Quoted message said:My teenage son and I have a difference of opinion regarding helmets. I
believe, intuitively (I have not actually done the research yet) that
helmets can make a significant difference to the severity of injury in
the event of an accident. My son believes this is a misconception that
has never been proven, and that it is being strongly advanced by
entities with a vested interest, such as helmet manufacturers. He does
not think that the mere existence of helmet laws constitutes a reason
to always wear one ("There are plenty of bad laws," he says, and he is
right).
He admits that there are many reasons that he does not want to wear a
helmet, that are unrelated to safety (e.g., comfort, convenience), but
believes that for most short-distance bike riding, there is no
objective safety-relatedreason for him to wear a helmet on every single
trip, because (a) the probability of an accident is extremely low, (b)
he "knows how to be careful" and minimize the probability of an
accident, (c) if he were to get into a SERIOUS accident, such as being
RUN OVER by a car, the helmet would not save him anyway, (d) wearing
the helmet does not change the probability of an accident happening.
Sounds like you've raised a very intelligent son.
There is little question that helmet use - or, perhaps more accurately,
forced helmet sales - have been strongly advanced by their
manufacturers. Bell Sports freely admits to having budget for
legislative action, to make their product mandatory. (Can you imagine
the outcry if pharmaceutical companies did that?) Also, they are one
of the major sponsors of Safe Kids Inc, which is one of the major
lobbying organizations for mandatory helmet laws (MHLs).
Point b: The probability of an accident is, indeed, extremely low,
especially if your son does something radical like actually obeying the
laws and minding the condition of the road surface. The fearmongering
regarding bicycling is false. See
http://www.bicyclinglife.com/SafetySkills/SafetyQuiz.htm and check the
references.
In fact, cycling's numbers are better than those for walking, at least
near traffic. (That includes using sidewalks, BTW.)
He's correct on point c, as well. One study of about 20 cycling deaths
in Aukland, NZ (i.e. all the fatalities in the time period under study)
found that all of the non-helmeted cyclists died of multiple injuries,
not simple head injuries, so helmets would not have saved them. Only
one cyclist died of simple head injury, and he was helmeted. (Sage M,
Cairns F, Koelmeyer T, Smeeton W. Fatal injuries to bicycle riders in
Auckland. N Z Med J. 1985;98:1073-4.)
He's apparently wrong on item d, however. Data from several studies
indicates helmeted cyclists are _more_ likely to crash and hit their
heads. Explanations are still being worked out, but it looks like a
combination of risk compensation (google it) and the helmeted head
simply being a bigger target, so to speak.
Overall, despite the intense promotion, radical fearmongering, and
existence of laws, helmets have not been shown to increase bicycling
safety in any significant way. The New York Times had a major article
on this a few years ago. See
http://www.freerepublic.com/forum/a3b63eec01188.htm
The helmet skeptic viewpoint gets little publicity - probably because
there's little money to be made by _not_ selling helmets. But studies
and data showing negligible benefit keep popping up. Also common are
papers that blatantly miscalculate or misinterpret their results,
trying to find benefit. Visit www.cyclehelmets.org for lots of data
and sources.
Another excellent source is
http://chapmancentral.demon.co.uk/Web/public.nsf/Documents/Cycle_Helmets?OpenDocument
(or http://tinyurl.com/oqala) and its sub-pages, esp. the "maxi-FAQ".
There's no shortage of numbers-out-of-context, helmet promotion sites.
I'll let you find those on your own. You can decide which point of
view is stronger.
Incidentally, there was a time I was convinced that bike helmets were
such a good idea that I actually helped promote them. But once I
started reading the research and discussions on the research, I became
skeptical. The more I learned, the less I believed in the utility of
bike helmets, until I turned completely around. I now believe they're
mostly a scam. And that's been the general trend among people who have
actually studied this issue in depth.
- Frank Krygowski