Middle School Students and Bicycle Helmet Use: Knowledge, Attitudes, Beliefs, and Behaviors

Liller, Karen D.; Morissette, Brenda; Noland, Virginia J.; McDermott, Robert J.

doi:10.1111/j.1746-1561.1998.tb00594.x

Cited by 24 publications

(7 citation statements)

References 12 publications

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“…Parental rules enforcing helmet use have also been found to be the single most important factor in influencing their children's choice to wear them (Miller et al, 1996). Additionally, having friends, siblings, and teachers who support, consistently wear, and have positive attitudes about wearing bicycle helmets has been shown to be a positive predictive factor in a child's use of a bicycle helmet (DiGuiseppi, Rivara, & Koepsell, 1990; Finnoff, Laskowski, Altman, & Diehl, 2001; Gielen et al 1994; Howland et al, 1989; Liller, Morissette, Noland, & McDermott, 1998; McLellan, Rissel, Donnelly, & Bauman, 1999; Otis et al, 1992).…”

Section: How To Promote Bicycle Helmets In Primary Carementioning

confidence: 99%

Promoting the Use of Bicycle Helmets During Primary Care Visits

Clements

2005

J Amer Acad Nurse Practitioners

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NPs working with the pediatric population can have a profound impact on safety and health through promoting bicycle helmet use to both the child and accompanying parent during children's primary care visits. NPs can also become involved beyond the institution and act as role models for children, form coalitions, and serve as community advocates for new or stronger helmet legislation and enforcement of bicycle helmet laws.

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Section: How To Promote Bicycle Helmets In Primary Carementioning

confidence: 99%

Promoting the Use of Bicycle Helmets During Primary Care Visits

Clements

2005

J Amer Acad Nurse Practitioners

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“…Significantly more males than females never or rarely wore a helmet (34,48). Peer pressure, negative modeling by family members, and community climate are some of the factors related to nonuse (50,54). Building a culture of safety for seat belts and helmet-wearing among adolescents will be one of the future challenges (86).…”

Section: Seat Belts and Helmetsmentioning

confidence: 99%

A Review of Unintentional Injuries in Adolescents

Sleet

Ballesteros

Borse

2010

Annu. Rev. Public Health

115

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Unintentional injuries are the largest source of premature morbidity and mortality and the leading cause of death among adolescents 10-19 years of age. Fatal injury rates of males are twice those of females, and racial disparities in injury are pronounced. Transportation is the largest source of these injuries, principally as drivers and passengers, but also as cyclists and pedestrians. Other major causes involve drowning, poisonings, fires, sports and recreation, and work-related injuries. Implementing known and effective prevention strategies such as using seat belts and bicycle and motorcycle helmets, installing residential smoke alarms, reducing misuse of alcohol, strengthening graduated driver licensing laws, promoting policy change, using safety equipment in sports and leisure, and protecting adolescents at work will all contribute to reducing injuries. The frequency, severity, potential for death and disability, and costs of these injuries, together with the high success potential of prevention strategies, make injury prevention a key public health goal to improve adolescent health in the future.

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“…Legislation has proved highly effective in increasing helmet use,8 and interventions have been identified that significantly improve helmet-wearing 9 10. In the absence of either legislation or intervention, helmet use has been found to be associated with parental encouragement,11 peer influences,11 12 children’s attitudes,13 – 16 and levels of neighborhood deprivation 10 17 18…”

mentioning

confidence: 99%

Demographic, socioeconomic, and attitudinal associations with children’s cycle-helmet use in the absence of legislation

Lang

2007

Inj Prev

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The association of demographic, socioeconomic, and attitudinal factors with children's cycle-helmet use was investigated using self-reported data from 9775 children aged 8-12 in England, where there are currently no legal requirements that cyclists (of any age) wear helmets. The results suggest that demographic factors, socioeconomic status, and attitudes influence whether children wear bicycle helmets but that attitudinal factors are most important. W earing a helmet when cycling can reduce mortality related to collisions 1 and lowers the risk of head, brain, and face injuries. [2][3][4][5][6] The protective effect of helmets is greatest in children, who have most cycling-related head injuries.5 7 Legislation has proved highly effective in increasing helmet use, 8 and interventions have been identified that significantly improve helmet-wearing.9 10 In the absence of either legislation or intervention, helmet use has been found to be associated with parental encouragement, 11 peer influences, 11 12 children's attitudes, [13][14][15][16] and levels of neighborhood deprivation. 10 17 18 In this study, I assessed the combined effects of demographic, socioeconomic, and attitudinal factors on cycle-helmet wearing in children aged 8-12 in the absence of legislation or local ordinances on helmet wearing. I used nationally representative cross-sectional data to compare the effects of demographic, socioeconomic, and attitudinal factors, and to assess the strength of their relationship with children's cyclehelmet use. METHODSStudy population and design Data for this study came from consecutive waves of the Health Survey for England (HSE) from 1997 to 2004. The HSE is a nationally representative survey of individuals aged 2 and over living in households in England, the aim of which is to provide information about health and to assess progress towards health targets. HSE data are publicly accessible from the Data Archive of the UK Economic and Social Data Service (www.esds.ac.uk). From 1997 to 2004, 13 985 children aged 8-12 participated in the HSE and were asked questions relating to cycle-helmet use. I used data on 9775 of these children in this study. Figure 1 gives a flow chart showing how respondents were selected for inclusion.Demographic, socioeconomic, and attitudinal measures I classified explanatory variables into three categories: demographic, socioeconomic, and attitudinal. Demographic variables were: age (in years); gender; degree of urbanization (urban, suburban, rural; categorized by interviewers when visiting households). Socioeconomic variables were occupational social class of the head of household in six categories (professional; managerial and technical; skilled non-manual; skilled manual; semi-skilled manual; unskilled) and standardized equivalized household income split by deciles (categories: £34 211 and above; £24 595-34 210; £19 439-24 594; £15 690-19 438; £12 466-15 689; £10 196-12 465; £7685-10 195; £5532-7684; £4160-5530; £0-4159).As part of the HSE, children were asked to respond to six sta...

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Middle School Students and Bicycle Helmet Use: Knowledge, Attitudes, Beliefs, and Behaviors

Cited by 24 publications

References 12 publications

Promoting the Use of Bicycle Helmets During Primary Care Visits

Promoting the Use of Bicycle Helmets During Primary Care Visits

A Review of Unintentional Injuries in Adolescents

Demographic, socioeconomic, and attitudinal associations with children’s cycle-helmet use in the absence of legislation

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