TY  - JOUR
PY  - 2014//
TI  - Public bicycle share programs and head injuries
JO  - American journal of public health
A1  - Graves, Janessa M.
A1  - Pless, Ivan Barry
A1  - Moore, Lynne
A1  - Nathens, Avery B.
A1  - Hunte, Garth
A1  - Rivara, Frederick P.
SP  - e106
EP  - 11
VL  - 104
IS  - 8
N2  - 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>
LA  - en
SN  - 0090-0036
UR  - http://dx.doi.org/10.2105/AJPH.2014.302012
ID  - ref1
ER  -