Apparently it was a Scandinavian study.
If you want statistics, how about:
Efforts to increase helmet use, whether though legal requirements or promotional campaigns, actually have the effect of reducing cycle use (particularly among teenagers) and increasing injury risks for those who continue cycling.
In places where efforts to increase helmet-wearing (or worse still, laws banning cycling without helmets) have reduced the number of cycle casualties, all evidence suggests that this is because cycle use has fallen, usually by a greater amount than the fall in casualties. This implies not only a loss of valuable health benefits, but also that the risk for those who remain cycling has actually got worse, substantially so in some cases. It follows that there must be hazards associated with helmet wearing, which must equal or outweigh any benefits they may have.
· In the USA, where helmets have been strongly promoted (with compulsion either for children or for all cyclists in certain counties and states), the proportion of cyclists wearing helmets increased from 18% to 50% between 1991 and 2001. However, this coincided not only with a 21% reduction in cycle use but also a 10% increase in the absolute number of head injuries for cyclists, amounting to a 40% increase in cyclists’ head injury rates for those who continue to cycle.
· In Western Australia, cycle use fell by 30-60% after cycle helmets were made compulsory in 1991, whereas cyclists’ head injuries reduced by only 11-21%[/url][ii]. By 2000, cycle use was still 10-20% below its pre-law levels, yet the cyclist proportion of all people hospitalised by serious road crash injuries rose in this period from 17% to 26%[iii] – indicating that the risk of serious injury for cyclists had increased by around one-third.
· In Victoria, Australia, after a law was passed banning cycling without a helmet, the reduction in cyclist admissions to hospital was almost equal for non-head injuries as for head injuries, suggesting that this was related to reduced cycle use[/url][iv] [v]. In Melbourne, the numbers of cyclists observed fell post-law by 24% for adults and 48% for children[vi]. Among those who continued cycling, helmet-wearing rates were lowest among teenagers – just 25% said they wore a helmet whenever they cycled (despite it being illegal not to do so)[vii].
· In New South Wales it is estimated that the overall cycle injury risks for children increased by 68% relative to cycle usage after laws were passed banning cycling without helmets[viii].
· The overall picture from Australia suggests that laws banning cycling without helmets have had no discernable impact on cyclists’ head injury risks[ix].
· In New Zealand (where a widely-obeyed helmet law was introduced in 1994 following extensive helmet promotion), the time spent cycling fell by 34% between 1989/90 and 1997/98[x]. The increase in helmet wearing rates in the run-up to the law’s introduction was found to have had “little association with serious head injuries to cyclists as a percentage of all serious injuries to cyclists”, and that a reduction in mild concussions and lacerations was balanced by an increase in more serious neck injuries[xi]. Although one study found that cyclists’ head injuries fell by 19% after the law’s introduction[xii], re-analysis of the data showed that this was no different for the trend in head injuries of all causes[xiii].
· In Nova Scotia, Canada, helmet wearing rates increased from 36% to 86% in three years as a result of helmet wearing laws. In this time the proportion of cyclists with head injuries halved[xiv], but cycle use fell by 40-60%, i.e. by around the same amount[xv].
· In Britain, there is no law requiring helmet use, but cycle helmet wearing has climbed from very low levels in the mid 1980’s to 16% in 1996[/url][xvi] and then 22% in 1999[/url][xvii]. Between 1985 and 1997, the involvement rate of cycles in reported crashes rose from 462 to 615 per 100m vehicle-km[xviii]. Cycle use has been observed to decline in areas where helmet use is promoted[xix]. It has been found that 12-17 year olds are more resistant to helmet-wearing than younger children or adults[/url][xx].
Consumer Product Safety Commission, reported in New York Times, 29th July 2001. Reproduced at http://www.sptimes.com/News/072901/Worldandnation/Despite_helmets__head.shtml.
[ii] Hendrie D et al (1999). An economic evaluation of the mandatory bicycle helmet legislation in Western Australia. Department of Public Health, University of Western Australia. (see www.officeofroadsafety.wa.gov.au/Facts/papers/bicycle_helmet_legislation.html).
[iii] Gillham C. Mandatory bicycle helmets endanger public health. www.cycle-helmets.com[/url].
[iv] Robinson D L (1996). Head injuries and bicycle helmet laws. Accident analysis and Prevention Vol. 28(4) (For abstract, see www.sciencedirect.com/science/journal/00014575).
[v] Robinson D L (1996). Cycle helmet laws – facts, figures and consequences. Paper to The International Bicycle Conference, Velo Australis, Freemantle, 1996 (see http://www-personal.une.edu.au/~drobinso/velo1/velo.html).
[vi] Finch C et al (1993), Bicycle use and helmet wearing rates in Melbourne, 1987 to 1992: the influence of the helmet wearing law. Report 45, Monash University Accident Research Centre, Melbourne (see www.general.monash.edu.au/muarc/rptsum/ab45.htm).
[vii] Finch C (1996). Teenagers’ attitudes towards bicycle helmets three years after the introduction of mandatory wearing. Monash Univeristy Accident Research Centre, Report 64 (see www.general.monash.edu.au/muarc/rptsum/es64.htm).
[viii] Robinson D (op cit – see reference 10).
[ix] Robinson B (1996). Is There Any Reliable Evidence That Australian Helmet Legislation Works? Proceedings of Velo Australis 1996, Fremantle, Australia (see www.helmets.org/veloaust.htm).
[x] Land Transport Safety Authority (1999). New Zealand Travel Survey Report. LTSA, New Zealand (see www.ltsa.govt.nz/research/travel-survey/).
[xi] Scuffham, PA, Langley (1997), JD. Trends in cycle injury in New Zealand under voluntary helmet uses. Accident Analysis and Prevention Vol. 29(1) (For abstract, see www.sciencedirect.com/science/journal/00014575).
[xii] Scuffham P et al (2000). Head injuries to bicyclists and the New Zealand bicycle helmet law. Accident Analysis and Prevention Vol. 32(4) (for abstract , see www.sciencedirect.com/science/journal/00014575).
[xiii] N Perry. The bicycle helmet legislation, curse of cure? Paper to Cycling 2001 conference (see www.mondrian-script.org/cycling2001/). [xiv] LeBlanc J.C. et al. Effect of legislation on the use of bicycle helmets. Canadian Medical Association Journal, March 5, 2002; 166 (5) (see www.cmaj.ca/cgi/content/full/166/5/592).
[xv] Chipman R (2002). Hats off (or not?) to helmet legislation. Canadian Medical Association Journal: CMAJ 2002;166(5) (see www.cmaj.ca/cgi/content/full/166/5/602).
[xvi] Bryan Brown K & Taylor S. Cycle helmet wearing in 1996. Report 286, TRL (abstract can be viewed from www.trl.co.uk/800/search.asp).
[xvii] Bryan-Brown K & Christie N. Cycle helmet wearing in 1999. Report 487, TRL (abstract can be viewed as above).
[xviii] DETR (1999). Road Accidents Great Britain 1998 (compare with previous editions for years before 1989). The Stationary Office (the most recent data is at www.transtat.dft.gov.uk/tables/2002/ragb/download/tables/xls/table09.xls).
[xix] Bryan Brown K & Taylor S (op cit – see reference 22).
[xx] Taylor S & Halliday M (1996). Cycle helmet wearing in Britain, Report 156, TRL (abstract can be viewed from www.trl.co.uk/800/search.asp).
If you want statistics, how about:
Efforts to increase helmet use, whether though legal requirements or promotional campaigns, actually have the effect of reducing cycle use (particularly among teenagers) and increasing injury risks for those who continue cycling.
In places where efforts to increase helmet-wearing (or worse still, laws banning cycling without helmets) have reduced the number of cycle casualties, all evidence suggests that this is because cycle use has fallen, usually by a greater amount than the fall in casualties. This implies not only a loss of valuable health benefits, but also that the risk for those who remain cycling has actually got worse, substantially so in some cases. It follows that there must be hazards associated with helmet wearing, which must equal or outweigh any benefits they may have.
· In the USA, where helmets have been strongly promoted (with compulsion either for children or for all cyclists in certain counties and states), the proportion of cyclists wearing helmets increased from 18% to 50% between 1991 and 2001. However, this coincided not only with a 21% reduction in cycle use but also a 10% increase in the absolute number of head injuries for cyclists, amounting to a 40% increase in cyclists’ head injury rates for those who continue to cycle.
· In Western Australia, cycle use fell by 30-60% after cycle helmets were made compulsory in 1991, whereas cyclists’ head injuries reduced by only 11-21%[/url][ii]. By 2000, cycle use was still 10-20% below its pre-law levels, yet the cyclist proportion of all people hospitalised by serious road crash injuries rose in this period from 17% to 26%[iii] – indicating that the risk of serious injury for cyclists had increased by around one-third.
· In Victoria, Australia, after a law was passed banning cycling without a helmet, the reduction in cyclist admissions to hospital was almost equal for non-head injuries as for head injuries, suggesting that this was related to reduced cycle use[/url][iv] [v]. In Melbourne, the numbers of cyclists observed fell post-law by 24% for adults and 48% for children[vi]. Among those who continued cycling, helmet-wearing rates were lowest among teenagers – just 25% said they wore a helmet whenever they cycled (despite it being illegal not to do so)[vii].
· In New South Wales it is estimated that the overall cycle injury risks for children increased by 68% relative to cycle usage after laws were passed banning cycling without helmets[viii].
· The overall picture from Australia suggests that laws banning cycling without helmets have had no discernable impact on cyclists’ head injury risks[ix].
· In New Zealand (where a widely-obeyed helmet law was introduced in 1994 following extensive helmet promotion), the time spent cycling fell by 34% between 1989/90 and 1997/98[x]. The increase in helmet wearing rates in the run-up to the law’s introduction was found to have had “little association with serious head injuries to cyclists as a percentage of all serious injuries to cyclists”, and that a reduction in mild concussions and lacerations was balanced by an increase in more serious neck injuries[xi]. Although one study found that cyclists’ head injuries fell by 19% after the law’s introduction[xii], re-analysis of the data showed that this was no different for the trend in head injuries of all causes[xiii].
· In Nova Scotia, Canada, helmet wearing rates increased from 36% to 86% in three years as a result of helmet wearing laws. In this time the proportion of cyclists with head injuries halved[xiv], but cycle use fell by 40-60%, i.e. by around the same amount[xv].
· In Britain, there is no law requiring helmet use, but cycle helmet wearing has climbed from very low levels in the mid 1980’s to 16% in 1996[/url][xvi] and then 22% in 1999[/url][xvii]. Between 1985 and 1997, the involvement rate of cycles in reported crashes rose from 462 to 615 per 100m vehicle-km[xviii]. Cycle use has been observed to decline in areas where helmet use is promoted[xix]. It has been found that 12-17 year olds are more resistant to helmet-wearing than younger children or adults[/url][xx].
Consumer Product Safety Commission, reported in New York Times, 29th July 2001. Reproduced at http://www.sptimes.com/News/072901/Worldandnation/Despite_helmets__head.shtml.
[ii] Hendrie D et al (1999). An economic evaluation of the mandatory bicycle helmet legislation in Western Australia. Department of Public Health, University of Western Australia. (see www.officeofroadsafety.wa.gov.au/Facts/papers/bicycle_helmet_legislation.html).
[iii] Gillham C. Mandatory bicycle helmets endanger public health. www.cycle-helmets.com[/url].
[iv] Robinson D L (1996). Head injuries and bicycle helmet laws. Accident analysis and Prevention Vol. 28(4) (For abstract, see www.sciencedirect.com/science/journal/00014575).
[v] Robinson D L (1996). Cycle helmet laws – facts, figures and consequences. Paper to The International Bicycle Conference, Velo Australis, Freemantle, 1996 (see http://www-personal.une.edu.au/~drobinso/velo1/velo.html).
[vi] Finch C et al (1993), Bicycle use and helmet wearing rates in Melbourne, 1987 to 1992: the influence of the helmet wearing law. Report 45, Monash University Accident Research Centre, Melbourne (see www.general.monash.edu.au/muarc/rptsum/ab45.htm).
[vii] Finch C (1996). Teenagers’ attitudes towards bicycle helmets three years after the introduction of mandatory wearing. Monash Univeristy Accident Research Centre, Report 64 (see www.general.monash.edu.au/muarc/rptsum/es64.htm).
[viii] Robinson D (op cit – see reference 10).
[ix] Robinson B (1996). Is There Any Reliable Evidence That Australian Helmet Legislation Works? Proceedings of Velo Australis 1996, Fremantle, Australia (see www.helmets.org/veloaust.htm).
[x] Land Transport Safety Authority (1999). New Zealand Travel Survey Report. LTSA, New Zealand (see www.ltsa.govt.nz/research/travel-survey/).
[xi] Scuffham, PA, Langley (1997), JD. Trends in cycle injury in New Zealand under voluntary helmet uses. Accident Analysis and Prevention Vol. 29(1) (For abstract, see www.sciencedirect.com/science/journal/00014575).
[xii] Scuffham P et al (2000). Head injuries to bicyclists and the New Zealand bicycle helmet law. Accident Analysis and Prevention Vol. 32(4) (for abstract , see www.sciencedirect.com/science/journal/00014575).
[xiii] N Perry. The bicycle helmet legislation, curse of cure? Paper to Cycling 2001 conference (see www.mondrian-script.org/cycling2001/). [xiv] LeBlanc J.C. et al. Effect of legislation on the use of bicycle helmets. Canadian Medical Association Journal, March 5, 2002; 166 (5) (see www.cmaj.ca/cgi/content/full/166/5/592).
[xv] Chipman R (2002). Hats off (or not?) to helmet legislation. Canadian Medical Association Journal: CMAJ 2002;166(5) (see www.cmaj.ca/cgi/content/full/166/5/602).
[xvi] Bryan Brown K & Taylor S. Cycle helmet wearing in 1996. Report 286, TRL (abstract can be viewed from www.trl.co.uk/800/search.asp).
[xvii] Bryan-Brown K & Christie N. Cycle helmet wearing in 1999. Report 487, TRL (abstract can be viewed as above).
[xviii] DETR (1999). Road Accidents Great Britain 1998 (compare with previous editions for years before 1989). The Stationary Office (the most recent data is at www.transtat.dft.gov.uk/tables/2002/ragb/download/tables/xls/table09.xls).
[xix] Bryan Brown K & Taylor S (op cit – see reference 22).
[xx] Taylor S & Halliday M (1996). Cycle helmet wearing in Britain, Report 156, TRL (abstract can be viewed from www.trl.co.uk/800/search.asp).