“…However, if the ultimate goal is higher helmet use rates, these activities should be accompanied by helmet legislation. Implementing state, provincial, or local laws is associated with increased helmet use, according to research based on both survey data (Dannenberg, Gielen, Beilenson, Wilson, & Downloaded by [McGill University Library] at 08:38 21 November 2014 Joffe, 1993;Dellinger & Kresnow, 2010;Caplow & Runyan, 1995) and observational data (Dannenber et al, 1993;Karkhaneh, Rowe, Saunders, Voaklander, & Hagel, 2011). Despite the effectiveness of helmet use legislation, and despite strong parental support for legislating bicycle helmets for children (Caplow & Runyan, 1995;Lohse, 2003;Ortega et al, 2004), currently only 22 states (including the District of Columbia) have statewide laws (Bicycle Helmet Safety Institute, 2012).…”