Bicycle helmets and public health in Australia.

ISSUE ADDRESSED To evaluate the effects on public health in Australia of compelling people to wear a bicycle helmet while cycling. METHODS The processes of introducing compulsory wearing of bicycle helmets, evidence of their efficacy relative to scientific knowledge of brain injury, effects of compulsory wearing on public health and official actions to uphold the policy are examined. RESULTS It is shown that action to make the wearing of a bicycle helmet compulsory was a response to fear of death and chronic disability from brain injury, and it was taken at a time when cycling was increasing and the risk of casualty was falling. It appears that governments did not verify the efficacy of helmets and disregarded research which found that they can increase brain injury. After the legislation was introduced, rates of cycling declined sharply with loss of benefits for health, but the risk of casualty increased. CONCLUSIONS Compulsion to wear a bicycle helmet is detrimental to public health in Australia.

[1]  M King,et al.  Bicycle helmet legislation and enforcement in Queensland 1991 to 1993: effects on helmet wearing and crashes , 1993 .

[2]  P. Schnohr,et al.  Changes in leisure-time physical activity and risk of death: an observational study of 7,000 men and women. , 2003, American journal of epidemiology.

[3]  D. L. Robinson.  Safety in numbers in Australia: more walkers and bicyclists, safer walking and bicycling. , 2005, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[4]  R. Denney.  Reducing the Toll of Road Traffic Accidents , 2003, Journal of the Royal Society of Medicine.

[5]  Ian Walker,et al.  Drivers overtaking bicyclists: objective data on the effects of riding position, helmet use, vehicle type and apparent gender. , 2007, Accident; analysis and prevention.

[6]  R Attewell,et al.  Bicycle helmets and injury prevention: A formal review , 2000 .

[7]  Helmets not helpful--an example of poor public policy. , 2005, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[8]  W J Curnow,et al.  Bicycle helmets: lack of efficacy against brain injury. , 2006, Accident; analysis and prevention.

[9]  J P Corner,et al.  MOTORCYCLE AND BICYCLE PROTECTIVE HELMETS: REQUIREMENTS RESULTING FROM A POST CRASH STUDY AND EXPERIMENTAL RESEARCH , 1987 .

[10]  F. T. McDermott,et al.  Helmet efficacy in the prevention of bicyclist head injuries: Royal australasian college of surgeons initiatives in the introduction of compulsory safety helmet wearing in Victoria, Australia , 1992, World Journal of Surgery.

[11]  Brent E Hagel,et al.  A critical examination of arguments against bicycle helmet use and legislation. , 2006, Accident; analysis and prevention.

[12]  M White,et al.  Evaluation of the compulsory helmet wearing legislation for bicyclists in South Australia , 1994 .

[13]  A P Vulcan,et al.  Mandatory bicycle helmet use following a decade of helmet promotion in Victoria, Australia--an evaluation. , 1994, Accident; analysis and prevention.

[14]  Peter Cummings,et al.  Misconceptions regarding case-control studies of bicycle helmets and head injury. , 2006, Accident; analysis and prevention.

[15]  F. Mcdermott,et al.  Do helmet wearing laws prevent bicycle injuries? , 1993, The Medical journal of Australia.

[16]  W J Curnow,et al.  Bicycle helmets and brain injury. , 2007, Accident; analysis and prevention.

[17]  Delia Hendrie,et al.  An economic evaluation of the mandatory bicycle helmet legislation in Western Australia , 1999 .

[18]  W J Curnow,et al.  The efficacy of bicycle helmets against brain injury. , 2003, Accident; analysis and prevention.

[19]  B Dowdell,et al.  Pedal cycle helmet effectiveness: a field study of pedal cycle accidents. , 1998, Accident; analysis and prevention.

[20]  H. Cairns,et al.  Head Injuries in Motor-cyclists: with Special Reference to Crash Helmets , 1943, British medical journal.

[21]  R G Attewell,et al.  Bicycle helmet efficacy: a meta-analysis. , 2001, Accident; analysis and prevention.

[22]  A. Lavigne.  The effect of cholesterol in Alzheimer's disease. , 2005, American journal of Alzheimer's disease and other dementias.

[23]  C. Finch,et al.  BICYCLE USE AND HELMET WEARING RATES IN MELBOURNE, 1987-1992: THE INFLUENCE OF THE HELMET WEARING LAW , 1993 .

[24]  W J Curnow,et al.  The Cochrane Collaboration and bicycle helmets. , 2005, Accident; analysis and prevention.

[25]  M. Schroll,et al.  All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work. , 2000, Archives of internal medicine.