2023-09-28 14:46:10 +00:00
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abstract: 'Background Helmet use among bike-share users is low. We sought to
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characterize helmet-use patterns, barriers to helmet use, and cycling
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safety practices among bike-share users in Toronto.
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Methods A standardized survey of public bike-share program (PBSP) users
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at semi-random distribution of PBSP stations was undertaken. By
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maintaining a ratio of one helmet-wearer (HW): two non-helmet-wearers
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(NHW) per survey period, we controlled for location, day, time, and
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weather.
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Results Surveys were completed on 545 (180 HW, 365 NHW) unique users at
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48/80 PBSP locations, from November 2012 to August 2013. More females
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wore helmets (F: 41.1\%, M: 30.9\%, p=0.0423). NHWs were slightly
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younger than HWs (NHW mean age 34.4 years vs HW 37.3, p=0.0018). The
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groups did not differ by employment status, education, or income. Helmet
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ownership was lower among NHWs (NHW: 62.4\% vs HW: 99.4\%, p<0.0001), as
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was personal bike ownership (NHW: 65.8\%, vs HW: 78.3\%, p=0.0026). NHWs
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were less likely to always wear a helmet on personal bikes (NHW: 22.2\%
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vs HW: 66.7\%, p<0.0001), and less likely to wear a helmet always or
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most of the time on PBSP (NHW: 5.8\% vs HW: 92.3\%, p<0.0001). Both
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groups, but more HWs, had planned to use PBSP when leaving their houses
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(HW: 97.2\% vs NHW: 85.2\%, p<0.0001), primarily to get to work (HW:
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88.3\% vs NHW: 84.1\%, p=0.19). NHWs were more likely to report that
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they would wear a helmet more (NHW: 61.4\% vs HW: 13.9\%, p<0.0001),
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and/or cycle less (NHW: 22.5\% vs HW: 4.4\%) if helmet use was
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mandatory.
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Conclusions PBSP users surveyed appear to make deliberate decisions
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regarding helmet use. NHWs tended to be male, slightly younger, and less
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likely to use helmets on their personal bikes. As Toronto cyclists who
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do not wear helmets on PBSP generally do not wear helmets on their
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personal bikes, interventions to increase helmet use should target both
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personal and bike-share users. Legislating helmet use and provision of
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rental helmets could improve helmet use among bike-share users, but our
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results suggest some risk of reduced cycling with legislation.
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Resume
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Contexte Peu d''usagers des services de partage de velos portent le
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casque. Aussi les auteurs ont-ils cherche a caracteriser les habitudes
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du port du casque, les obstacles a son utilisation et les pratiques en
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matiere de securite parmi les usagers du service de partage de velos a
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Toronto.
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Methode Une enquete normalisee a ete menee parmi les usagers du
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programme public de partage de velos (PPPV), a differentes stations,
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choisies selon une repartition semi-aleatoire. Les auteurs, en
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maintenant constant le rapport de un porteur de casque (PC)/deux
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non-porteurs de casques (NPC) par periode d''enquete, ont neutralise les
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variables relatives au lieu, au jour, a l''heure et au temps (conditions
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meteorologiques).
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Resultats L''enquete a porte sur 545 (180 PC; 365 NPC) usagers
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differents, a 48/80 stations, de novembre 2012 a aout 2013. Les femmes
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(F) etaient plus nombreuses que les hommes (H) a porter le casque (F:
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41,1 \%; H: 30,9 \%; p=0,0423). Les NPC etaient un peu plus jeunes que
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les PC (NPC: 34,4 ans en moyenne contre {[}c.] PC: 37,3 ans en moyenne;
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p=0,0018). Par contre, il n''y avait pas de difference entre les groupes
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quant a la situation de l''emploi, aux etudes ou au revenu. Le fait de
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posseder son propre casque etait plus faible parmi les NPC (NPC: 62,4 \%
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c. PC: 99,4 \%; p<0,0001) que parmi les PC, tout comme le fait de
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posseder sa propre bicyclette (NPC: 65,8 \% c. PC: 78,3 \%; p=0,0026).
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Les NPC avaient moins tendance a toujours porter un casque sur leur
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bicyclette personnelle (NPC: 22,2 \% c. PC: 66,7 \%; p<0,0001) et a
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toujours ou presque toujours porter un casque sur les bicyclettes du
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PPPV (NPC: 5,8 \% c. PC: 92,3 \%; p<0,0001). Dans les deux groupes, mais
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davantage dans celui des PC, les cyclistes avaient prevu recourir au
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PPPV au depart de la maison (PC: 97,2 \% c. NPC: 85,2 \%; p<0,0001),
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surtout pour se rendre au travail (PC: 88,3 \% c. NPC: 84,1 \%; p=0,19).
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Les NPC etaient plus nombreux que les PC a indiquer qu''ils porteraient
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le casque plus souvent (NPC: 61,4 \% c. PC: 13,9 \%, p<0,0001) et/ou
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qu''ils feraient moins de bicyclette (NPC: 22,5 \% c. PC: 4,4 \%) si le
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port du casque devenait obligatoire.
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Conclusions Les usagers du PPPV ayant participe a l''enquete semblent
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avoir fait un choix delibere quant au port du casque. Les NPC etaient en
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general des hommes, un peu plus jeunes que les PC et les premiers
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avaient moins tendance que les seconds a porter un casque sur leur
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bicyclette personnelle. Comme les cyclistes qui ne portent pas de casque
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sur les bicyclettes du PPPV n''en portent generalement pas sur leur
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bicyclette personnelle a Toronto, les interventions visant a accroitre
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le port du casque devraient viser autant les proprietaires de bicyclette
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personnelle que les usagers du service de partage de velos. Toutefois,
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le fait d''imposer le port du casque et la fourniture de casques de
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location par voie legislative pourrait certes ameliorer le port du
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casque parmi les usagers du service de partage de velos, mais, d''apres
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les resultats de l''enquete, cela pourrait aussi avoir pour consequence
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de diminuer l''usage de la bicyclette.'
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affiliation: 'Friedman, SM (Corresponding Author), Univ Hlth Network, Dept Emergency
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Med, RFE G S434,200 Elizabeth St, Toronto, ON M5G 2C4, Canada.
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Friedman, Steven Marc; Cleiman, Paula, Univ Hlth Network, Dept Emergency Med, RFE
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G S434,200 Elizabeth St, Toronto, ON M5G 2C4, Canada.
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Friedman, Steven Marc; Adamson, Matthew; Arenovich, Tamara, Univ Toronto, Fac Med,
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Toronto, ON, Canada.
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Oleksak, Karolina; Mohabir, Ishmael Michael, Univ Toronto, Fac Sci, Toronto, ON,
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Canada.
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Ta, Robert, Univ Dublin Trinity Coll, Sch Med, Dublin, Ireland.
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Reiter, Kimberley, Univ Ottawa, Fac Med, Ottawa, ON K1N 6N5, Canada.'
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author: Friedman, Steven Marc and Adamson, Matthew and Cleiman, Paula and Arenovich,
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Tamara and Oleksak, Karolina and Mohabir, Ishmael Michael and Ta, Robert and Reiter,
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Kimberley
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author-email: steven.friedman@uhn.ca
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author_list:
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- family: Friedman
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given: Steven Marc
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- family: Adamson
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given: Matthew
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- family: Cleiman
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given: Paula
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- family: Arenovich
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given: Tamara
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- family: Oleksak
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given: Karolina
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- family: Mohabir
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given: Ishmael Michael
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- family: Ta
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given: Robert
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- family: Reiter
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given: Kimberley
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da: '2023-09-28'
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doi: 10.1017/cem.2015.22
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eissn: 1481-8043
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files: []
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issn: 1481-8035
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journal: CANADIAN JOURNAL OF EMERGENCY MEDICINE
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keywords: bicycle helmets; bicycling Injuries; bike lanes; bike share
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keywords-plus: BICYCLE SAFETY; LEGISLATION; PREVALENCE; VICTORIA; MONTREAL
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '42'
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orcid-numbers: Ta, Robert/0000-0002-2204-1810
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pages: 28-36
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papis_id: 4b57fb5b7471491e11594979cfe1bf83
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ref: Friedman2016helmetwearingpractic
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times-cited: '12'
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title: 'Helmet-Wearing Practices and Barriers in Toronto Bike-Share Users: a Case-Control
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Study'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000368765600004
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usage-count-last-180-days: '0'
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usage-count-since-2013: '28'
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volume: '18'
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web-of-science-categories: Emergency Medicine
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year: '2016'
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