ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention1999
Urban and rural patterns of bicycle helmet use: factors predicting usage.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 1999. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of bicycle helmet legislation to increase helmet use: a systematic review.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2006Pooled it
- Cycle helmet ownership and use; a cluster randomised controlled trial in primary school children in deprived areas.Archives of disease in childhood · 2004Trial
- Rural adolescent attitudes and use of bicycle helmets in Iowa.Injury epidemiology · 2025Article
- Injuries With Electric vs Conventional Scooters and Bicycles.JAMA network open · 2024Article
- Estimated prevalence of helmet use while bicycling, rollerblading, and skateboarding among middle school students in selected U.S. States- Youth Behavior Risk Survey, 2013-2019.Journal of safety research · 2023Article
- Article
- Cycling area can be a confounder and effect modifier of the association between helmet use and cyclists' risk of death after a crash.Scientific reports · 2022Article
- Morbidity after traumatic spinal injury in pediatric and adolescent sports-related trauma.Journal of neurosurgery. Spine · 2020Article
- Challenges in the Accurate Surveillance of Booster Seat and Bicycle Helmet Usage by Children: Lessons from the Field.International journal of environmental research and public health · 2016Article
- Emergency department reported head injuries from skiing and snowboarding among children and adolescents, 1996-2010.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2013Article
- Non-fatal injuries among urban and rural residents: the National Health Interview Survey, 1997-2001.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2007Article
- Factors associated with bicycle helmet use among young adolescents in a multinational sample.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2005Article
- Acute traumatic injuries in rural populations.American journal of public health · 2004Article
- Paediatric emergency research in Canada: Using the iterative loop of research as a paradigm for advancing the field.Paediatrics & child health · 2004Article
- Leading causes of unintentional injury and suicide mortality in Canadian adults across the urban-rural continuum.Public health reports (Washington, D.C. : 1974)Article
- Bicycle helmet-wearing variation and associated factors in Ontario teenagers and adults.Canadian journal of public health = Revue canadienne de sante publiqueArticle
- The use of bicycle helmets in a western Canadian province without legislation.Canadian journal of public health = Revue canadienne de sante publiqueArticle
- Childhood injury rates in Manitoba: socioeconomic influences.Canadian journal of public health = Revue canadienne de sante publiqueArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo document current bicycle helmet use in Winnipeg, Manitoba and nearby rural communities, and to identify target groups for a helmet promotion campaign.
methodsCyclist helmet use was observed between 28 May and 20 August 1996 at a sample of urban and rural locations. Age, gender, helmet use, riding companion(s), location type, correct helmet use, and use of headphones were recorded. Univariate and multivariate analyses were performed. Adjusted odds ratios with 95% confidence intervals were calculated from the final models.
resultsAltogether 2629 cyclists (70% male, 30% female) were observed: 2316 at 183 urban locations and 313 at 25 rural locations, with nearly equal numbers of children and adults observed. Overall helmet use was 21.3%, with lower use in males (18.9%) than females (26.3%), despite gender only being a significant variable on multivariate analysis for children under 8 years and adults. Urban helmet use was considerably higher (22.9%) than rural use (8.9%). Helmet use increased linearly as mean neighbourhood income increased, with a nearly fourfold difference in use between the highest and lowest income neighbourhoods. Children less than 8 years old and adults had the highest, and teenagers the lowest, use. Significant predictive variables were identified separately by age category to inform targeted programming.
conclusionsWe documented low helmet use in our region, emphasizing the need for a regional helmet promotion campaign as well as future helmet legislation. A marked urban-rural difference in helmet use that has not been previously reported was also identified. Target groups for a future campaign include adolescents, males, rural cyclists, and those in lower income neighbourhoods.
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