Traffic injury prevention · 2025
Socio-demographic and experiential determinants of observed versus self-reported helmet use among motorcyclists in Northern Ghana: A comparative analysis.
СтатьяСравнительное исследованиеНазвание и аннотация: Перевод в очереди
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Adjei Benjamin Noble, Nakua Emmanuel Kweku, Mock Charles N, Alhassan Mohammed Muhib, Gyaase Daniel, Gbafu Foster Bediako, Enuameh Yeetey Akpe Kwasi, Tetteh Abigail Aban, Kabanunye Moses Musah, Morti Lilian Mawuse, Donkor Peter
Аннотация
OBJECTIVE: This study assessed the socio-demographic and experiential determinants of observed and self-reported helmet use among motorcyclists in northern Ghana.
METHODS: A cross-sectional survey was conducted among 381 motorcyclists at twelve randomly selected fuel stations in Tamale in March-April, 2021. Motorcyclists were first observed on actual helmet use and then interviewed face-to-face. Modified Poisson regression was used to assess the factors associated with observed helmet use, self-reported helmet use, and over-reporting of helmet use.
RESULTS: Observed helmet use was 21.3% while self-reported helmet use was 37.8% and rate of over-reporting was 31.0%. Multivariable analysis revealed the prevalence of helmet use among motorcyclists who had license was twice higher when observed (aPPR (adjusted prevalence rate ratio) =2.14, 95%CI = 1.28-2.59) and 55% higher when self-reported (aPPR = 1.55, 95%CI = 1.13-2.12). Prevalence among those who owned a helmet was twice higher when observed (aPPR = 2.24, 95%CI = 1.05-4.77) and 78% higher when self-reported (aPPR = 1.78, 95%CI = 1.17-2.70). Over-reporting of helmet use was 51% lower among respondents aged 30 to 39 years (aPPR = 0.49, 95%CI = 0.25-0.96) compared with those below 20 years, 54% lower among those who had tertiary education compared with those with no formal education (aPPR = 0.46, 95%CI = 0.23 - 0.93). Over-reporting was 53% higher if the motorcyclist had an additional helmet (aPPR = 1.53, 95%CI = 1.00-2.36).
CONCLUSION: The study reveals a significant disparity between observed and self-reported helmet use; however, possession of rider's license and helmet ownership were significant determinants of both observed and self-reported helmet use. Interventions to promote increased licensing and helmet ownership are warranted.
METHODS: A cross-sectional survey was conducted among 381 motorcyclists at twelve randomly selected fuel stations in Tamale in March-April, 2021. Motorcyclists were first observed on actual helmet use and then interviewed face-to-face. Modified Poisson regression was used to assess the factors associated with observed helmet use, self-reported helmet use, and over-reporting of helmet use.
RESULTS: Observed helmet use was 21.3% while self-reported helmet use was 37.8% and rate of over-reporting was 31.0%. Multivariable analysis revealed the prevalence of helmet use among motorcyclists who had license was twice higher when observed (aPPR (adjusted prevalence rate ratio) =2.14, 95%CI = 1.28-2.59) and 55% higher when self-reported (aPPR = 1.55, 95%CI = 1.13-2.12). Prevalence among those who owned a helmet was twice higher when observed (aPPR = 2.24, 95%CI = 1.05-4.77) and 78% higher when self-reported (aPPR = 1.78, 95%CI = 1.17-2.70). Over-reporting of helmet use was 51% lower among respondents aged 30 to 39 years (aPPR = 0.49, 95%CI = 0.25-0.96) compared with those below 20 years, 54% lower among those who had tertiary education compared with those with no formal education (aPPR = 0.46, 95%CI = 0.23 - 0.93). Over-reporting was 53% higher if the motorcyclist had an additional helmet (aPPR = 1.53, 95%CI = 1.00-2.36).
CONCLUSION: The study reveals a significant disparity between observed and self-reported helmet use; however, possession of rider's license and helmet ownership were significant determinants of both observed and self-reported helmet use. Interventions to promote increased licensing and helmet ownership are warranted.