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Rates of, and the factors affecting, cycle helmet use among secondary schoolchildren in East Sussex and Kent
  1. P Colin Cryer1,
  2. Jeremy Cole2,
  3. Leslie L Davidson3,
  4. Mohammed Rahman4,
  5. Vivian Ching5,
  6. Janet B Goodall6
  1. 1South East Institute of Public Health, United Medical and Dental Schools of Guy's and St Thomas' Hospitals, London, UK
  2. 2East Sussex Brighton and Hove Health Authority
  3. 3Lambeth, Southwark and Lewisham Health Authority, and King's College School of Medicine and Dentistry, London
  4. 4Department of Computing and Statistics, Brighton University
  5. 5Department of Operational Research, London School of Economics and Political Science
  6. 6Area Road Safety, Kent Highways
  1. Correspondence to: Dr Colin Cryer, South East Institute of Public Health, David Salomons' Estate, Broomhill Road, Tunbridge Wells, Kent, TN3 0XT, UK.

Abstract

Objectives—To assess the level of cycle helmet wearing among young people in two counties in the South East of England in 1994, and to identify the factors associated with helmet wearing.

Design—Cross sectional survey in a convenience sample.

Setting—Secondary schools in East Sussex and Kent.

Subjects—Students in year 7 (aged 10–12 years) and year 11 (aged 14–16 years).

Main outcome measures—Self reported “always wears a helmet”.

Results—Among those who ride a bicycle, 32% of boys and 29% of girls aged 10–12 years, and 14% of boys and 10% of girls aged 14–16, reported that they always wear helmets. The variables that were most consistently associated with helmet wearing (that is significantly associated with helmet wearing in at least five of the six age, sex, and county subgroups) were: “parental encouragement to wear a helmet”, “closest friend wears a helmet”, “belief that laws that make children wear helmets are good”, and “sometimes rides off-road”.

Conclusions—The self reported rates of always wearing a cycle helmet in East Sussex and Kent are consistent with overseas findings for populations who had not been exposed to intensive helmet promotion. The evidence suggests that parental encouragement has a favourable effect on rates of cycle helmet use among secondary schoolchildren, which is separate from and additional to peer influences. When designing a helmet promotion programme, therefore, it will have added impact if both parents and children are addressed.

  • bicycles
  • helmets
  • wearing rates

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