Taylor David McDonald, Bennett Dianne, Carter Michael, Garewal Devinder, Finch Caroline
Royal Melbourne Hospital, Victoria, Australia.
Wilderness Environ Med. 2005 Summer;16(2):75-80. doi: 10.1580/1080-6032(2005)16[75:POSRRT]2.0.CO;2.
To examine the use of protective headgear by surfers, their perceptions of its usefulness, and barriers to its use.
A researcher-administered questionnaire was used to undertake a cross-sectional survey of 646 surfboard riders at 8 popular surfing beaches in Victoria, Australia. The main outcome measures were rate of use of headgear, perceptions of head injury risk relative to a range of other activities, perceptions regarding headgear, and the reasons for not wearing headgear.
Most surfers were men (90.2%), young (mean age 28.2 years), and experienced (mean years of surfing 11.6). Only 245 (38.0%, 95% CI 34.2-41.9) surfers considered the risk of head injury while surfing as moderate or high, and only 12 (1.9%, 95% CI 1.0-3.3) reported routine use of headgear. The surfers were more likely to believe that there was a higher risk of head injury in other sports and physical activities (P < .001). Although 475 surfers (73.8%, 95% CI 70.2-77.1) thought that surfers who wear headgear are less likely to become injured, 400 (62.1%, 95% CI 58.2-65.9) reported that headgear restricted surfing performance and that they would rather surf without it. The main reasons for not wearing headgear were "no need," discomfort, claustrophobia, and effects upon the senses and balance.
Although most surfers acknowledge some risk of head injury, headgear is rarely used and barriers to its use are apparent. Research is required to clarify the risk of head injury among surfers and the effectiveness of headgear in reducing injury risk. Until this evidence is available, educational initiatives, improved headgear design, and profile within the surfing culture would be required to increase rates of wearing headgear.
调查冲浪者使用防护头盔的情况、他们对其有用性的认知以及使用的障碍。
采用由研究人员管理的问卷，对澳大利亚维多利亚州8个热门冲浪海滩的646名冲浪板骑手进行横断面调查。主要结局指标包括头盔使用率、相对于一系列其他活动对头部受伤风险的认知、对头盔的看法以及不戴头盔的原因。
大多数冲浪者为男性（90.2%），年轻（平均年龄28.2岁）且经验丰富（平均冲浪年限11.6年）。只有245名（38.0%，95%可信区间34.2 - 41.9）冲浪者认为冲浪时头部受伤风险为中度或高度，只有12名（1.9%，95%可信区间1.0 - 3.3）报告经常使用头盔。冲浪者更有可能认为在其他运动和体育活动中头部受伤风险更高（P <.001）。尽管475名冲浪者（73.8%，95%可信区间70.2 - 77.1）认为戴头盔的冲浪者受伤可能性较小，但400名（62.1%，95%可信区间58.2 - 65.9）报告头盔限制了冲浪表现，他们宁愿不戴头盔冲浪。不戴头盔的主要原因是“不需要”、不适、幽闭恐惧症以及对感官和平衡的影响。
尽管大多数冲浪者承认存在一定的头部受伤风险，但头盔很少被使用，且使用障碍明显。需要开展研究以阐明冲浪者头部受伤的风险以及头盔在降低受伤风险方面的有效性。在获得这些证据之前，需要开展教育活动并改进头盔设计，以及提高头盔在冲浪文化中的形象，以提高头盔佩戴率。
