TY  - JOUR
PY  - 2022//
TI  - Effectiveness of a helmet promotion campaign, China
JO  - Bulletin of The World Health Organization
A1  - Ning, Peishan
A1  - Zong, Huiying
A1  - Li, Li
A1  - Cheng, Peixia
A1  - Schwebel, David C.
A1  - Yang, Yang
A1  - Yang, Lei
A1  - Wu, Youyou
A1  - Zhao, Min
A1  - Hu, Guoqing
SP  - 329
EP  - 336
VL  - 100
IS  - 5
N2  - OBJECTIVE: To evaluate the effectiveness of a 2020 nationwide helmet promotion campaign, in terms of helmet wearing and correct helmet wearing, aimed at electric bike riders and motorcyclists in China. <br><br>METHODS: We obtained 192 hours of film of traffic before (2019) and after (2021) implementation of the campaign at eight road intersections in Changsha, recording cyclist (traditional and electric) and motorcyclist helmet-wearing behaviour during both weekdays and the weekend, and peak and off-peak traffic. We extracted data on rider characteristics and helmet-wearing behaviour. We applied a logistic regression to obtain estimates of helmet wearing and correct helmet wearing, and calculated odds ratios adjusted for rider variables. <br><br>FINDINGS: We filmed 11 525 cyclists and motorcyclists, 5256 (45.6%) before and 6269 (54.4%) after the campaign. We estimated a substantial increase in the overall percentage of helmet wearing from 8.8% (95% confidence interval, CI: 8.0-9.6) to 62.0% (95% CI: 60.8-63.2). After controlling for covariates, we noted that helmet wearing increased in all groups. However, we observed a decrease in the overall percentage of correct helmet wearing from 91.9% (95% CI: 89.4-94.3) to 83.5% (95% CI: 82.3-84.7). Post-campaign, we estimated the highest percentage of helmet wearing for delivery riders (88.8%) and lowest for traditional cyclists (3.8%); we estimated the lowest percentage of correct helmet wearing for three-wheeled motorcyclists (58.8%). <br><br>CONCLUSION: To increase helmet wearing and correct helmet wearing, we recommend amending the campaign to include traditional cyclists as well as education and legislation on the correct fastening of helmet chinstraps.<p />  <p>Language: en</p>
LA  - en
SN  - 0042-9686
UR  - http://dx.doi.org/10.2471/BLT.22.287914
ID  - ref1
ER  -