@article{ref1,
title="Achieving all-age helmet use compliance for snow sports: strategic use of education, legislation and enforcement",
journal="Injury prevention",
year="2016",
author="Fenerty, Lynne and Heatley, Jennifer and Young, Julian and Thibault-Halman, Ginette and Kureshi, Nelofar and Bruce, Beth S. and Walling, Simon and Clarke, David B.",
volume="22",
number="3",
pages="176-180",
abstract="BACKGROUND: Nova Scotia is the first jurisdiction in the world to mandate ski and snowboard helmet use for all ages at ski hills in the province. This study represents a longitudinal examination of the effects of social marketing, educational campaigns and the introduction of helmet legislation on all-age snow sport helmet use in Nova Scotia. <br><br>METHODS: A baseline observational study was conducted to establish the threshold of ski and snowboarding helmet use. Based on focus groups and interviews, a social marketing campaign was designed and implemented to address factors influencing helmet use. A prelegislation observational study assessed the effects of social marketing and educational promotion on helmet use. After all-age snow sport helmet legislation was enacted and enforced, a postlegislation observational study was conducted to determine helmet use prevalence. <br><br>RESULTS: Baseline data revealed that 74% of skiers and snowboarders were using helmets, of which 80% were females and 70% were males. Helmet use was high in children (96%), but decreased with increasing age. Following educational and social marketing campaigns, overall helmet use increased to 90%. After helmet legislation was enacted, 100% compliance was observed at ski hills in Nova Scotia. <br><br>CONCLUSIONS: Results from this study demonstrate that a multifaceted approach, including education, legislation and enforcement, was effective in achieving full helmet compliance among all ages of skiers and snowboarders.<p /> <p>Language: en</p>",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2015-041699",
url="http://dx.doi.org/10.1136/injuryprev-2015-041699"
}