ArticleInternational journal for equity in health2013
Bicycle helmet use and bicycling-related injury among young Canadians: an equity analysis.
Article in International journal for equity in health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Effectiveness of bicycle helmets and injury prevention: a systematic review of meta-analyses.Scientific reports · 2023Pooled it
- The distribution of hunger in Canadian youth.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2024Article
- Améliorer la sécurité à vélo chez les enfants et les adolescents.Paediatrics & child health · 2024Review
- Improving cycling safety for children and youth.Paediatrics & child health · 2024Review
- Morbidity after traumatic spinal injury in pediatric and adolescent sports-related trauma.Journal of neurosurgery. Spine · 2020Article
- Bicycle-related traumatic injury hospitalizations: six years descriptive analysis in Qatar.Journal of injury & violence research · 2019Article
- Impacts of Bicycle Infrastructure in Mid-Sized Cities (IBIMS): protocol for a natural experiment study in three Canadian cities.BMJ open · 2018Observational
- Abdominal injuries involving bicycle handlebars in 219 children: results of 8-year follow-up.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2015Article
- Drawing the Curtain Back on Injured Commercial Bicyclists.American journal of public health · 2015Article
- Article
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Authors and funding
6 authors.
Funding
Abstract
introductionCycling is a major activity for adolescents in Canada and potential differences exist in bicycling-related risk and experience of injury by population subgroup. The overall aim of this study was to inform health equity interventions by profiling stratified analytic methods and identifying potential inequities associated with bicycle-related injury and the use of bicycle helmets among Canadian youth. The two objectives of this study were: (1) To examine national patterns in bicycle ridership and also bicycle helmet use among Canadian youth in a stratified analysis by potentially vulnerable population subgroups, and (2) To examine bicycling-related injury in the same population subgroups of Canadian youth in order to identify possible health inequities.
methodsData for this study were obtained from the 6th cycle (2009/10) of the Health Behaviour in School-aged Children (HBSC) study, which is a general health survey that was completed by 26,078 students in grades 6-10 from 436 Canadian schools. Based on survey responses, we determined point prevalence for bicycle ridership, bicycle helmet use and relative risks for bicycling-related injury.
resultsThree quarters of all respondents were bicycle riders (n=19,410). Independent factors associated with bicycle ridership among students include being male, being a younger student, being more affluent, and being a resident of a small town. Among bicycle riders, 43% (95%CI ± 0.6%) reported never wearing and 32% (± 0.6%) inconsistently wearing a helmet. Only 26% (± 0.5%) of students reported always wearing a bicycle helmet. Helmets were less frequently used among older students and there were also important patterns by sex, geographic location and socioeconomic status. Adjusting for all other demographic characteristics, boys reported 2.02-fold increase (95% CI: 1.61 to 1.90) and new immigrants a 1.35-fold increase (95%CI: 1.00 to1.82) in the relative risk of bicycling-related injury in the past 12 months, as compared to girls and students born in Canada. The relative risk of injury did not vary significantly by levels of socioeconomic status.
conclusionsTroubling disparities exist in bicycle use, bicycle helmet use and bicycling-related injuries across specific population subgroups. Bicycle safety and injury prevention initiatives should be informed by disaggregated analyses and the context of bicycle-related health differences should be further examined.
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