Helmets for Kids: evaluation of a school based helmet intervention in Cambodia

Details

• Alternative Title:
  Inj Prev
• Personal Author:
  Ederer, David J. ; Bui, Truong Van ; Parker, Erin M. ; Roehler, Douglas R. ; Sidik, Mirjam ; Florian, Michael J. ; Kim, Pagna ; Sim, Sophal ; Ballesteros, Michael F.
• Description:
  Objective
  
  This paper analyses helmet use before and after implementing Helmets for Kids, a school based helmet distribution and road safety programme in Cambodia.
  
  Methods
  
  Nine intervention schools (with a total of 6721 students) and four control schools (with a total of 3031 students) were selected using purposive sampling to target schools where students were at high risk of road traffic injury. Eligible schools included those where at least 50% of students commute to school on bicycles or motorcycles, were located on a national road (high traffic density), had few or no street signs nearby, were located in an area with a history of crash injuries and were in a province where other Cambodia Helmet Vaccine Initiative activities occur. Programme’s effectiveness at each school was measured through preintervention and postintervention roadside helmet observations of students as they arrived or left school. Research assistants conducted observations 1–2 weeks preintervention, 1–2 weeks postintervention, 10–12 weeks postintervention and at the end of the school year (3–4 months postintervention).
  
  Results
  
  In intervention schools, observed student helmet use increased from an average of 0.46% at 1–2 weeks preintervention to an average of 87.9% at 1–2 weeks postintervention, 83.5% at 10–12 weeks postintervention and 86.5% at 3–4 months postintervention, coinciding with the end of the school year. Increased helmet use was observed in children commuting on bicycle or motorcycle, which showed similar patterns of helmet use. Helmet use remained between 0.35% and 0.70% in control schools throughout the study period.
  
  Conclusions
  
  School based helmet use programmes that combine helmet provision and road safety education might increase helmet use among children.
  
  BACKGROUND
  
  RTCs are among the world’s foremost public health problems with 1.24 million deaths and 20–50 million non fatal injuries per year. Road crashes are the eighth leading cause of all deaths globally and the leading cause of death for people aged 15–29 years. [1] Without appropriate and prompt interventions, by 2030, road traffic fatalities are expected to increase to nearly 1.9 million deaths annually. [2, 3] Over 90% of road traffic deaths occur in low income and middle income countries, and fatality risk is expected to rise as low income countries motorise. [1, 4]
  
  
• Subjects:
  Accidents, Traffic Adolescent Article Bicycling Cambodia Child Craniocerebral Trauma Female Head Protective Devices Humans Male Motorcycles Safety School Health Services Schools

  More +
• Source:
  Inj Prev. 22(1):52-58
• Pubmed ID:
  26307107
• Pubmed Central ID:
  PMC6883409
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States ; 1U50DP001117-01/DP/NCCDPHP CDC HHS/United States
• Volume:
  22
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:f8d2b759d2308a1bbb8563e8dde9f60e84ca5f50abc78eeeea74be8ab7a107ae
• Download URL:
  https://stacks.cdc.gov/view/cdc/83434/cdc_83434_DS1.pdf
• File Type:
  [PDF - 547.23 KB ]