Based upon a review of the literature, claims that bicycle helmets help prevent injury and should be mandated by legislation. Provides evidence of the effectiveness of helmets as well as problems associated with using them. Contains 17 references. (MOK)

Argues for a child-centered approach to thinking about child cycling accidents. Helmets instill a false sense of safety in children and adults, while a profound change in the habits of adults is the only strategy that can protect children from accidents. Suggests steps for local analysis of the problem of cycling accidents. (MOK)