Bicycle helmets and risky behaviour : A systematic review

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http://hdl.handle.net/10138/300222

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Esmaeilikia , M , Radun , I , Grzebieta , R & Olivier , J 2019 , ' Bicycle helmets and risky behaviour : A systematic review ' , Transportation Research. Part F: Traffic Psychology and Behaviour , vol. 60 , pp. 299–310 . https://doi.org/10.1016/j.trf.2018.10.026

Title: Bicycle helmets and risky behaviour : A systematic review
Author: Esmaeilikia, Mahsa; Radun, Igor; Grzebieta, Raphael; Olivier, Jake
Contributor: University of Helsinki, Department of Psychology and Logopedics
Date: 2019-01
Language: eng
Number of pages: 12
Belongs to series: Transportation Research. Part F: Traffic Psychology and Behaviour
ISSN: 1369-8478
URI: http://hdl.handle.net/10138/300222
Abstract: A long-standing argument against bicycle helmet use is the risk compensation hypothesis, i.e., increased feelings of safety caused by wearing a helmet results in cyclists exhibiting more risky behaviour. However, past studies have found helmet wearing is not associated with risky behaviour, e.g., committing a traffic violation was positively associated with a lower frequency of helmet use. There is a lack of consensus in the research literature regarding bicycle helmet use and the risk compensation hypothesis, although this gap in knowledge was identified in the early 2000s. This is the first study to carry out a systematic review of the literature to assess whether helmet wearing is associated with risky behaviour. Two study authors systematically searched the peer-reviewed literature using five research databases (EMBASE, MEDLINE, COMPENDEX, SCOPUS, and WEB OF SCIENCE) and identified 141 unique articles and four articles from other sources. Twenty-three articles met inclusion criteria and their findings were summarised. Eighteen studies found no supportive evidence helmet use was positively associated with risky behaviour, while three studies provided mixed findings, i.e., results for and against the hypothesis. For many of these studies, bicycle helmet wearing was associated with safer cycling behaviour. Only two studies conducted from the same research lab provided evidence to support the risk compensation hypothesis. In sum, this systematic review found little to no support for the hypothesis bicycle helmet use is associated with engaging in risky behaviour. (C) 2018 The Authors. Published by Elsevier Ltd.
Subject: ADOLESCENTS
ALCOHOL-USE
Bicycle helmets
COLLISIONS
COMPENSATION THEORY
CRASH
CYCLISTS
Cycling
HEAD
HOSPITAL RESOURCE USE
Risk compensation
Risky behaviour
SENSATION SEEKING
SEVERE INJURY
Systematic review
515 Psychology
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