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J Epidemiol Community Health. 2003 Sep;57(9):668-72.

Bicycle helmet campaigns and head injuries among children. Does poverty matter?

Author information

1
Institut national de santé publique du Québec, Canada.

Abstract

OBJECTIVES:

To assess the impact of a community based bicycle helmet programme aimed at children aged 5-12 years (about 140,000) from poor and well off municipalities.

METHODS:

A quasi-experimental design, including a control group, was used. Changes in the risk of bicycle related head injuries leading to hospitalisation were measured, using rates ratios.

RESULTS:

Reductions in bicycle related head injuries were registered in both categories of municipalities. Compared with the pre-programme period, the protective effect of the programme during the post-programme period was as significant among children from poor municipalities (RR= 0.45 95%CI 0.26 to 0.78) as among those from richer municipalities (RR=0.55 95%CI 0.41 to 0.75).

CONCLUSION:

Population based educational programmes may have a favourable impact on injury risks in poor areas despite lower adoption of protective behaviours.

PMID:
12933770
PMCID:
PMC1732585
[Indexed for MEDLINE]
Free PMC Article

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