PEDIATRICS Vol. 93 No. 4 April 1994, pp. 567-569
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The Seattle Children's Bicycle Helmet Campaign: Changes in Helmet Use and Head Injury Admissions

Frederick P. Rivara MD, MPH1, Diane C. Thompson MS1, Robert S. Thompson MD1, Lisa W. Rogers 1, Bruce Alexander MPH1, Debra Felix MPH1, and Abraham B. Bergman MD1

1 Harborview Injury Prevention and Research Center, the Department of Pediatrics and Epidemiology, University of Washington and the Departments of Preventive Care, Group Health Cooperative of Puget Sound

Objective. To describe the impact of a community bicycle helmet campaign on helmet use and the incidence of bicycle-related head injuries.

Setting. Metropolitan community and a large health maintenance organization.

Interventions. Communitywide bicycle helmet campaign.

Outcomes. Rate of observed bicycle helmet use in the community and incidence of bicycle-related injuries in an health maintenance organization population.

Results. Helmet use among school-aged children increased from 5.5% in 1987 to 40.2% in 1992. Bicycle-related head injuries decreased by 66.6% in 5- to 9-year-old and 67.6% in 10- to 14-year-old members of an health maintenance organization.

Conclusions. Educational campaigns can increase helmet use and decrease the incidence of bicycle-related head injury.

Submitted on June 14, 1993
Accepted on August 19, 1993




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