title: Effect of a state law on reported bicycle helmet ownership and use.
abstract: OBJECTIVE
  To evaluate the effect of a state law on reported bicycle helmet ownership and use.
  
  
  METHODS
  Multistage cluster random-digit-dialing telephone survey.
  
  
  METHODS
  Georgia, June through November 1993.
  
  
  METHODS
  Adults who reported the behavior of bicyclists 4 through 15 years old.
  
  
  METHODS
  State law mandating helmet use after July 1, 1993, for all bicyclists aged younger than 16 years.
  
  
  METHODS
  Bicycle helmet ownership and use.
  
  
  RESULTS
  Reported helmet ownership increased from 39% before the law took effect to 57% afterward (+ 46%, P = .06). Reported use increased from 33% before to 52% afterward (+ 58%, P < .05). About 7% of riders changed from "never-wearing" to "always-wearing" behavior. After the law took effect, in those households in which the law was known, 69% of riders owned and 64% used a helmet. By comparison, in those households in which the law was not known, only 30% owned and 25% used a helmet (P < .01). Reported ownership and use were 93% concordant, inversely related to rider age, and directly related to household income. Multivariable analysis indicated that race was an effect modifier of reported helmet ownership and use. In black riders, knowledge of the law appeared to be highly associated with both reported helmet ownership and use but was not significant in white riders. In white riders, though age and income were significantly associated with reported helmet ownership and use.
  
  
  CONCLUSIONS
  This law appeared important in increasing reported helmet ownership and use, particularly in black riders. Since knowledge of the law was associated with increased ownership and use, additional publicity about the law might further increase helmet use. Because most riders who owned helmets used them, give-away programs targeting areas of low ownership may also increase use.
authors.affiliation: Division of Unintentional Injury Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
authors.forename: R A
authors.initials: RA
authors.lastname: Schieber
authors.forename: M J
authors.initials: MJ
authors.lastname: Kresnow
authors.forename: J J
authors.initials: JJ
authors.lastname: Sacks
authors.forename: E E
authors.initials: EE
authors.lastname: Pledger
authors.forename: J M
authors.initials: JM
authors.lastname: O'Neil
authors.forename: K E
authors.initials: KE
authors.lastname: Toomey
mesh_terms: D000293:Adolescent; D001741:Black or African American; D000367:Age Factors; D001642:Bicycling / Q000331:legislation & jurisprudence*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005845:Georgia; D006260:Head Protective Devices / Q000706:statistics & numerical data*; D006801:Humans; D007182:Income; D016015:Logistic Models; D008297:Male; D015999:Multivariate Analysis; D012449:Safety / Q000331:legislation & jurisprudence*; D012494:Sampling Studies; D044465:White People