7.4.281. View

18.

Rivara F, Thompson D, Thompson R, Rogers L, Alexander B, Felix D . The Seattle children's bicycle helmet campaign: changes in helmet use and head injury admissions. Pediatrics. 1994; 93(4):567-9. View