دورية أكاديمية
Factors associated with bicycle helmet use and proper fit: a cross-sectional survey of Montreal cyclists during the COVID-19 pandemic.
| العنوان: | Factors associated with bicycle helmet use and proper fit: a cross-sectional survey of Montreal cyclists during the COVID-19 pandemic. |
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| المؤلفون: | Farag N; Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Germain A; Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Caminsky NG; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Busque AA; Faculty of Medicine and Health Sciences, McGill University, Montreal, QC, Canada., Grenier T; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada., Bracco D; Department of Anesthesiology, McGill University, Montreal, QC, Canada., Grushka J; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Razek T; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Deckelbaum D; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Fata P; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Khwaja K; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., McKendy K; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Jastaniah A; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada.; Centre for Global Surgery, McGill University, Montreal, QC, Canada., Wong EG; Division of General and Trauma Surgery, Montreal General Hospital, McGill University, 1650 Cedar Avenue L9-120, Montreal, QC, H3G 1A4, Canada. evan.wong@mcgill.ca.; Centre for Global Surgery, McGill University, Montreal, QC, Canada. evan.wong@mcgill.ca. |
| المصدر: | Canadian journal of public health = Revue canadienne de sante publique [Can J Public Health] 2023 Apr; Vol. 114 (2), pp. 195-206. Date of Electronic Publication: 2023 Feb 10. |
| نوع المنشور: | Journal Article; Research Support, Non-U.S. Gov't |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer Nature Country of Publication: Switzerland NLM ID: 0372714 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1920-7476 (Electronic) Linking ISSN: 00084263 NLM ISO Abbreviation: Can J Public Health Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Switzerland : Springer Nature Original Publication: Ottawa : Canadian Public Health Association |
| مواضيع طبية MeSH: | COVID-19*/epidemiology , COVID-19*/prevention & control , Craniocerebral Trauma*, Male ; Child ; Young Adult ; Humans ; Head Protective Devices ; Bicycling ; Cross-Sectional Studies ; Pandemics |
| مستخلص: | Objectives: With increased bicycle use during the COVID-19 pandemic and growing availability of bicycle-sharing programs in Montreal, we hypothesize helmet use has decreased. The aim of this study was to evaluate helmet use and proper fit among Montreal cyclists during the pandemic relative to historical data. Methods: Nine observers collected data on bike type, gender, helmet use, and ethnicity using the iHelmet© app at 18 locations across the island of Montreal from June to September 2021. Proper helmet wear was assessed at one busy location. Multiple logistic regression was used to identify factors associated with helmet wear and results were compared to a historical study. Results: Of the 2200 cyclists observed, 1109 (50.4%) wore a helmet. Males (OR = 0.78, 95%CI = 0.65-0.95), young adults (OR = 0.65, 95%CI = 0.51-0.84), visible minorities (OR = 0.38, 95%CI = 0.28-0.53), and bike-share users (OR = 0.21, 95%CI = 0.15-0.28) were less likely to be wearing a helmet, whereas children (OR = 3.92, 95%CI = 2.17-7.08) and cyclists using racing bicycles (OR = 3.84, 95%CI = 2.62-5.62) were more likely to be wearing a helmet. The majority (139/213; 65.3%) of assessed cyclists wore properly fitting helmets. Children had the lowest odds of having a properly fitted helmet (OR = 0.13, 95%CI = 0.04-0.41). Compared to 2011, helmet use during the pandemic increased significantly (1109/2200 (50.4%) vs. 2192/4789 (45.8%); p = 0.032). Conclusion: Helmet use among Montreal cyclists was associated with age, gender, ethnicity, and type of bicycle. Children were least likely to have a properly fitted helmet. The recent increase in popularity of cycling and expansion of bicycle-sharing programs reinforce the need for bicycle helmet awareness initiatives, legislation, and funding prioritization. (© 2023. The Author(s) under exclusive license to The Canadian Public Health Association.) |
| References: | JAMA. 1991 Dec 4;266(21):3016-8. (PMID: 1820476) Cochrane Database Syst Rev. 2000;(2):CD001855. (PMID: 10796827) Can J Neurol Sci. 2013 Sep;40(5):710-6. (PMID: 23968946) Accid Anal Prev. 1996 Jul;28(4):463-75. (PMID: 8870773) Accid Anal Prev. 1997 Sep;29(5):555-62. (PMID: 9316704) Pediatrics. 1996 Nov;98(5):868-70. (PMID: 8909479) Chronic Dis Inj Can. 2014 Feb;34(1):1-7. (PMID: 24618375) Int J Surg. 2014 Dec;12(12):1495-9. (PMID: 25046131) J Pediatr Surg. 1993 Feb;28(2):214-6. (PMID: 8437084) Inj Prev. 2016 Feb;22(1):52-8. (PMID: 26307107) J Pediatr Surg. 1998 Feb;33(2):317-21. (PMID: 9498409) Pediatrics. 2003 Sep;112(3 Pt 1):e192-6. (PMID: 12949311) Accid Anal Prev. 2014 May;66:182-6. (PMID: 24560440) CMAJ. 1995 Jan 1;152(1):45-53. (PMID: 7804921) J Surg Res. 2018 Feb;222:231-237. (PMID: 29229283) Inj Prev. 1999 Sep;5(3):194-7. (PMID: 10518266) MCN Am J Matern Child Nurs. 2001 Sep-Oct;26(5):272-7. (PMID: 11552578) J Emerg Med Forecast. 2020;3(1):. (PMID: 32832917) Accid Anal Prev. 2011 May;43(3):788-96. (PMID: 21376867) Health Promot Pract. 2020 Nov;21(6):872-876. (PMID: 32419502) J Emerg Nurs. 1997 Oct;23(5):417-9. (PMID: 9369604) Can J Neurol Sci. 2016 Jan;43(1):56-64. (PMID: 26786638) Health Promot Int. 2002 Jun;17(2):161-9. (PMID: 11986297) Can J Public Health. 2013 Sep 17;104(5):e400-4. (PMID: 24183181) |
| فهرسة مساهمة: | Keywords: Bicycle helmet; Head injuries; Injury prevention; Legislation Local Abstract: [Publisher, French] RéSUMé: OBJECTIF: Avec la popularité grandissante du vélo durant la pandémie COVID-19 et l’expansion du vélopartage à Montréal, nous croyons que le port du casque a diminué. L’objectif de cette étude était d’évaluer l’utilisation du casque et le port adéquat parmi les cyclistes montréalais et de comparer nos résultats avec des données historiques. MéTHODE: Neuf observateurs, stationnés à 18 emplacements, ont recueilli les informations suivantes en utilisant l’application mobile iHelmet© : type de vélo, sexe, origine ethnique et port du casque. Le port adéquat du casque a été observé à un endroit. L’association de chaque variable avec le port et le port adéquat a été fait par régression multivariable et comparé à des données historiques. RéSULTATS: Des 2 200 cyclistes observés, 1 109 (50,4 %) portaient un casque. Les enfants (OR = 3,92, IC95% = 2,17–7,08) et les cyclistes de performance (OR = 3,84, IC95% = 2,62–5,62) portaient le casque plus fréquemment tandis que les hommes (OR = 0,78, IC95% = 0,65–0,95), les jeunes adultes (OR = 0,65, IC95% = 0,51–0,84), les minorités visibles (OR = 0,38, IC95% = 0,28–0,53), et les utilisateurs de vélopartage (OR = 0,21, IC95% = 0,15–0,28) le portaient moins. La majorité (139/213; 65,3 %) des casques étaient portés adéquatement. Les enfants étaient plus à risque de porter un casque mal ajusté (OR = 0,13, IC95% = 0,04–0,41). L’utilisation d’un casque chez les cyclistes montréalais a augmenté significativement depuis 2011 (1 109/2 200 (50,4 %) c. 2 192/4 789 (45,8 %); p = 0,032). CONCLUSION: Le port du casque à vélo à Montréal est associé à l’âge, le sexe, l’origine ethnique et le type de vélo. Les enfants sont plus à risque de mal porter un casque. Des stratégies de promotion ainsi que la législation peuvent favoriser des comportements sécuritaires à vélo. |
| تواريخ الأحداث: | Date Created: 20230210 Date Completed: 20230327 Latest Revision: 20240915 |
| رمز التحديث: | 20240915 |
| مُعرف محوري في PubMed: | PMC9913020 |
| DOI: | 10.17269/s41997-023-00747-8 |
| PMID: | 36763331 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1920-7476 |
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| DOI: | 10.17269/s41997-023-00747-8 |