Farley C, Haddad S, Brown B
Charles LeMoyne Public Health Unit, South Shore Regional Board of Health and Social Services, Montreal, Quebec, Canada.
Am J Public Health. 1996 Jan;86(1):46-51. doi: 10.2105/ajph.86.1.46.
This study assessed the effectiveness of a 4-year program of bicycle helmet promotion that targeted elementary school children in one region of Quebec. The program revolved primarily around persuasive communication and community organization, combining standard educational activities and activities to facilitate helmet acquisition and use.
Helmet use was compared between more than 8000 young cyclists in municipalities exposed or not exposed to the program. Factors influencing helmet use were controlled through the use of multivariate analyses.
Helmet use increased from 1.3% before program implementation to 33% in 1993. The program was clearly effective in most cycling circumstances and for various groups of children. However, the benefits of the program were unequally distributed; the program was one third as effective in poorer municipalities as in "average-rich" ones.
This community-based program that combined various types of activities appeared to be effective. New intervention models are needed to ensure an equitable distribution of benefits.
本研究评估了一项针对魁北克一个地区小学生的为期4年的自行车头盔推广项目的效果。该项目主要围绕说服性沟通和社区组织展开，将标准教育活动与促进头盔购置和使用的活动相结合。
比较了该项目实施地区和未实施地区8000多名年轻骑行者的头盔使用情况。通过多变量分析控制影响头盔使用的因素。
头盔使用率从项目实施前的1.3%增至1993年的33%。该项目在大多数骑行情况下对各类儿童群体显然有效。然而，项目的益处分布不均；在较贫困的市镇，该项目的效果仅为“平均富裕”市镇的三分之一。
这项结合了各类活动的社区项目似乎有效。需要新的干预模式来确保益处的公平分配。
