title: Employee perception of a mandated helmet policy at Vail Resorts.
abstract: OBJECTIVE
  The purpose of this study was to measure support for a mandated helmet policy among resort employees along with the impact of such a policy on job satisfaction, and additionally, to measure the prevalence of barriers to helmet use among this population.
  
  
  METHODS
  In all, 728 Vail Resort employees were surveyed regarding their opinions on the helmet policy and on general helmet use.
  
  
  RESULTS
  The majority of the 728 employees surveyed (66.5%; 95% CI: 63% to 70%) agreed with the helmet policy. Only 18% (95% CI: 16% to 21%) reported a negative effect on job satisfaction. Older employees (>25 years old) were more likely to disagree with the policy (odds ratio [OR] 3.1; 95% CI: 2.2 to 4.3) and report a negative effect on job satisfaction (OR 4.8; 95% CI: 3.0 to 7.6). Skiers were much more likely than snowboarders to report a negative effect on job satisfaction (OR 9.8; 95% CI: 5.2 to 18.1). Among resort employees, ski patrollers were more likely to disagree with the mandate (OR 9.8; 95% CI: 6.8 to 13.9) and report a negative effect on job satisfaction (OR 13.2; 95% CI: 8.3 to 21.). Forty-three percent of participants (95% CI: 39% to 46%) agreed with the statement that wearing a helmet encourages reckless behavior whereas 51.0% (95% CI: 47% to 54%) believed that wearing a helmet limits sensory perception.
  
  
  CONCLUSIONS
  A mandatory helmet use policy was supported by most resort employees. However, ski patrollers and older, more experienced employees were more likely to report a negative effect on job satisfaction. Barriers to helmet use continue to persist in the ski industry and represent a target for further educational efforts.
authors.affiliation: Department of Emergency Medicine, University of Colorado School of Medicine, Aurora, CO. Electronic address: christopher.davis@ucdenver.edu.
authors.forename: Christopher B
authors.initials: CB
authors.lastname: Davis
authors.forename: Mark R
authors.initials: MR
authors.lastname: Brownson
authors.forename: Brent J
authors.initials: BJ
authors.lastname: Levy
authors.forename: Morgan A
authors.initials: MA
authors.lastname: Valley
authors.forename: Bruce
authors.initials: B
authors.lastname: Evans
authors.forename: Steven R
authors.initials: SR
authors.lastname: Lowenstein
mesh_terms: D000328:Adult; D000368:Aged; D001294:Attitude to Health; D003120:Colorado; D005260:Female; D006260:Head Protective Devices; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D016272:Occupational Health; D016017:Odds Ratio; D011998:Recreation; D012865:Skiing / Q000523:psychology; D011795:Surveys and Questionnaires; D055815:Young Adult
keywords: brain injury; head injury; helmet; skiing; snowboarding