Warda L, Harlos S, Klassen T P, Moffatt M E, Buchan N, Koop V L
University of Manitoba, Winnipeg, Canada.
Inj Prev. 1998 Sep;4(3):198-202. doi: 10.1136/ip.4.3.198.
To describe the patterns of protective equipment use by in-line skaters in Winnipeg, Manitoba and nearby rural communities.
In-line skaters were observed for three months in 1996 at 190 urban and 30 rural sites selected using a formal sampling scheme. Age, gender, protective equipment use, skating companions, correct helmet use, and use of headphones were recorded.
Altogether 123 in-line skaters were observed at 61 sites, including one rural site. No skaters were observed at the remaining sites. There were 37 adults and 86 children; 56% were male. Helmet use was 12.2% (95% confidence interval (CI) = 6.4% to 18.0%), wrist guard use was 16.3% (95% CI = 9.7% to 22.8%), knee pad use was 9.8% (95% CI = 5.2% to 16.4%), and elbow pad use was 7.3% (95% CI = 3.4% to 13.4%). Children were more likely to wear a helmet than teens 12-19 years of age (relative risk (RR) = 30, 95% CI = 4.01 to 225). Adults were more likely to wear wrist guards than children (RR = 4.32, 95% CI = 1.87 to 9.94). No gender differences were found. Incorrect helmet use was documented in four skaters; three skaters were wearing headphones.
Low rates of protective equipment use were documented in our region, significantly lower than those reported in the literature. Barriers to equipment use are not known, and should be examined by further study. In-line skating safety programs should be developed, promoted, and evaluated. Teens should be targeted for future preventive efforts.
描述加拿大曼尼托巴省温尼伯市及附近农村社区直排轮滑者使用防护装备的情况。
1996年，采用正式抽样方案，在190个城市地点和30个农村地点对直排轮滑者进行了为期三个月的观察。记录了年龄、性别、防护装备使用情况、轮滑同伴、头盔正确佩戴情况以及耳机使用情况。
在61个地点共观察到123名直排轮滑者，其中包括1个农村地点。其余地点未观察到轮滑者。有37名成年人和86名儿童；56%为男性。头盔使用率为12.2%（95%置信区间（CI）=6.4%至18.0%），护腕使用率为16.3%（95%CI=9.7%至22.8%），护膝使用率为9.8%（95%CI=5.2%至16.4%），护肘使用率为7.3%（95%CI=3.4%至13.4%）。儿童比12 - 19岁的青少年更有可能佩戴头盔（相对风险（RR）=30，95%CI=4.01至225）。成年人比儿童更有可能佩戴护腕（RR=4.32，95%CI=1.87至9.94）。未发现性别差异。记录到4名轮滑者头盔佩戴不正确；3名轮滑者戴着耳机。
我们地区防护装备使用率较低，显著低于文献报道的水平。装备使用的障碍尚不清楚，应通过进一步研究进行调查。应制定、推广和评估直排轮滑安全计划。未来的预防工作应以青少年为目标。
