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Bicycle-Related Injuries to Children and Parental Attitudes Regarding Bicycle Safety

Division of Emergency Medicine, Department of Pediatrics, The Ohio State University College of Medicine and Public Health, Children’s Hospital, Columbus, Ohio

Brenda J. Shields, MS

Research Coordinator, Department of Pediatrics, The Ohio State University College of Medicine and Public Health, Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, Columbus, Ohio

Gary A. Smith, MD, DrPH

Associate Professor of Pediatrics, Division of Emergency Medicine, Department of Pediatrics, The Ohio State University College of Medicine and Public Health, Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, Columbus, Ohio

This study was designed to evaluate bicycle-related injuries among children requiring emergency treatment, assess the use of safety measures before and after injuries, and determine parental attitudes regarding bicycle safety. Six hundred fifty-eight children were treated for bicycle-related injuries during the study period. Follow-up contact with patients’ families was made by telephone or mail within 2 months. Use of safety equipment other than brakes and reflectors occurred in less than 7% of cases. Less than 25% of children used hand signals. Sixty-eight percent of children reportedly owned a bicycle helmet before the injury, but only 26.1% "always" and 29.7% "never" wore a helmet. Given the high parental understanding of the importance of bicycle helmet use, more education and warnings alone are unlikely to increase helmet usage. Parents support a mandatory helmet use law, and therefore, local and state bicycle helmet ordinances and laws should be combined with education.

Clinical Pediatrics, Vol. 43, No. 3, 251-259 (2004)
DOI: 10.1177/000992280404300306


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