{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T15:53:23Z","timestamp":1784994803074,"version":"3.55.0"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T00:00:00Z","timestamp":1524528000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Injuries involving non\u2010motorised wheeled recreational vehicles (NMWRV) and bicycles are a common cause for hospitalisation in children. Studies show that helmet use whilst bicycle riding can decrease mortality and morbidity due to head injury. However, there remains an important proportion of children who are non\u2010helmet users (NHU). This study aims to investigate helmet use and attitudes and injury patterns in children presenting with trauma after riding bicycles and other NMWRVs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective cohort study was undertaken over 8 months of children aged 0\u201316 years, who presented with injury secondary to bicycle or NMWRV to the emergency department of two tertiary paediatric centres. Demographics, incident, injury severity and attitudes towards helmet use were compared between helmet users and NHU.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 342 children were included \u2013 41% (<jats:italic>n<\/jats:italic> = 139) scooter riders, 39% (<jats:italic>n<\/jats:italic> = 133) bicyclists, 18% (<jats:italic>n<\/jats:italic> = 61) skateboarders and 2% (<jats:italic>n<\/jats:italic> = 9) in\u2010line skaters. Of those interviewed (<jats:italic>n<\/jats:italic> = 161), 58% (<jats:italic>n<\/jats:italic> = 93) wore a helmet, with children riding bicycles significantly more likely to be helmeted than NMWRV (75 vs. 48%, <jats:italic>P<\/jats:italic> = 0.01). NHU were more likely to be admitted to hospital (<jats:italic>P<\/jats:italic> = 0.05) and to sustain a major head injury (<jats:italic>P<\/jats:italic> = 0.009). The main influence on helmet use was parental rules. The biggest factor influencing non\u2010helmet use was perceived low levels of danger.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Despite legislation mandating this, helmet use is not universal in cyclists, particularly younger riders. Even fewer NMWRV riders use them. To promote helmet use, a multifaceted approach aimed at altering community norms and individual behaviours and attitudes is required.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.13925","type":"journal-article","created":{"date-parts":[[2018,4,24]],"date-time":"2018-04-24T21:00:06Z","timestamp":1524603606000},"page":"968-974","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Helmet use in bicycles and non\u2010motorised wheeled recreational vehicles in children"],"prefix":"10.1111","volume":"54","author":[{"given":"Jessica SY","family":"Ong","sequence":"first","affiliation":[{"name":"Department of Surgery Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Trauma Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Surgery Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Brown Group Neuroscience Research Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sannappa V","family":"Soundappan","sequence":"additional","affiliation":[{"name":"Department of Surgery Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Trauma Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Surgery Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Brown Group Neuroscience Research Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Surgery Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Trauma Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Surgery Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Brown Group Neuroscience Research Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Surgery Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Trauma Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Department of Surgery Children's Hospital at Westmead  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health University of New South Wales  Sydney New South Wales Australia"},{"name":"Brown Group Neuroscience Research Australia  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,4,24]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"PointerS.Hospitalised Injury in Children and Young People 2011\u201312. 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