Objective: To understand non urban parents' attitudes toward injury pr
evention in general and bicycle safety in particular. Methods: Telepho
ne interviews were conducted with 116 predominantly Hispanic and Angle
parents from three small communities designated as medically underser
ved. Results: Parents were most concerned about harm from a stranger a
nd motor vehicle crashes. They cited helmet cost and lack of traffic w
here their children ride as the predominant reasons they had not purch
ased bicycle helmets for their children. Conclusions: Implications for
developing effective safety interventions, such as convincing parents
about injury risks in non urban areas and considering contextual fact
ors when designing programs, are discussed.