{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,27]],"date-time":"2026-03-27T14:14:31Z","timestamp":1774620871472,"version":"3.50.1"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T00:00:00Z","timestamp":1669593600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Epidemiol Glob Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>In Benin, some riders of two-wheeled vehicles still do not wear helmets, the main protection against head injuries in road accidents. The objective of this study is to describe the characteristics of two-wheeled users, and to determine the factors influencing helmet use among this group.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This is a prospective cross-sectional study of 977 two-wheeled road accident victims from a cohort. Proportions or means were calculated for the different variables. Statistical comparisons were made to test the association with helmet use. Logistic regression modelling was performed to identify factors associated with helmet use.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Among all subjects, 81.1% [CI<jats:sub>95%<\/jats:sub> (78.5; 83.4)] wore a helmet. Factors explaining helmet use were female gender (OR\u2009=\u20092.8 [1.3\u20136.1]), purpose of trip (OR\u2009=\u20091.7 [1.1\u20132.6]), possession of health insurance (OR\u2009=\u20093.7 [1.3\u201310, 5]), having been driving for 15\u201320\u00a0years (OR\u2009=\u20092.6 [1.4\u20134.7]) or more than 20\u00a0years (OR\u2009=\u20093.4 [2.0\u20135.8]), good road conditions (OR\u2009=\u20093.1 [2.0\u20134.8]), and good visibility (OR\u2009=\u20091.9 [1.3\u20133.1]).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The factors influencing helmet use are gender, reason for travel, length of time as a driver, possession of health insurance, conditions, and visibility of the road on which the subject are driving. These factors are related to experience and appropriation of the notion of risk, but also related to the environment. To increase helmet use among two-wheelers, helmet awareness should take into account the individual factors found in this study. Enforcement actions should be strengthened, and the quality of the roads improved.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s44197-022-00077-x","type":"journal-article","created":{"date-parts":[[2022,11,28]],"date-time":"2022-11-28T11:03:37Z","timestamp":1669633417000},"page":"552-559","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Helmet Use Among Two-Wheeler Riders\u2019 Road Accident Victims in Benin"],"prefix":"10.1007","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3379-6151","authenticated-orcid":false,"given":"Bella","family":"Hounkp\u00e8 Dos Santos","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alphonse","family":"Kpozehouen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yolaine","family":"Gl\u00e8l\u00e8 Ahanhanzo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donatien","family":"Daddah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alain","family":"Lev\u00eaque","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yves","family":"Coppieters","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,11,28]]},"reference":[{"key":"77_CR1","unstructured":"WHO. Global status report on road safety 2018. Geneva: World Health Organisation; 2018."},{"key":"77_CR2","unstructured":"Statistiques des accidents de la route de 2011 \u00e0 2016. BENIN: Centre National de S\u00e9curit\u00e9 Routi\u00e8re; 2017."},{"key":"77_CR3","doi-asserted-by":"publisher","first-page":"710","DOI":"10.1016\/j.aap.2009.03.010","volume":"41","author":"MR Lin","year":"2009","unstructured":"Lin MR, Kraus JF. A review of risk factors and patterns of motorcycle injuries. Accident Anal Prev. 2009;41:710\u201322.","journal-title":"Accident Anal Prev"},{"key":"77_CR4","unstructured":"OMS. Plan mondial pour la d\u00e9cennie d\u2019action pour la s\u00e9curit\u00e9 routi\u00e8re, 2011\u20132020. Gen\u00e8ve: Organisation Mondiale de la Sant\u00e9 (OMS); 2011."},{"key":"77_CR5","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1186\/s12199-020-00888-z","volume":"25","author":"NKH Setty","year":"2020","unstructured":"Setty NKH, Sukumar GM, Majgi SM, Goel AD, Sharma PP, Anand MB. Prevalence and factors associated with effective helmet use among motorcyclists in Mysuru City of Southern India. Environ Health Prev Med. 2020;25:47.","journal-title":"Environ Health Prev Med"},{"key":"77_CR6","doi-asserted-by":"crossref","unstructured":"Bachani AM, Hung YW, Mogere S, Akunga D, Nyamari J, Hyder AA. Helmet wearing in Kenya: prevalence, knowledge, attitude, practice and implications. Public health. 2017;144s:S23-s31.","DOI":"10.1016\/j.puhe.2016.12.005"},{"key":"77_CR7","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1080\/17457300.2012.759594","volume":"20","author":"DR Roehler","year":"2013","unstructured":"Roehler DR, Sann S, Kim P, Bachani AM, Campostrini S, Florian M, et al. Motorcycle helmet attitudes, behaviours and beliefs among Cambodians. Int J Inj Contr Saf Promot. 2013;20:179\u201383.","journal-title":"Int J Inj Contr Saf Promot"},{"key":"77_CR8","doi-asserted-by":"publisher","first-page":"438","DOI":"10.11604\/pamj.2015.20.438.5659","volume":"20","author":"CG Kauky","year":"2015","unstructured":"Kauky CG, Kishimba RS, Urio LJ, Abade AM, Mghamba JM. Prevalence of helmet use among motorcycle users in Dar Es Salaam, Tanzania. Pan Afr Med J. 2015;20:438.","journal-title":"Pan Afr Med J"},{"key":"77_CR9","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.ssci.2018.06.019","volume":"109","author":"AKM Tarigan","year":"2018","unstructured":"Tarigan AKM, Sukor NSA. Consistent versus inconsistent behaviour of helmet use among urban motorcyclists in Malaysia. Saf Sci. 2018;109:324\u201332.","journal-title":"Saf Sci"},{"key":"77_CR10","doi-asserted-by":"publisher","first-page":"19122","DOI":"10.5812\/atr.19122","volume":"3","author":"J Faryabi","year":"2014","unstructured":"Faryabi J, Rajabi M, Alirezaee S. Evaluation of the use and reasons for not using a helmet by motorcyclists admitted to the emergency ward of Shahid Bahonar hospital in Kerman. Arch Trauma Res. 2014;3:19122.","journal-title":"Arch Trauma Res."},{"key":"77_CR11","doi-asserted-by":"crossref","unstructured":"Craft G, Van Bui T, Sidik M, Moore D, Ederer DJ, Parker EM, et al. A Comprehensive Approach to Motorcycle-Related Head Injury Prevention: Experiences from the Field in Vietnam, Cambodia, and Uganda. Int J Environ Res Public Health. 2017;14.","DOI":"10.3390\/ijerph14121486"},{"key":"77_CR12","unstructured":"MS. Annuaire des statistiques sanitaires 2020. Benin: Minist\u00e8re de la Sant\u00e9; 2021."},{"key":"77_CR13","doi-asserted-by":"crossref","unstructured":"Gankpe GF, Gankpe EC, Baleba AN, Zinsou L, Mesenge C. Les mutuelles de sant\u00e9 reproduisent-elles les in\u00e9galit\u00e9s de sant\u00e9 au B\u00e9nin? Sante publique (Vandoeuvre-les-Nancy, France). 2018;30:389\u201396.","DOI":"10.3917\/spub.183.0389"},{"key":"77_CR14","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1016\/j.trf.2018.03.028","volume":"56","author":"J Oxley","year":"2018","unstructured":"Oxley J, O\u2019Hern S, Jamaludin A. An observational study of restraint and helmet wearing behaviour in Malaysia. Transp Res F Traffic Psychol Behav. 2018;56:176\u201384.","journal-title":"Transp Res F Traffic Psychol Behav"},{"key":"77_CR15","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1016\/j.jemermed.2009.07.024","volume":"41","author":"CVR Brown","year":"2011","unstructured":"Brown CVR, Hejl K, Bui E, Tips G, Coopwood B. Risk factors for riding and crashing a motorcycle unhelmeted. J Emerg Med. 2011;41:441\u20136.","journal-title":"J Emerg Med"}],"container-title":["Journal of Epidemiology and Global Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s44197-022-00077-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s44197-022-00077-x\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s44197-022-00077-x.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,5]],"date-time":"2022-12-05T15:12:09Z","timestamp":1670253129000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s44197-022-00077-x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,28]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["77"],"URL":"https:\/\/doi.org\/10.1007\/s44197-022-00077-x","relation":{},"ISSN":["2210-6014"],"issn-type":[{"value":"2210-6014","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,28]]},"assertion":[{"value":"27 May 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 November 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 November 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors state that there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of Interest"}},{"value":"Written informed consent was obtained from all subjects included in the study.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to Participate"}},{"value":"This study is part of a doctoral thesis. The thesis project is being submitted to the ethics committee of the University of Parakou (Benin) and approval has already been received.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics Approval"}}]}}