Abstract
From 1989 through 1991, a total of 9913 persons in the United States died as a result of crashes while operating or riding motorcycles (1). Although use of motorcycle helmets is an effective means for preventing crash-related fatal injuries (2), 25 states and the District of Columbia have not yet enacted laws requiring the universal use of motorcycle helmets (1). This report describes a study by the University of Wisconsin and the Wisconsin Department of Transportation in which linked police reports and hospital discharge records for 1991 were used to assess the risk for head injury for motorcyclists in motor-vehicle crashes, the initial inpatient hospital charges for motorcyclists with head injuries resulting from crashes, and the reduction in injuries and fatalities associated with universal helmet use.
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