Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences (AIIMS), Basni phase 2, Jodhpur, Rajasthan, 342005, India.
Department of Epidemiology, Centre for Public Health, National Institute of Mental Health & Neuro Sciences (NIMHANS), Bengaluru, Karnataka, India.
Environ Health Prev Med. 2020 Sep 4;25(1):47. doi: 10.1186/s12199-020-00888-z.
Helmet use reduces the risk and severity of head injury and death due to road traffic crash among motorcyclists. The protective efficacy of different types of helmets varies. Wearing firmly fastened full-face helmet termed as effective helmet use provides greatest protection. This study estimates the prevalence and factors associated with effective helmet use among motorcyclists in Mysuru, a tier II city in Southern India.
Cross-sectional road side observational study of 3499 motorcyclists (2134 motorcycle riders and 1365 pillion riders) at four traffic intersections was done followed by interview of random sample of 129 of the above riders. Effective helmet use proportion and effective helmet use per 100 person-minute of observation was calculated. Multivariate logistic regression analysis was done to identify factors associated with effective helmet use.
Prevalence of effective helmet use was 28 per 100 riders and 19.5 per 100 person-minute of observation in traffic intersections. Prevalence rates of effective helmet use was higher among riders (34.5% vs pillion riders 18.1%), female riders (51.3% vs male riders 26.8%), and male pillion riders (30.5% vs female pillion riders 13.7%). Riders commuting for work and school and those ever stopped by the police in the past 3 months had significantly higher odds of effective helmet use.
Despite helmet use being compulsory by law for motorcyclists, the effective helmet use was low in Mysore. Strict enforcement and frequent checks by the police are necessary to increase the effective helmet use.
戴头盔可降低摩托车手因道路交通碰撞而导致的头部受伤和死亡风险及严重程度。不同类型的头盔的防护效果不同。佩戴紧固的全脸头盔，即有效使用头盔，提供最大的保护。本研究旨在评估印度南部二级城市迈索尔的摩托车手有效使用头盔的流行率和相关因素。
在四个交通路口对 3499 名摩托车手（2134 名骑摩托车者和 1365 名后座乘客）进行了横断面路边观察研究，随后对上述骑手随机抽取的 129 名进行了访谈。计算有效头盔使用率和每 100 人-分钟观察的有效头盔使用率。采用多变量逻辑回归分析确定与有效头盔使用相关的因素。
在交通路口，有效头盔使用率为每 100 名骑手 28 例，每 100 人-分钟观察 19.5 例。骑手（34.5%比后座乘客 18.1%）、女性骑手（51.3%比男性骑手 26.8%）和男性后座乘客（30.5%比女性后座乘客 13.7%）的有效头盔使用率较高。上下班和上学的骑手以及过去 3 个月内曾被警察拦下的骑手，有效使用头盔的可能性明显更高。
尽管法律规定摩托车手必须戴头盔，但迈索尔的有效头盔使用率仍然很低。需要加强警察的严格执法和频繁检查，以提高有效头盔的使用率。
