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检验高山滑雪和单板滑雪中安全头盔的风险补偿假说。

Testing the risk compensation hypothesis for safety helmets in alpine skiing and snowboarding.

作者信息

Scott Michael D, Buller David B, Andersen Peter A, Walkosz Barbara J, Voeks Jennifer H, Dignan Mark B, Cutter Gary R

机构信息

California State University, Communication Arts and Sciences, Chico, California, USA.

出版信息

Inj Prev. 2007 Jun;13(3):173-7. doi: 10.1136/ip.2006.014142.

DOI:10.1136/ip.2006.014142
PMID:17567972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2598370/
Abstract

OBJECTIVE

The prevalence of helmet use by alpine skiers and snowboarders was estimated and self-reports on risk taking were assessed to test for potential risk compensation when using helmets in these sports.

SETTING

Skiers and snowboarders were observed and interviewed at 34 resorts in the western United States and Canada.

SUBJECTS

Respondents were 1779 adult skiers and snowboarders in the 2003 ski season.

OUTCOME MEASURES

Observations of helmet use and questions about perceived speed and degree of challenge when not wearing a helmet (helmet wearers) or in previous ski seasons (non-helmet wearers).

RESULTS

Helmet wearers reported that they skied/snowboarded at slower speeds (OR = 0.64, p<0.05) and challenged themselves less (OR = 0.76, p<0.05) than non-helmet wearers. Adoption of safety helmets in 2003 (23%) continued to increase over 2002 (OR = 0.46, p<0.05) and 2001 (OR = 0.84, p<0.05).

CONCLUSIONS

No evidence of risk compensation among helmet wearers was found. Decisions to wear helmets may be part of a risk reduction orientation. Helmet use continues to trend upwards but adoption may be slowing.

摘要

目的

估计高山滑雪者和单板滑雪者佩戴头盔的普及率,并评估他们关于冒险行为的自我报告,以测试在这些运动中佩戴头盔时是否存在潜在的风险代偿。

地点

在美国西部和加拿大的34个滑雪场对滑雪者和单板滑雪者进行观察和访谈。

对象

2003年滑雪季的1779名成年滑雪者和单板滑雪者。

观察指标

观察头盔佩戴情况,并询问佩戴头盔者不戴头盔时(或非佩戴头盔者在之前滑雪季)对速度和挑战程度的感知。

结果

与未佩戴头盔者相比,佩戴头盔者报告他们滑雪/单板滑雪的速度较慢(比值比[OR]=0.64,P<0.05),且自我挑战较少(OR=0.76,P<0.05)。2003年(23%)佩戴安全帽的比例相较于2002年(OR=0.46,P<0.05)和2001年(OR=0.84,P<0.05)持续上升。

结论

未发现佩戴头盔者存在风险代偿的证据。佩戴头盔的决定可能是降低风险倾向的一部分。头盔使用率持续呈上升趋势,但采用率可能正在放缓。

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本文引用的文献

1
Helmet use and risk of head injuries in alpine skiers and snowboarders.高山滑雪者和单板滑雪者使用头盔与头部受伤风险
JAMA. 2006 Feb 22;295(8):919-24. doi: 10.1001/jama.295.8.919.
2
Randomized trial testing a worksite sun protection program in an outdoor recreation industry.在户外休闲行业对工作场所防晒计划进行的随机试验。
Health Educ Behav. 2005 Aug;32(4):514-35. doi: 10.1177/1090198105276211.
3
Effectiveness of helmets in skiers and snowboarders: case-control and case crossover study.头盔对滑雪者和单板滑雪者的有效性:病例对照和病例交叉研究。
BMJ. 2005 Feb 5;330(7486):281. doi: 10.1136/bmj.38314.480035.7C. Epub 2005 Jan 4.
4
The effect of helmet use on injury severity and crash circumstances in skiers and snowboarders.头盔使用对滑雪者和单板滑雪者受伤严重程度及碰撞情况的影响。
Accid Anal Prev. 2005 Jan;37(1):103-8. doi: 10.1016/j.aap.2004.04.003.
5
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Inj Prev. 2004 Dec;10(6):358-62. doi: 10.1136/ip.2004.005967.
6
The prevalence and predictors of helmet use by skiers and snowboarders at ski areas in western North America in 2001.2001年北美西部滑雪度假区滑雪者和单板滑雪者头盔使用情况及其预测因素。
J Trauma. 2003 Nov;55(5):939-45. doi: 10.1097/01.TA.0000078694.53320.CA.
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An analysis of head injuries among skiers and snowboarders.滑雪者和单板滑雪者头部损伤情况分析。
J Trauma. 2002 Oct;53(4):695-704. doi: 10.1097/00005373-200210000-00013.
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BMJ. 2002 May 11;324(7346):1149-52.