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February 1995

Barriers to Wearing Bicycle Safety Helmets in the Netherlands

Arch Pediatr Adolesc Med. 1995;149(2):174-180. doi:10.1001/archpedi.1995.02170140056009

Objective:  To explore behavioral factors that determine whether children (aged 7 to 13 years) wear bicycle safety helmets.

Design:  Cross-sectional survey.

Setting:  Three Dutch primary schools in Breda, Maastricht, and Terneuzen, the Netherlands.

Participants:  Two hundred fifty-nine children aged 7 to 13 years.

Intervention:  Wearing a bicycle safety helmet for 6 consecutive weeks.

Results:  Information about experiences with the bicycle safety helmet was gathered via questionnaires. Wearing a bicycle safety helmet was described as inconvenient, time-consuming, and uncomfortable. Children also perceived negative reactions from their social environment.

Conclusions:  Planned health promotion activities will be essential for the introduction of bicycle safety helmets to be successful. These activities should focus particularly on developing a comfortable bicycle safety helmet, creating facilities to store bicycle safety helmets, and changing negative social norms regarding wearing a bicycle safety helmet.(Arch Pediatr Adolesc Med. 1995;149:174-180)