You are seeing this message because your Web browser does not support basic Web standards. Find out more about why this message is appearing and what you can do to make your experience on this site better.


ABOUT JAMA
Advanced Search

Welcome   | My Account | E-mail Alerts | Access Rights | Sign In


  Vol. 262 No. 16, October 27, 1989 TABLE OF CONTENTS
  JAMA
  •  Online Features
  ARTICLE
 This Article
 •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

Bicycle helmet use by children. Evaluation of a community-wide helmet campaign

C. G. DiGuiseppi, F. P. Rivara, T. D. Koepsell and L. Polissar
Children's National Medical Center, George Washington University School of Medicine and Health Sciences, Washington, DC.

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.

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  

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  

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

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





HOME | CURRENT ISSUE | PAST ISSUES | TOPIC COLLECTIONS | CME | SUBMIT | SUBSCRIBE | HELP
CONDITIONS OF USE | PRIVACY POLICY | CONTACT US | SITE MAP
 
© 1989 American Medical Association. All Rights Reserved.