TY - JOUR PY - 2014// TI - Cyclist head and facial injury risk in relation to helmet fit: a case-control study JO - Chronic diseases and injuries in Canada A1 - Romanow, N. R. A1 - Hagel, Brent Edward A1 - Williamson, J. A1 - Rowe, Brian H. SP - 1 EP - 11 VL - 34 IS - 1 N2 - INTRODUCTION: We examined the effect of bicycle helmet fit and position on head and facial injuries.

METHODS: Cases were helmeted cyclists with a head (n = 297) or facial (n = 289) injury. Controls were helmeted cyclists with other injuries, excluding the neck. Participants were interviewed in seven Alberta emergency departments or by telephone; injury data were collected from charts. Missing values were imputed using chained equations and custom prediction imputation models.

RESULTS: Compared with excellent helmet fit, those with poor fit had increased odds of head injury (odds ratio [OR] = 3.38, 95% confidence interval [CI]: 1.06-10.74). Compared with a helmet that stayed centred, those whose helmet tilted back (OR = 2.90, 95% CI: 1.54-5.47), shifted (OR = 1.91, 95% CI: 1.01-3.63) or came off (OR = 6.72, 95% CI: 2.86-15.82) had higher odds of head injury. A helmet that tilted back (OR = 4.81, 95% CI: 2.74-8.46), shifted (OR = 1.83, 95% CI: 1.04-3.19) or came off (OR = 3.31, 95% CI: 1.24-8.85) also increased the odds of facial injury.

CONCLUSION: Our findings have implications for consumer and retail education programs.

Language: en

LA - en SN - 1925-6515 UR - http://dx.doi.org/ ID - ref1 ER -