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Motorcycle helmet type and the risk of head injury and neck injury during motorcycle collisions in California
Affiliation:1. University of California Berkeley, United States;2. West Virginia University, United States;1. School of Transportation Science and Engineering, Harbin Institute of Technology, Harbin 150090, China;2. Department of Civil Engineering, University of New Mexico, Albuquerque 87131, USA;1. Health Science at ABC School of Medicine - São Paulo, Brazil;2. School of Public Health at University of São Paulo - São Paulo, Brazil;3. ABC School of Medicine – São Paulo, Brazil;4. Health Science Program at ABC School of Medicine - São Paulo, Brazil;1. Centre for Applied Health Research, St. Joseph’s Care Group, 580 North Algoma Street, Thunder Bay, ON P7B 5G4, Canada;2. Centre for Research on Safe Driving, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada;3. Northern Ontario School of Medicine, Human Sciences Division, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada;4. Department of Psychology, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada;5. Department of Health Sciences, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada;6. School of Nursing, Lakehead University, 955 Oliver Road, Thunder Bay, ON P7B 5E1, Canada;1. Department of Neurosurgery, Faculty of Medicine, Universitas Padjadjaran–Dr. Hasan Sadikin Hospital, Bandung, West Java, Indonesia;2. The Johns Hopkins International Injury Research Unit, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA;1. Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia;2. Department of Orthopaedic Surgery, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania
Abstract:The use of novelty motorcycle helmets is often prompted by beliefs that wearing a standard helmet can contribute to neck injury during traffic collisions. The goal of this analysis was to examine the association between helmet type and neck injury risk and the association between helmet type and head injury. Data were collected during the investigation of motorcycle collisions of any injury severity by the California Highway Patrol (CHP) and 83 local law enforcement agencies in California between June 2012 and July 2013. We estimated head injury and neck injury risk ratios from data on 7051 collision-involved motorcyclists using log-binomial regression. Helmet type was strongly associated with head injury occurrence but was not associated with the occurrence of neck injury. Rider age, rider alcohol use, and motorcycle speed were strong, positive predictors of both head and neck injury. Interventions to improve motorcycle helmet choice and to counteract misplaced concerns surrounding neck injury risk are likely to lead to reductions in head injury, brain injury, and death.
Keywords:Motorcycle  Injury  Helmet  Neck injury  Head injury
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