Yadollahi Mahnaz, Farbodan Farshid, Zamani Maryam, Bolandparvaz Shahram
Trauma Research Center, Shahid Rajaee (Emtiaz) Trauma Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
Student Research Committee, Hamadan University of Medical Sciences, Hamadan, Iran.
Bull Emerg Trauma. 2025;13(2):69-75. doi: 10.30476/beat.2025.106268.1585.
This study aimed to identify factors influencing helmet usage behavior among motorcyclists.
A cross-sectional study of injured motorcyclists was conducted at Shahid Rajaee Hospital (Shiraz, Iran), using the convenience sampling method. Data were collected via a structured medical form, and logistic regression with the "Backward" technique was applied to identify risk factors associated with helmet use.
Among 147 patients, 139 (94.55%) were un-helmeted, and 8 (5.45%) were helmeted. The mean age of helmeted riders was 41.46±17.44 years, compared to 29.21±12.23 years for un-helmeted riders. After data balancing, key predictors of helmet use included riding before noon (OR=10.164, 95% CI [4.543, 22.738]), crashes in urban areas (OR=21.740, 95% CI [5.535, 85.383]), absence of head/neck injuries (OR=4.549, 95% CI [2.075, 9.970]), absence of facial injuries (OR=5.108, 95% CI [1.587, 8.694]).
These findings could assist policymakers in understanding helmet usage behavior and increasing helmet usage rates. They also support evidence-based strategies to reduce traffic crashes. Addressing helmet-related discomfort and enhancing public awareness of helmet benefits could significantly reduce motorcycle-related trauma.
本研究旨在确定影响摩托车骑行者头盔使用行为的因素。
在伊朗设拉子的沙希德拉贾伊医院，采用便利抽样法对受伤的摩托车骑行者进行了横断面研究。通过结构化医疗表格收集数据，并运用“向后”技术的逻辑回归来确定与头盔使用相关的危险因素。
在147名患者中，139名（94.55%）未戴头盔，8名（5.45%）戴了头盔。戴头盔骑行者的平均年龄为41.46±17.44岁，未戴头盔骑行者的平均年龄为29.21±12.23岁。数据平衡后，头盔使用的关键预测因素包括中午前骑行（比值比=10.164，95%置信区间[4.543, 22.738]）、市区发生碰撞（比值比=21.740，95%置信区间[5.535, 85.383]）、无头部/颈部损伤（比值比=4.549，95%置信区间[2.075, 9.970]）、无面部损伤（比值比=5.108，95%置信区间[1.587, 8.694]）。
这些发现有助于政策制定者了解头盔使用行为并提高头盔使用率。它们还支持基于证据的减少交通事故的策略。解决与头盔相关的不适问题并提高公众对头盔益处的认识，可显著减少与摩托车相关的创伤。
