Pierce Samuel R, Palombaro Kerstin M, Black Jill D
1Widener University, Chester, PA, USA.
Health Promot Pract. 2014 May;15(3):406-12. doi: 10.1177/1524839913512329. Epub 2013 Dec 13.
Traumatic brain injury is a leading cause of death in bicycle crashes. The factors associated with bicycle helmet use in young children with diverse ethnic and socioeconomic backgrounds have not been studied. The purpose of this study was to identify barriers to helmet use in young children in an urban elementary school.
Qualitative content analysis with semistructured interviews, observational field notes, and artifacts.
Urban elementary school.
Seventeen students whose age ranged from 5 to 7 years and whose ethnic background was identified as African American (14) or Caucasian (3).
Children participated in a brain safety fair that included presentations and activities. Semistructured, pre- and postexperience interviews were completed. Observations of the students participating in the activities and reflective art projects from the students were collected.
The analysis found the following barriers to helmet use: (a) lack of access to a helmet, (b) poor fit of helmets due to hairstyles, and (c) lack of knowledge regarding helmet use.
The present study suggests that the issue of helmet design and comfort for younger children with variable hairstyles needs to be addressed in order to increase helmet use in this population.
创伤性脑损伤是自行车事故中主要的死亡原因。不同种族和社会经济背景的幼儿使用自行车头盔的相关因素尚未得到研究。本研究的目的是确定城市小学中幼儿使用头盔的障碍。
采用半结构化访谈、实地观察记录和人工制品进行定性内容分析。
城市小学。
17名年龄在5至7岁之间的学生，其种族背景为非裔美国人（14名）或白种人（3名）。
孩子们参加了一个脑安全活动，其中包括讲座和活动。完成了半结构化的活动前和活动后访谈。收集了学生参与活动的观察记录以及学生的反思艺术作品。
分析发现使用头盔存在以下障碍：（a）无法获得头盔，（b）由于发型导致头盔佩戴不合适，（c）缺乏头盔使用知识。
本研究表明，为了提高这一人群的头盔使用率，需要解决头盔设计以及不同发型的年幼儿童佩戴舒适度的问题。
