Original contribution
Motorcycle fatalities in New Mexico: The association of helmet nonuse with alcohol intoxication

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Study objective:

To determine the relationship among helmet use, alcohol use, and ethnicity in people killed on motorcycles.

Design:

Retrospective review of all motorcycle fatalities in New Mexico from 1984 through 1988.

Setting:

Office of the Medical Investigator, State of New Mexico.

Type of participants:

All decedents of motorcycle crashes in New Mexico from 1984 through 1988.

Interventions:

Review of all autopsies, medical investigator reports, traffic fatality reports, and toxicological studies on fatally injured motorcyclists.

Results:

Nine of the helmeted drivers (18%) were legally intoxicated compared with 67 of the nonhelmeted drivers (51%) (χ2 = 15.7, P < .0001); 42 of the white nonHispanic decedents (37%), ten of Hispanic decedents (12%), and none of the Native-American decedents were wearing helmets. The head and neck region was the most severely injured body region in 42 of the nonhelmeted cases (84%) and in eight of the helmeted cases (50%) (Fisher's exact test, P < .02).

Conclusion:

There is an association between nonuse of helmets and alcohol intoxication in fatally injured motorcyclists in New Mexico. Strategies for preventing motorcycle fatalities should address alcohol abuse and ethnicity in conjunction with helmet use.

References (22)

  • BachulisBL et al.

    Patterns of injury in helmeted and nonhelmeted motorcyclists

    Am J Surg

    (1988)
  • KellyPJ et al.

    A prospective study of the impact of helmet usage on motorcycle trauma

    Ann Emerg Med

    (1991)
  • RivaraFP et al.

    The public cost of motorcycle trauma

    JAMA

    (1988)
  • HartuniahNO et al.

    The economics of safety deregulation: Lives and dollars lost due to repeal of motorcycle helmet laws

    J Health Politics Policy Law

    (1983)
  • RussoPK

    Easy rider—hard facts: Motorcycle helmet laws

    N Engl J Med

    (1978)
  • McSwainNE et al.

    Medical consequences of motorcycle helmet nonusage

    J Trauma

    (1984)
  • LunaGK et al.

    The role of helmets in reducing head injuries from motorcycle accidents: A political or medical issue?

    West J Med

    (1981)
  • WershuckJO

    The prevention of injury from motorcycle use: Epidemiologic success, legislative failure

    Accid Aval Prev

    (1987)
  • Insurance Institute for the Highway Safety
  • LunaGK et al.

    The influence of ethanol intoxication on outcome of injured motorcyclists

    J Trauma

    (1984)
  • ChevierTC et al.

    Motorcyclist's fatalities and the repeal of mandatory helmet wearing laws

    Accid Aval Prev

    (1987)
  • Cited by (0)

    Presented at the Society for Academic Emergency Medicine Annual Meeting in Washington, DC, May 1991.

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