Investigation into meta-analysis claims regarding cycle helmets
4Abstract
Table 6 provides 35 examples in differences in behaviour, including 17 alcohol related. Are there other examples that can be added?Cycle helmets are a contentious issue which stems from evidence both for and against their use and the negative effects from when legislation is imposed, which has led to fines for non-wearers, some people cycling less or stopping and health implications.It is very important to understand all the safety, social and legal aspects, so that cycling can be promoted and enjoyed without helmet requirements interfering. Meta-analysis reports by Olivier and Creighton 20171 and Hoye 20182 include studies that compare the proportion of head injuries or other injuries for wearer vs non-wearers. Hoye 20183 also provides an assessment of mandatory helmet legislation. Weaknesses in these approaches stem from the combined effect of issues which affect both the accident rate and head injury rate for helmeted vs non-helmeted or not fully being able to evaluate the differences between the two groups This study provides 35 examples of differences in behaviour and discusses how these differences affect the assessment processes. The meta-analysis claims that helmet use is associated with reductions for head injury,serious head injury, face injury and fatal head injury. When examined in detail, the claims appear to overestimate the value of helmets, due to weaknesses of the supporting evidence and methodology 4. Data on neck injuries shows helmet use increases the risk of a fracture for adults. Hoye’s claims for supporting helmet legislation are unreliable and lack merit. Some evidence suggests helmet use may reduce overall safety.