Evaluation of a subsidy program to increase bicycle helmet use by children of low-income families.
We have previously shown that an educational program was not effective in increasing bicycle helmet use in children of low-income families.
The objective of this study was to evaluate a combined educational and helmet subsidy program in the same population, while controlling for secular trends.
The secondary objective was to complete a third year of surveying children's bicycle helmet use throughout the study community.
A prospective, controlled, before-and-after study.
Bicycling children 5 to 14 years of age from areas of low average family income.
A defined geographic community within a large urban Canadian city.
In April 1992, students in three schools located in the area of lowest average family income were offered $10 helmets and an educational program ; three other low-income areas served as control areas.
Main Outcome Measure
Helmet use was determined by direct observation of more than 1800 bicycling children.
Nine hundred ten helmets were sold to a school population of 1415 (64%). Reported helmet ownership increased from 10% to 47%. Conclusions.
There has been a trend toward increasing helmet use in all income areas during the 3-year period.
Despite encouraging helmet sales and increases in reported helmet ownership, the results of the observational study do not support the efficacy of a helmet subsidy program in increasing helmet use in children residing in areas of low average family i.
Mots-clés Pascal : Prévention, Traumatisme, Crânioencéphalique, Bicyclette, Casque protection, Méthode, Education sanitaire, Enfant, Adolescent, Pauvreté, Résultat, Canada, Homme, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Prevention, Trauma, Craniocerebral, Bicycle, Crash helmet, Method, Health education, Child, Adolescent, Poverty, Result, Canada, Human, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0471648
Code Inist : 002B30A03B. Création : 01/03/1996.