Article |

Effect of a State Law on Reported Bicycle Helmet Ownership and Use

Richard A. Schieber, MD, MPH; Marcie-jo Kresnow, MS; Jeffrey J. Sacks, MD, MPH; Edwin E. Pledger, MPA; Joann M. O'Neil; Kathleen E. Toomey, MD, MPH
Arch Pediatr Adolesc Med. 1996;150(7):707-712. doi:10.1001/archpedi.1996.02170320053009.
Text Size: A A A
Published online

Objective:  To evaluate the effect of a state law on reported bicycle helmet ownership and use.

Design:  Multistage cluster random-digit-dialing telephone survey.

Setting:  Georgia, June through November 1993.

Participants:  Adults who reported the behavior of bicyclists 4 through 15 years old.

Intervention:  State law mandating helmet use after July 1, 1993, for all bicyclists aged younger than 16 years.

Main Outcome Measures:  Bicycle helmet ownership and use.

Results:  Reported helmet ownership increased from 39% before the law took effect to 57% afterward (+46%, P=.06). Reported use increased from 33% before to 52% afterward (+58%, P<.05). About 7% of riders changed from "never-wearing" to "always-wearing" behavior. After the law took effect, in those households in which the law was known, 69% of riders owned and 64% used a helmet. By comparison, in those households in which the law was not known, only 30% owned and 25% used a helmet (P<.01). Reported ownership and use were 93% concordant, inversely related to rider age, and directly related to household income. Multivariable analysis indicated that race was an effect modifier of reported helmet ownership and use. In black riders, knowledge of the law appeared to be highly associated with both reported helmet ownership and use but was not significant in white riders. In white riders, though, age and income were significantly associated with reported helmet ownership and use.

Conclusions:  This law appeared important in increasing reported helmet ownership and use, particularly in black riders. Since knowledge of the law was associated with increased ownership and use, additional publicity about the law might further increase helmet use. Because most riders who owned helmets used them, giveaway programs targeting areas of low ownership may also increase use.Arch Pediatr Adolesc Med. 1996;150:707-712


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours





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.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


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

Sign In to Access Full Content

Related Content

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