Trends in helmet use and head injuries in San Diego County: The effect of bicycle helmet legislation

Ji, Ming; Gilchick, Robert A.; Bender, Stephen J.

doi:10.1016/j.aap.2005.08.002

Cited by 38 publications

(31 citation statements)

References 28 publications

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“…After the implementation of a bicycle helmet law in California, the levying of fines targeted at parents or individuals who did not comply with helmet legislation increased helmet use from 13.2% to 31.7% over a 4-year period. 34 Disputing the possible argument that education alone is sufficient to prevent injury is the trend seen with bicycle helmet use. A pediatric trauma center in Buffalo, New York, which was active in injury prevention education, did not realize a significant rise in helmet use until a bicycle helmet law was enforced, with helmet use increasing from 2% to 26% after legislation and less severe injuries sustained in children wearing helmets and no deaths in the helmeted population.…”

Section: Precedent For Legislative Interventionmentioning

confidence: 99%

Comparative analysis of state-level concussion legislation and review of current practices in concussion

Tomei¹,

Doe²,

Prestigiacomo³

et al. 2012

FOC

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Object Forty-two states and the District of Columbia have passed legislation based on the Lystedt law of Washington state, enacted in 2009 to protect young athletes who have sustained a concussion. The aim of this study was to note the several similarities and differences among the various laws. Methods Concussion legislation was compared for 50 states and the District of Columbia. Evaluation parameters of this study included stipulations of concussion education, criteria for removal from play, requirements for evaluation and return to play after concussion, and individuals required to assess young athletes. Other parameters that were not consistent across states were also noted. Results Forty-three states and the District of Columbia have passed concussion legislation, and an additional 4 states have pending legislation. All states with existing legislation support concussion education for coaches; however, only 48% require coaches to undergo formal education. Athletes must be educated on concussion in 86% of states and parents in 88.7%. Suspicion of concussion is a criterion for removal from play in 75% of states; signs and symptoms of concussion are criteria for removal from play in 16% of states. The individuals allowed to evaluate and clear an athlete for return to play differ greatly among states. Conclusions Injury prevention legislation holds historical precedent, and given the increasing attention to long-term sequelae of repeated head trauma and concussion, concussion legislation has been rapidly passed in 43 states and the District of Columbia. Although the exact stipulations of these laws vary among states, the overall theme is to increase recognition of concussion in young athletes and ensure that they are appropriately cleared for return to play after concussion.

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Section: Precedent For Legislative Interventionmentioning

confidence: 99%

Comparative analysis of state-level concussion legislation and review of current practices in concussion

Tomei¹,

Doe²,

Prestigiacomo³

et al. 2012

FOC

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“…The positive effect on the severity of injury of wearing a helmet when cycling or appropriate restraint of a car passenger has been described by several authors [1,18]. However, despite several prevention initiatives in recent years, only 5.3% of all (A sample) children involved in a bicycle accident wore a helmet (with 34.7% unknown).…”

Section: In View Of Preventionmentioning

confidence: 88%

Paediatric trauma and trauma care in Flanders (Belgium). Methodology and first descriptive results of the PENTA registry

et al. 2008

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Paediatric injury surveillance and prevention are definite priorities for the European, Belgian, and Flemish authorities. Current available data for Flanders (Belgium) are fragmentary and out-of-date. The PENTA registry (PaEdiatric Network around TraumA) was therefore set up to obtain recent population-based data on trauma and trauma care in children and youngsters in Flanders. Data were collected prospectively in a representative sample (n = 18) of Flemish emergency departments (ED). All children (age 0-17 years) who presented at the ED in 2005 or died prehospital due to trauma were included. The registry was split into two levels. The basic A registry ('all' trauma) consisted of 30 variables, and the more exhaustive B registry ('severe trauma', defined as length of hospitalisation >48 hours, including all nonsurvivors) collected data on 291 variables. The incidence for paediatric trauma presenting at Flemish ED was approximately 119/1000/year. Further data were collected in a random sample of 7,879 cases (21.9% of 35,900 eligible patients). Of all cases, 0.8% were considered 'severe' and included in the B registry. In conclusion, the 'burden' of injury in Flanders is still enormous. PENTA provides the first population-based data about the circumstances and the extent of injury in children and youngsters for the Flemish region. In this article we present in detail the surplus value of the methods used, the difficulties encountered, and the most relevant epidemiological findings from the registry.

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“…As illustrated in studies that analyzed both seat belt and bicycle helmet legislation, imposing punitive measures (e.g., fines) increased compliance (Ji, Gilchick, & Bender, 2006;Rivara, Thompson, & Cummings, 1999). Currently, concussion statutes that have penalties for noncompliance are mainly limited to suspension and/or revocation of a coaching permit.…”

Section: Discussionmentioning

confidence: 99%

Legislative Efforts to Reduce Concussions in Youth Sports: An Analysis of State Concussion Statutes

Kim

Connaughton

Spengler³

et al. 2017

Journal of Legal Aspects of Sport

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Sport-related concussions are a serious public health issue. While concussions are prevalent among all age groups, youth sport participants are at a greater risk of sustaining such injury due to their immature brain structure and the lack of concussion management policies at the organizational level compared with those found in intercollegiate and professional sports (Kim, Spengler, & Connaughton, 2016). To address this problem, legislation has been adopted in all 50 states and the District of Columbia to mandate some of the standardized measures of concussion management. The purpose of this study was to review the existing state concussion statutes. The statutes were obtained via the LEXIS/NEXIS and West Law databases. Key categories were selected by the researchers and language was compared among statutes. Although the vast majority of concussion statutes shared some similarities, a comprehensive review revealed wide inconsistencies in language. Suggestions that promote more consistency among statutes on language that is beneficial to the safety of youth, as well as recommendations for possible amendments, are provided in the discussion.

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Trends in helmet use and head injuries in San Diego County: The effect of bicycle helmet legislation

Cited by 38 publications

References 28 publications

Comparative analysis of state-level concussion legislation and review of current practices in concussion

Comparative analysis of state-level concussion legislation and review of current practices in concussion

Paediatric trauma and trauma care in Flanders (Belgium). Methodology and first descriptive results of the PENTA registry

Legislative Efforts to Reduce Concussions in Youth Sports: An Analysis of State Concussion Statutes

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