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Barriers and Factors Associated With the Use of Helmets by Motorcyclists: A Scoping Review Publisher



Mohammadi E1, 2 ; Azadnajafabad S1, 2 ; Keykhaei M3 ; Shakiba A1 ; Ebrahimi Meimand S4, 5 ; Hosseini Shabanan S4 ; Mahdavi Sharif P1, 4 ; Asgardoon MH1, 6, 7 ; Shafieian M8 ; Ghodsi Z1 ; Heydari ST9 ; Atlasi R10 ; Ansarimoghaddam A11 ; Sharifalhoseini M1 Show All Authors
Authors
  1. Mohammadi E1, 2
  2. Azadnajafabad S1, 2
  3. Keykhaei M3
  4. Shakiba A1
  5. Ebrahimi Meimand S4, 5
  6. Hosseini Shabanan S4
  7. Mahdavi Sharif P1, 4
  8. Asgardoon MH1, 6, 7
  9. Shafieian M8
  10. Ghodsi Z1
  11. Heydari ST9
  12. Atlasi R10
  13. Ansarimoghaddam A11
  14. Sharifalhoseini M1
  15. Oreilly GM12, 13, 14
  16. Rahimimovaghar V1, 7, 15, 16, 17, 18
Show Affiliations
Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Non-communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Feinberg Cardiovascular Research Institute, Northwestern University, Chicago, IL 60611, United States
  4. 4. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Iranian Student Society for Immunodeficiencies, Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Universal Scientific Education and Research Network (USERN), Tehran, Iran
  8. 8. Department of Biomedical Engineering, Amirkabir University of Technology (Tehran Polytechnic), Tehran, Iran
  9. 9. Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran
  10. 10. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  11. 11. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran
  12. 12. School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia
  13. 13. Emergency and Trauma Centre, The Alfred, Melbourne, Australia
  14. 14. National Trauma Research Institute, The Alfred, Melbourne, Australia
  15. 15. Brain and Spinal Cord Injury Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran
  16. 16. Department of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran
  17. 17. Institute of Biochemistry and Biophysics, University of Tehran, Tehran, Iran
  18. 18. Visiting Professor, Spine Program, University of Toronto, Toronto, Canada

Source: Accident Analysis and Prevention Published:2022


Abstract

Road Traffic Injuries (RTIs) have imposed a great global burden on public health. Motorcyclists and pedestrians comprise the most significant proportion of this burden. Several studies have demonstrated a link between helmet wearing and a decline in the impact of RTIs in motorcyclists. In this study, we aimed to review the barriers to helmet utilization by motorcyclists. This scoping review has been conducted in accordance with the guidelines for the systematic review of observational studies and the PRISMA Checklist. The search was conducted by using related keywords in EMBASE, PubMed, Scopus, and Cochrane Library. Four independent reviewers carried out the screening. The main outcomes of interest were barriers to helmet usage among motorcyclists, drawn from the finally included studies. Fifty-three records were selected for data extraction. According to these reports, the barriers and factors associated with helmet usage among motorcyclists were categorized into five entities as: legislations/enforcement strategies, helmet disadvantages (discomfort, visual/auditory blockage, and thermal dysregulation), risky behaviors (riding while drunk or high on drugs), sex and/or age factors, and the location and time of the injury event (rural vs. urban locations, day vs. night riding). From the perspective of policymakers, the findings of this review are of utmost importance and could be used in addressing the challenge of inadequate compliance with helmet use. © 2022 Elsevier Ltd
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