0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

How Bicycle-Related Injuries Change Bicycling Practices in Children

Don K. Nakayama, MD; Karen B. Pasieka; Mary J. Gardner, RN
Am J Dis Child. 1990;144(8):928-929. doi:10.1001/archpedi.1990.02150320092035.
Text Size: A A A
Published online

• Bicycle crashes are a major cause of injuries in childhood. The goal of this study was to determine the effects of bicycle-related injuries on the subsequent bicycle-riding behavior and safety practices of the child and other family members. Successful telephone contact was made with the parents of 82 of 230 children (age at time of injury, 4 to 15 years; median, 9 years; 57 boys and 25 girls) admitted to the hospital with bicycle-related injuries from 1983 to 1986. Parents were interviewed by telephone 4 months to 6 years after injury (median, 1 year 9 months). Head injuries predominated (64.6%). Almost all children continued to ride a bicycle after hospitalization (80 [97.6%]). Few wore a bicycle helmet either before (6 [7.3%]) or at the time of injury (3 [3.7%]). More began wearing helmets after hospital discharge (20 [24.4%]), but three fourths of the children still rode their bicycles without protective head wear. Helmet wearing also increased among bicycleriding siblings after the index hospitalization (3 [7.0%] of 43 vs 7 [16.3%]) but the difference was not significant. Parents commonly imposed restrictions on bicycle riding before hospitalization (78.0%) and after hospital discharge (82.9%). Twenty-six families (31.7%) reported more stringent rules after injury. Only 17 children (20.7%) participated in formal bicycle safety programs before the injury; only 5 (6.1%) more went through such a program after hospital discharge. Alone, an injury seems to have limited effect on the adoption of safe bicycling practices among children. The hospitalization of injured children provides opportunities for safety education to foster safe bicycling and to prevent injuries of all causes.

(AJDC. 1990;144:928-929)

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();