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Bicycle Helmets and the law: a perfect teaching case for epidemiology

45 点作者 biehl超过 11 年前

9 条评论

awjr超过 11 年前
I think it&#x27;s really important to understand the impact cycle helmets have. They negatively impact the number of people cycling. They enforce the perception that cycling is dangerous. Finally, as the study showed, they are designed to only be involved in an accident between you and the road. Not another vehicle. They bring a false sense of security.<p>If cycle helmets were made compulsory in the UK, it is calculated that an extra 253 people per year would die from obesity related diseases ( <a href="http://www.cyclehelmets.org/1231.html" rel="nofollow">http:&#x2F;&#x2F;www.cyclehelmets.org&#x2F;1231.html</a> ) . Ironically cycle helmets kill.<p>What is interesting about this is the identification of two groups of cyclists. The &#x27;speed&#x27; group who currently wear helmets (and usually have lycra) and then the slow group (the rest of society) who just want to go from A to B. Helmet laws specifically have a negative impact on the slow group. This is the group of people that we need to encourage.<p>As mentioned in the BMJ article ( <a href="http://www.bmj.com/content/346/bmj.f3817?ijkey=I5vHBog6FhaaLzX&amp;keytype=ref" rel="nofollow">http:&#x2F;&#x2F;www.bmj.com&#x2F;content&#x2F;346&#x2F;bmj.f3817?ijkey=I5vHBog6FhaaL...</a> ) : &quot;For others, this is an explicitly political matter, where an emphasis on helmets reflects a seductively individualistic approach to risk management (or even “victim blaming”) while the real gains lie elsewhere. It is certainly true that in many countries, such as Denmark and the Netherlands, cyclists have low injury rates, even though rates of cycling are high and almost no cyclists wear helmets. This seems to be achieved through interventions such as good infrastructure; stronger legislation to protect cyclists; and a culture of cycling as a popular, routine, non-sporty, non-risky behaviour.&quot;<p>This stuff is important. The UK justice system is permeated with the belief that if you were not wearing a helmet then you were, in some way, partially responsible. It&#x27;s got so bad that insurance payouts are being affected by this.<p>Note I personally don&#x27;t wear a cycle helmet except in winter when I want to have a bigger light to see the trail ahead of me as I commute to work. However if I go out on a club ride then I wear one. I&#x27;m pushing the speed of the bike and it could slip out from under me. I do not wear it with the belief it would save me if I had a collision with a car.
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jype超过 11 年前
I&#x27;ve been commuting by bike ( <a href="http://www.youtube.com/watch?v=TgvjnOJwWTU" rel="nofollow">http:&#x2F;&#x2F;www.youtube.com&#x2F;watch?v=TgvjnOJwWTU</a> ) for about 20 years now and I feel that every motor vehicle occupant should be wearing a helmet.<p>The case is quite clear: Most people who die in cars have not had their heads protected by a helmet at the time of the fatal collision. While they might very well be dead regardless, so might the occasional cyclist that got run over by a lorry while not wearing her helmet, so this doesn&#x27;t really enter the argument.<p>When helmets are mandatory for car occupants, I shall laugh at their faces and ask them if they feel any safer crossing the railroad tracks. I&#x27;m also certain my ill manners will improve road safety by a measurable margin.<p>And, of course, I wear a helmet most of the time.
jchrisa超过 11 年前
Our family does without a car and I take my daughter to school or pick her up in my cargo e-bike. Neither my wife or I wear helmets as speeds are slow around here and there are plenty of other family bikers. I think my daughter is safer when I&#x27;m not wearing a helmet, as I can see and hear better and most importantly it&#x27;s easier to make eye contact with drivers when you don&#x27;t have a helmet on.
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shirro超过 11 年前
Bike helmets are mandatory Australia wide and it is enforced. I have no idea if the net effects are positive or negative but the behaviour is so normalised now people rarely question it.<p>I don&#x27;t think it represents a disincentive to people exercising or kids riding to school. It might have when introduced but I suspect other lifestyle changes have more impact. When I was a kid I had to ride a couple of km just to see a computer. I had two television stations and my only electronic game was pong so riding my bike was the only way to stay sane.<p>Where it is a problem is you don&#x27;t carry a helmet around with you so you can&#x27;t just hop on a mates bike or hire a bike without putting someone else&#x27;s helmet on which isn&#x27;t attractive. I have considered hiring a bike when interstate but the helmet thing has always put me off.
dreamdu5t超过 11 年前
I&#x27;ll take responsibility for my life and you busybody do gooders can fuck off.<p>Let&#x27;s make helmets mandatory after we outlaw being a fat fuck and eating like shit.
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angersock超过 11 年前
I am truly baffled at the number of people here against bicycle helmets--have you never had to interact with someone who has suffered brain damage?<p>I&#x27;d wear <i>two</i> damned helmets if it ever saved me being in that position.
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brg超过 11 年前
Cost-benefit analysis and the role of government in personal safety laws is very interesting. One of the best TED talks is Steven Levitt on children&#x27;s car seats. They do not seem to more beneficial than seat belts passed infancy. These are very much related, as BC has increased the age at which children need to be confined to a car seat to 9.<p>Steven Levitt: Surprising stats about child carseats <a href="http://www.ted.com/talks/steven_levitt_on_child_carseats.html" rel="nofollow">http:&#x2F;&#x2F;www.ted.com&#x2F;talks&#x2F;steven_levitt_on_child_carseats.htm...</a>
pconf超过 11 年前
IMO the most important aspect of this whole debate is money. Lots of money is made from manufacturing and selling bicycle helmets. That&#x27;s why the bicycle-naive general population only knows about helmets when asked about bicycle safety.<p>Given that skills training, traffic engineering and other key components of real (i.e., statistically defensible) bicycle safety are not profitable how would you go about fixing this dysfunctional aspect of our automobile-centric cultures?
interstitial超过 11 年前
The government knows what&#x27;s best for you. Stop being so individualistic.