{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T02:04:14Z","timestamp":1792116254270,"version":"4.4.0"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n CONTEXT:<\/jats:title>\n Wearing helmet during road traffic accidents among motorcycle riders decreases the likelihood of death by 39%. The theory of planned behavior (TPB), a psychological model helps to explain the failure in helmet usage, by assuming a causal chain. The current study was taken up as no studies have elicited the determinants of helmet usage in terms of TPB among health-care providers, the role models for healthful behavior by virtue of their profession in the current urban Indian context.<\/jats:p>\n <\/jats:sec>\n \n AIMS:<\/jats:title>\n The aims of the study were (1) to determine the proportion of proper use of helmets and (2) to identify TPB-related factors and other factors influencing the use of helmets.<\/jats:p>\n <\/jats:sec>\n \n MATERIALS AND METHODS:<\/jats:title>\n \n A cross-sectional study was conducted among 147 students and staff of a tertiary health-care center, Bengaluru, using a pretested, validated, semi-structured, self-administered questionnaire. Convenience sampling was used. Hierarchical regression model was used to explain variation in the scores of helmet-use behavior on the basis of TPB variables.\n P<\/jats:italic>\n < 0.05 was considered as statistically significant.\n <\/jats:p>\n <\/jats:sec>\n \n RESULTS:<\/jats:title>\n \n About 65% of respondents practiced \u201cproper use\u201d of helmets. Intention, perceived behavioral control (direct), and attitude (indirect) were significant predictors of helmet use (\n P<\/jats:italic>\n < 0.05). Mean scores of knowledge on helmet use and behavior showed positive correlation (\n P<\/jats:italic>\n > 0.05).\n <\/jats:p>\n <\/jats:sec>\n \n CONCLUSIONS:<\/jats:title>\n Application of TPB in urban Indian context was successful in identifying precursors of helmet use. This study throws a light on the strong influencers of helmet use which can assist policy developers in developing effective programs to successfully promote the \u201cproper use\u201d of helmets.<\/jats:p>\n <\/jats:sec>","DOI":"10.4103\/jehp.jehp_182_18","type":"journal-article","created":{"date-parts":[[2024,5,18]],"date-time":"2024-05-18T13:13:34Z","timestamp":1716038014000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":11,"title":["Determinants of helmet use among health-care providers in urban India: Leveraging the theory of planned behavior"],"prefix":"10.4103","volume":"8","author":[{"given":"M.N.","family":"Shruthi","sequence":"first","affiliation":[{"name":"Department of Community Medicine, BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand D.","family":"Meundi","sequence":"additional","affiliation":[{"name":"Department of 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