This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Contact me when this article is cited  Related Content  • Similar articles in JAMA  Social Bookmarking   What's this?

Evaluation of a Community-wide Helmet Campaign

Carolyn G. DiGuiseppi, MD, MPH; Frederick P. Rivara, MD, MPH; Thomas D. Koepsell, MD, MPH; Lincoln Polissar, PhD

JAMA. 1989;262(16):2256-2261.

Abstract
To assess the effect of a community-wide bicycle helmet campaign on helmet use, we observed 9827 children riding bicycles at sites in high-, middle-, and low-income census tracts in Seattle, Wash (intervention city), and Portland, Ore (control city); observations were made during 2-week intervals before and 4,12, and 16 months after the campaign's start. Helmet use increased from 5.5% before the campaign to 15.7% afterward in Seattle and from 1.0% to 2.9% in Portland. Strong associations were found between helmet use and white compared with black or other race; riding geared vs nongeared bicycles; riding at playgrounds, in parks, or on bicycle paths vs on city streets; and riding with adults or other children compared with riding alone. The proportions of helmet wearers, adjusted for these variables, increased from 4.6% to 14.0% in Seattle and from 1.0% to 3.6% in Portland, a significantly greater increase in use in Seattle compared with Portland. We conclude that a community-wide bicycle helmet campaign can increase helmet use among children.

(JAMA. 1989;262:2256-2261)

Author Affiliations
From Children's National Medical Center and the Department of Pediatrics, George Washington University School of Medicine and Health Sciences, Washington, DC (Dr DiGuiseppi); and the Harborview Injury Prevention and Research Center (Drs Rivara and Koepsell) and the Departments of Pediatrics (Dr Rivara), Epidemiology (Drs Rivara and Koepsell), Health Services (Dr Koepsell), and Biostatistics (Dr Polissar), University of Washington, Seattle.

Footnotes
Presented in part before the Annual Meeting of the Ambulatory Pediatrics Association, Washington, DC, May 5, 1989.

Reprint requests to Harborview Injury Prevention and Research Center, ZX-10, 325 Ninth Ave, Seattle, WA 98104 (Dr Rivara).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Using Student-Produced Media to Promote Healthy Eating: A Pilot Study on the Effects of a Media and Nutrition Intervention
Tanner et al.
Science Communication 2008;30:108-125.
ABSTRACT  

Promoting bicycle helmet wearing by children using non-legislative interventions: systematic review and meta-analysis
Royal et al.
Inj. Prev. 2007;13:162-167.
ABSTRACT | FULL TEXT  

Effectiveness of bicycle helmet legislation to increase helmet use: a systematic review.
Karkhaneh et al.
Inj. Prev. 2006;12:76-82.
ABSTRACT | FULL TEXT  

No clear evidence from countries that have enforced the wearing of helmets.
Robinson
BMJ 2006;332:722-725.
FULL TEXT  

Cycle helmet ownership and use; a cluster randomised controlled trial in primary school children in deprived areas
Kendrick and Royal
Arch. Dis. Child. 2004;89:330-335.
ABSTRACT | FULL TEXT  

Inequalities in cycle helmet use: cross sectional survey in schools in deprived areas of Nottingham
Kendrick and Royal
Arch. Dis. Child. 2003;88:876-880.
ABSTRACT | FULL TEXT  

Bicycle helmet campaigns and head injuries among children. Does poverty matter?
Farley et al.
J. Epidemiol. Community Health 2003;57:668-672.
ABSTRACT | FULL TEXT  

Evaluation of Interventions Designed to Prevent and Control Injuries
Doll et al.
Epidemiol Rev 2003;25:51-59.
FULL TEXT  

Bicycle Helmet Assessment During Well Visits Reveals Severe Shortcomings in Condition and Fit
Parkinson and Hike
Pediatrics 2003;112:320-323.
ABSTRACT | FULL TEXT  

Children's bicycle helmet use and injuries in Hillsborough County, Florida before and after helmet legislation
Liller et al.
Inj. Prev. 2003;9:177-179.
ABSTRACT | FULL TEXT  

Helmet Use: A Survey of 4 Common Childhood Leisure Activities
Forjuoh et al.
Arch Pediatr Adolesc Med 2002;156:656-661.
ABSTRACT | FULL TEXT  

Booster seats for child passengers: lessons for increasing their use
Rivara et al.
Inj. Prev. 2001;7:210-213.
ABSTRACT | FULL TEXT  

Bicycle helmet use among schoolchildren--the influence of parental involvement and children's attitudes
Berg and Westerling
Inj. Prev. 2001;7:218-222.
ABSTRACT | FULL TEXT  

Barriers to Bicycle Helmet Use
Finnoff et al.
Pediatrics 2001;108:e4-4.
ABSTRACT | FULL TEXT  

Urban and rural patterns of bicycle helmet use: factors predicting usage
Harlos et al.
Inj. Prev. 1999;5:183-188.
ABSTRACT | FULL TEXT  

Pediatric Injury Control in 1999: Where Do We Go From Here?
Rivara
Pediatrics 1999;103:883-888.
FULL TEXT  

Bicycle helmet promotion among low income preschool children
Britt et al.
Inj. Prev. 1998;4:280-283.
ABSTRACT | FULL TEXT  

Parental decisions to use infant walkers
Bar-on et al.
Inj. Prev. 1998;4:299-300.
ABSTRACT | FULL TEXT  

Kasdah B'Rosh Toy: A Description and Evaluation of the Israeli Bicycle Helmet Campaign
Ressler and Toledo
Health Educ Behav 1998;25:354-370.
ABSTRACT  

Evaluation of a Bicycle Helmet Giveaway Program---Texas, 1995
Logan et al.
Pediatrics 1998;101:578-582.
ABSTRACT | FULL TEXT  

Effect of Education and Legislation on Bicycle Helmet Use in a Multiracial Population
Abularrage et al.
Arch Pediatr Adolesc Med 1997;151:41-44.
ABSTRACT  

Evaluation of a Statewide Bicycle Helmet Law Via Multiple Measures of Helmet Use
Ni et al.
Arch Pediatr Adolesc Med 1997;151:59-65.
ABSTRACT  

Effect of a State Law on Reported Bicycle Helmet Ownership and Use
Schieber et al.
Arch Pediatr Adolesc Med 1996;150:707-712.
ABSTRACT  

Barriers to Wearing Bicycle Safety Helmets in the Netherlands
Seijts et al.
Arch Pediatr Adolesc Med 1995;149:174-180.
ABSTRACT  

In-line Skating: An Observational Study of Protective Equipment Used by Skaters
Young and Mark
Arch Fam Med 1995;4:19-23.
ABSTRACT  

Injury patterns in cyclists attending an accident and emergency department: a comparison of helmet wearers and non-wearers
Maimaris et al.
BMJ 1994;308:1537-1540.
ABSTRACT | FULL TEXT  

Association Between Bicycle Helmet Legislation, Bicycle Safety Education, and Use of Bicycle Helmets in Children
Macknin and Medendorp
Arch Pediatr Adolesc Med 1994;148:255-259.
ABSTRACT  

Safety practices among parents and children in a primary care setting
Woods et al.
Health Education Journal 1994;53:397-408.
ABSTRACT  

Helmets! All the Pros Wear Them
Puczynski and Marshall
Arch Pediatr Adolesc Med 1992;146:1465-1467.
ABSTRACT  

Pediatric Basic Life Support
JAMA 1992;268:2251-2261.
ABSTRACT  

The Role of Bicycle Helmets in Bicycle-Related Injury Prevention
Storo
CLIN PEDIATR 1992;31:421-427.
 

Bicycle-Associated Head Injuries and Deaths in the United States From 1984 Through 1988: How Many Are Preventable?
Sacks et al.
JAMA 1991;266:3016-3018.
ABSTRACT  

Sledding-Related Injuries in Children
DERSHEWITZ et al.
Arch Pediatr Adolesc Med 1990;144:1071-1073.
ABSTRACT  

The Seattle Children's Bicycle Helmet Campaign
Bergman et al.
Arch Pediatr Adolesc Med 1990;144:727-731.
ABSTRACT  

Helmets for Child Bicyclists
Bader
JAMA 1990;263:1914-1915.
ABSTRACT  

Attitudes Toward Bicycle Helmet Ownership and Use by School-age Children
DiGuiseppi et al.
Arch Pediatr Adolesc Med 1990;144:83-86.
ABSTRACT