@article{ref1,
title="Public bicycle share programs and head injuries",
journal="American journal of public health",
year="2014",
author="Graves, Janessa M. and Pless, Ivan Barry and Moore, Lynne and Nathens, Avery B. and Hunte, Garth and Rivara, Frederick P.",
volume="104",
number="8",
pages="e106-11",
abstract="OBJECTIVES. We evaluated the effect of North American public bicycle share programs (PBSPs), which typically do not offer helmets with rentals, on the occurrence of bicycle-related head injuries. <br><br>METHODS. We analyzed trauma center data for bicycle-related injuries from 5 cities with PBSPs and 5 comparison cities. We used logistic regression models to compare the odds that admission for a bicycle-related injury would involve a head injury 24 months before PBSP implementation and 12 months afterward. <br><br>RESULTS. In PBSP cities, the proportion of head injuries among bicycle-related injuries increased from 42.3% before PBSP implementation to 50.1% after (P < .01). This proportion in comparison cities remained similar before (38.2%) and after (35.9%) implementation (P = .23). Odds ratios for head injury were 1.30 (95% confidence interval = 1.13, 1.67) in PBSP cities and 0.94 (95% confidence interval = 0.79, 1.11) in control cities (adjusted for age and city) when we compared the period after implementation to the period before. <br><br>CONCLUSIONS. Results suggest that steps should be taken to make helmets available with PBSPs. Helmet availability should be incorporated into PBSP planning and funding, not considered an afterthought following implementation. (Am J Public Health. Published online ahead of print June 12, 2014: e1-e6. doi:10.2105/AJPH.2014.302012).<p /> <p>Language: en</p>",
language="en",
issn="0090-0036",
doi="10.2105/AJPH.2014.302012",
url="http://dx.doi.org/10.2105/AJPH.2014.302012"
}