Shruthi M N, Meundi Anand D, Sushma D
Department of Community Medicine, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India.
Department of Community Medicine, East Point College of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
J Educ Health Promot. 2019 Jan 29;8:24. doi: 10.4103/jehp.jehp_182_18. eCollection 2019.
Wearing helmet during road traffic accidents among motorcycle riders decreases the likelihood of death by 39%. The theory of planned behavior (TPB), a psychological model helps to explain the failure in helmet usage, by assuming a causal chain. The current study was taken up as no studies have elicited the determinants of helmet usage in terms of TPB among health-care providers, the role models for healthful behavior by virtue of their profession in the current urban Indian context.
The aims of the study were (1) to determine the proportion of proper use of helmets and (2) to identify TPB-related factors and other factors influencing the use of helmets.
A cross-sectional study was conducted among 147 students and staff of a tertiary health-care center, Bengaluru, using a pretested, validated, semi-structured, self-administered questionnaire. Convenience sampling was used. Hierarchical regression model was used to explain variation in the scores of helmet-use behavior on the basis of TPB variables. < 0.05 was considered as statistically significant.
About 65% of respondents practiced "proper use" of helmets. Intention, perceived behavioral control (direct), and attitude (indirect) were significant predictors of helmet use ( < 0.05). Mean scores of knowledge on helmet use and behavior showed positive correlation ( > 0.05).
Application of TPB in urban Indian context was successful in identifying precursors of helmet use. This study throws a light on the strong influencers of helmet use which can assist policy developers in developing effective programs to successfully promote the "proper use" of helmets.
在摩托车骑行者发生的道路交通事故中，佩戴头盔可使死亡可能性降低39%。计划行为理论（TPB）是一种心理模型，通过假设一个因果链来帮助解释头盔使用方面的失败情况。由于目前在印度城市背景下，医疗保健提供者作为健康行为的榜样，尚无研究从TPB角度探究头盔使用的决定因素，因此开展了本研究。
本研究的目的是（1）确定正确使用头盔的比例，以及（2）识别与TPB相关的因素和其他影响头盔使用的因素。
在班加罗尔一家三级医疗保健中心的147名学生和工作人员中进行了一项横断面研究，使用预先测试、验证过的半结构化自填问卷。采用便利抽样。使用分层回归模型根据TPB变量解释头盔使用行为得分的变化。P < 0.05被认为具有统计学意义。
约65%的受访者“正确使用”头盔。意图、感知行为控制（直接）和态度（间接）是头盔使用的显著预测因素（P < 0.05）。头盔使用知识得分与行为得分呈正相关（P > 0.05）。
在印度城市背景下应用TPB成功识别了头盔使用的先兆因素。本研究揭示了头盔使用的重要影响因素，可协助政策制定者制定有效方案，以成功推广头盔的“正确使用”。
