Advancing Youth Helmet Adoption Through Community-Based Programming

Bicycling provides youth with mobility, independence, and opportunities for physical activity, but head injuries remain a leading risk of biking-related crashes. Helmets are among the most effective tools for preventing serious injury, yet rates of consistent use among children and adolescents remain low and unevenly distributed across demographic groups. This paper reviews evidence on the social, cultural, and structural factors shaping helmet use and examines the role of school-based programs in promoting safer biking practices. Findings indicate that free and subsidized helmet distribution reduces access barriers but requires reinforcement through education and community engagement to sustain long-term use. Safe Routes to School initiatives improve safety and normalize active transportation, while educational campaigns influence knowledge, attitudes, and peer norms, particularly when combined with parental involvement. Equity concerns, including affordability, enforcement, and cultural compatibility, remain central to program design. Overall, the evidence highlights the need for integrated, equity-focused, and sustainable approaches to increase helmet adoption and reduce preventable injuries among young bicyclists.