ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2003
Risk compensation theory and voluntary helmet use by cyclists in Spain.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Face mask mandates and risk compensation: an analysis of mobility data during the COVID-19 pandemic in Bangladesh.BMJ global health · 2022Article
- Illness perceptions, social support and antiretroviral medication adherence in people living with HIV in the greater Accra region, Ghana.Nursing open · 2021Article
- Helmet use in bicycle trauma patients: a population-based study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2015Article
- Bicycle helmet wearing is not associated with close motor vehicle passing: a re-analysis of Walker, 2007.PloS one · 2013Article
- Testing the risk compensation hypothesis for safety helmets in alpine skiing and snowboarding.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2007Article
- No clear evidence from countries that have enforced the wearing of helmets.BMJ (Clinical research ed.) · 2006Review
- Arguments against helmet legislation are flawed.BMJ (Clinical research ed.) · 2006Article
- Injury prevention: a glossary of terms.Journal of epidemiology and community health · 2005Article
- Improving bicycle safety: The role of paediatricians and family physicians.Paediatrics & child health · 2004Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo obtain empirical data that might support or refute the existence of a risk compensation mechanism in connection with voluntary helmet use by Spanish cyclists.
designA retrospective case series.
settingSpain, from 1990 to 1999. SUBJECTS: All 22 814 cyclists involved in traffic crashes with victims, recorded in the Spanish Register of Traffic Crashes with Victims, for whom information regarding helmet use was available.
main outcome measuresCrude and adjusted odds ratios for the relation between committing a traffic violation and using a helmet.
resultsFifty four percent of the cyclists committed a traffic violation other than a speeding infraction. Committing a traffic violation was associated with a lower frequency of helmet use (adjusted odds ratio (aOR) 0.63, 95% confidence interval (CI) 0.58 to 0.69). Cycling at excessive or dangerous speed, a violation observed in 4.5% of the sample, was not significantly associated with helmet use either alone (aOR 0.95, 95% CI 0.56 to 1.61) or in combination with any other violation (aOR 0.97, 95% CI 0.79 to 1.20).
conclusionsThe results suggest that the subgroup of cyclists with a higher risk of suffering a traffic crash are also those in which the health consequences of the crash will probably be higher. Although the findings do not support the existence of a strong risk compensation mechanism among helmeted cyclists, this possibility cannot be ruled out.
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