Improving bicycle safety: The role of paediatricians and family physicians

LeBlanc, John C.; Huybers, Sherry

doi:10.1093/pch/9.5.315

Cited by 13 publications

(5 citation statements)

References 23 publications

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“…The incidence of head injuries can be minimized by wearing appropriate protective equipment for sports. [2][3][4][5][6]13,24,[26][27][28][29] Approved helmets should be worn in all sports with a risk of head injury, including contact sports, cycling, skateboarding, skiing, snowboarding, and equestrian sports. [2][3][4][5]18,24,30 Equally important to reducing head injuries in sport is the adherence to sport rules and practicing fair play.…”

Section: Preventionmentioning

confidence: 99%

Sport-Related Concussion in Pediatric Athletes

Purcell

Carson

2008

Clin Pediatr (Phila)

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Section: Preventionmentioning

confidence: 99%

Sport-Related Concussion in Pediatric Athletes

Purcell

Carson

2008

Clin Pediatr (Phila)

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“…The results of the study are of significance to family physicians, primary care workers and pediatricians who have to balance promoting physical activity and environment-friendly initiatives with concerns around safety during bicycle use. [ 49 ] Understanding facilitators and barriers to bicycle helmet use would enable countering opposition to helmet use and prevent avoidable injury.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to bicycle helmet use: A qualitative evidence synthesis

Panigrahi

Parveen

Kshatri

et al. 2022

Journal of Family Medicine and Primary Care

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Background: Bicycles are environment-friendly and is an effective physical activity intervention to decrease risk of non-communicable diseases. Family physicians and primary care workers play a key role in promoting its usage, including addressing safety concerns through the use of bicycle helmet use. The uptake of bicycle helmets is low in many settings. We aimed to understand facilitators and barriers to bicycle helmet use. Method: We searched five major electronic databases, screened references and manually searched conference abstracts for qualitative studies that focused on facilitators and barriers to bicycle helmet use. We critically appraised the studies using the Critical Appraisal Skills Programme (CASP) checklist and used PROGRESS-Plus tool for an equity-focused analysis. We conducted a thematic synthesis for analysis and used GRADE-CERQual to report confidence in findings. Results: We included 15 studies from high-income countries. We identified 4 themes: 1. Perceptions on helmet design, it’s quality and cost together with experiences influencing helmet use (10 studies, low confidence); 2. Perceived risk and benefits of helmet use through a gender lens (10 studies, moderate confidence); 3. Parental strategies influencing children’s behavior regarding helmet use (6 studies, moderate confidence); 4. Adoption and enforcement of laws that shape perception and usage of bicycle helmets (8 studies, very low confidence). Conclusion: Our study identified facilitators and barriers and can be considered for developing programs and strategies to influence bicycle helmet use, but the confidence in findings is not high. Family physicians and primary care workers should consider these factors when promoting bicycle helmet for injury prevention. There is a need for more qualitative studies in different contexts to develop more robust evidence.

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“…In our study, the rate of wearing a helmet in pediatric patients with ADHD involved in a bicycle collision was significantly lower than in those without ADHD and likely contributed to a higher rate of TBI. As such, we recommend that pediatric patients with ADHD and their parents should be counseled on the importance of helmets and review additional proven measures for safe bicycle riding such as use of protective clothing and reflective tape (LeBlanc & Huybers, 2004).…”

Section: Discussionmentioning

confidence: 99%

Increased risk of head injury in pediatric patients with attention deficit hyperactivity disorder

Grigorian

Nahmias

Dolich

et al. 2019

Child Adoles Psych Nursing

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Objective The prevalence of attention deficit hyperactivity disorder (ADHD) in the general pediatric population is 7%, whereas the prevalence in trauma is unknown. We hypothesized pediatric patients with ADHD would have a higher risk of involvement in a mechanism of injury (MOI) requiring constant attention to surroundings, such as a bicycle collision. Methods The Pediatric Trauma Quality Improvement Program (2014–2016) was queried for patients with ADHD. Patients, less than 16 years of age, with ADHD were compared to those without ADHD. Results The prevalence of ADHD was 2.5% (2,866). ADHD patients had higher risk for bicycle collision (odds ratio [OR], 1.85; 95% confidence interval [CI], 1.59–2.15; p < .001). ADHD bicyclists were less likely to wear a helmet (9.4% vs. 18.2%, p = .003) and had a higher rate of traumatic brain injury (TBI; 55.6% vs. 39.7%, p < .001), compared to non‐ADHD bicyclists. Conclusions Pediatric ADHD patients have a 60% higher risk of being involved in a bicycle collision. ADHD patients that are involved in a bicycle collision are less likely to wear a helmet with a higher rate of TBI. Increased public awareness, education, and supervision may help reduce risk of bicycle collisions and TBI in this population.

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Improving bicycle safety: The role of paediatricians and family physicians

Cited by 13 publications

References 23 publications

Sport-Related Concussion in Pediatric Athletes

Sport-Related Concussion in Pediatric Athletes

Facilitators and barriers to bicycle helmet use: A qualitative evidence synthesis

Increased risk of head injury in pediatric patients with attention deficit hyperactivity disorder

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