3032.0: Monday, November 13, 2000 - Board 3

Abstract #10262

Early impact of a community coalition on children's bicycle helmet use

Samuel N Forjuoh, MD, DrPH1, Deborah I Friedman, MPH2, Gregory L Larkin, MD, MSPH3, Mary P McKay, MD2, and Jeffrey H Coben, MD2. (1) College of Medicine, Scott & White,Texas A&M University, Santa Fe Center, 1402 West Avenue H, Temple, TX 76504, (2) Department of Emergency Medicine, Center for Violence and Injury Control, Allegheny General Hospital, 320 East North Avenue, Pittsburgh, PA 15212, (3) Mercy Hospital of Pittsburgh, Emergency Medicine Association of Pittsburgh, 13 Pride Street, Pittsburgh, PA 15219, 412-232-5772, glarkin+@pitt.edu

Objective: The Pittsburgh Bicycle Helmet Promotion Coalition (PBHPC) was formed in 1998 to increase bicycle helmet use, awareness, and availability through coalition building and implementation of a multi-faceted helmet promotion campaign. Our objective was to measure the impact of the PBHPC’s efforts on child helmet use over time.

Methods: Prospective, pre test/ post test, observational study of bicycling children. Baseline data were obtained in summer, 1998, with follow up observation in summer 1999. Observation sites were randomly chosen to be representative of the entire Pittsburgh community and were static across years. Bicyclists’ characteristics including helmet use, race, gender, estimated age, and estimated age of companions were recorded.

Results: (Table).

N

Helmet Use

% Change

P

Fisher’s Exact

1998 (n=949)

1999 (n=415)

Overall

1364

19%

29%

+10

.000

Male

1035

17

25

+8

.009

Female

326

25

41

+16

.007

White

647

33

44

+11

.05

Nonwhite

715

7

11

+4

.05

Age <9

394

23

51

+27

.000

Age 10-12

531

16

32

+16

.000

Age >12

438

17

12

-5

.074

Helmeted companions

254

69

71

+3

.78

Child riding with adult

105

57

74

+16

.099

Bivariate analysis and multivariate logistic regression within each year revealed that specific rider characteristics, including female gender,age <12, white race, helmeted companions, and riding with an adult predict increased helmet use.

Conclusions: After one year, the urban community in which the PBHPC operated realized significant gains in overall bike helmet use.

Learning Objectives: Describe the impact of a community coalition on bike helmet use. Identify the components of an effective bike helmet community coalition

Keywords: Bike Helmets, Children and Adolescents

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

The 128th Annual Meeting of APHA