The Seattle Children's Bicycle Helmet Campaign

doi:10.1001/archpedi.1990.02150300127033

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Vol. 144 No. 6, June 1990

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The Seattle Children's Bicycle Helmet Campaign

Abraham B. Bergman, MD; Frederick P. Rivara, MD, MPH; Deborah D. Richards; Lisa W. Rogers

Am J Dis Child. 1990;144(6):727-731.

Abstract

• Though bicycle head trauma is a significant cause ofmortality and morbidity, much of which can be mitigated by wearingprotective helmets, in 1986, few schoolchildren in the areaof Seattle, Wash, were observed to wear helmets. We describethe mechanics of a multifaceted campaign undertaken to alterthis situation, involving a coalition of health, bicycle, andhelmet industry organizations. These were the major objectives:(1) to convince parents that riding bicycles without helmetsis hazardous, (2) to lower the price of helmets to more affordablelevels, and (3) to overcome the reluctance of children to wearhelmets. The campaign was successful; the sales of one brandof a youth helmet in the Seattle area rose from 1500 to 22 000over a 3-year period, and the observed helmet usage rate amongschool-age children increased from 5% to 16% compared with arise of only 1% to 3% in a control community, Portland, Ore.

(AJDC. 1990;144:727-731)

Author Affiliations

From the Harborview Injury Prevention and Research Center (Drs Bergman and Rivara and Mss Richards and Rogers) and the Departments of Pediatrics (Drs Bergman and Rivara), Health Services (Dr Bergman), and Epidemiology (Dr Rivara), University of Washington, Seattle.

Footnotes

Accepted for publication September 29, 1989.

Reprint requests to Department of Pediatrics (ZA 53), HarborviewMedical Center, 325 Ninth Ave, Seattle, WA 98104 (Dr Bergman).

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