+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

School based bicycle safety education and bicycle injuries in children: a case-control study

School based bicycle safety education and bicycle injuries in children: a case-control study

Injury Prevention 4(1): 22-27

To evaluate possible benefits of a school based bicycle safety education program ("Bike Ed") on the risk of bicycle injury in children. A population based case-control study was undertaken in a region of Melbourne, Australia. Cases were children presenting at hospital emergency departments with injuries received while riding bicycles. Controls were recruited by calling randomly selected telephone numbers. Data were collected by personal interview. Analysis, based on 148 cases and 130 controls aged 9 to 14 years, showed no evidence of a protective effect and suggested a possible harmful effect of exposure to the bicycle safety course (odds ratio (OR) 1.64, 95% confidence interval (CI) 0.98 to 2.75). This association was not substantially altered by adjustment for sex, age, socioeconomic status, and exposure, measured as time or distance travelled. Subgroup analysis indicated that the association was strongest in boys (OR 2.0, 95% CI 1.1 to 3.8), younger children, children from families with lower parental education levels, and children lacking other family members who bicycle. It is concluded that this educational intervention does not reduce the risk of bicycle injury in children and may possibly produce harmful effects in some children, perhaps due to inadvertent encouragement of risk taking or of bicycling with inadequate supervision.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 047310771

Download citation: RISBibTeXText

PMID: 9595327

DOI: 10.1136/ip.4.1.22

Related references

Effect of a bicycle safety program and free bicycle helmet distribution on the use of bicycle helmets by elementary school children. Journal of Emergency Nursing: Jen 23(5): 417-419, 1997

Association between bicycle helmet legislation, bicycle safety education, and use of bicycle helmets in children. Archives of Pediatrics & Adolescent Medicine 148(3): 255-259, 1994

Bicycle-related injuries to children and parental attitudes regarding bicycle safety. Clinical Pediatrics 43(3): 251-259, 2004

Bicycle-riding circumstances and injuries in school-aged children. A case-control study. Archives of Pediatrics & Adolescent Medicine 151(5): 485-489, 1997

Children's bicycle safety education does not reduce injuries. Health Promotion Journal of Australia 21(2): 152, 2010

Bicycle safety helmet legislation and bicycle-related non-fatal injuries in California. Accident; Analysis and Prevention 37(1): 93, 2005

Evaluation of a school-based education program to promote bicycle safety. Health Promotion Practice 4(2): 138-145, 2003

Effectiveness of a school based education program in increasing bicycle helmet use and awareness in school aged children?. Clinical & Investigative Medicine 15(4 Suppl.): A119, 1992

Effectiveness of Ride with Pride, Wear a Helmet bicycle safety education curriculum for elementary school children. Pediatric Research 51(4 Part 2): 76A, 2002

Prevention of bicycle-related injuries in children and youth: a systematic review of bicycle skills training interventions. Injury Prevention 20(3): 191-195, 2014

Effectiveness of bicycle safety helmets in preventing head injuries. A case-control study. JAMA 276(24): 1968-1973, 1996

Bicycle Injuries and Safety Helmets in Children. Orthopaedic Nursing 22(1): 9-15, 2003

The young riders Bicycle injuries among pre-school children. Pediatric Research. 47(4 Part 2): 116a, Il, 2000

Bicycle-riding circumstances and injuries in school-age children. Archives of Pediatrics and Adolescent Medicine 151(10): 1067, 1997

Bicycle safety knowledge and behavior in school age children. Journal of Family Practice 30(6): 677-680, 1990