title: Motorcycle helmet use in Southern China: an observational study.
abstract: OBJECTIVE
  In China, despite national motorcycle helmet legislation and the known safety benefits of helmets, helmet use remains low. The aim of this study was to determine the rate of motorcycle helmet use and attitudes towards helmet use among drivers and passengers in two cities in Southern China to provide baseline data and scientific evidence for the formulation of an intervention aimed at strengthening road safety law enforcement.
  
  
  METHODS
  Observational sites were randomly selected from three road types (national roads, main streets, and subordinate streets). Observations were conducted during six specified time periods and uniform checklists were used to record helmet use. Motorcycle riders were randomly selected from service stations, elementary schools, and supermarket car parks to participate in a face-to-face interview to ascertain attitudes.
  
  
  RESULTS
  Overall, the rate of correct helmet use among drivers was higher in Chaozhou (34.6%) than in Shantou (30.2%; P < 0.001). Correct helmet use was higher among drivers in main streets, during daytime hours, and during weekdays (P < 0.001). The level of helmet knowledge of motorcycle drivers was high with most reporting that helmets prevent or reduce head injury (Shantou: 78.2%; Chaozhou 70.6%).
  
  
  CONCLUSIONS
  Although level of awareness of the benefits of helmets was high, observed helmet usage was low. These results suggest that there is a need to implement new interventions to increase helmet use.
authors.affiliation: Injury Prevention and Research Center, Medical College of Shantou University, Shantou, Guangdong Province, China. lpli@stu.edu.cn
authors.forename: Gong-Li
authors.initials: GL
authors.lastname: Li
authors.forename: Li-Ping
authors.initials: LP
authors.lastname: Li
authors.forename: Qi-En
authors.initials: QE
authors.lastname: Cai
mesh_terms: D001290:Attitude; D002681:China; D006260:Head Protective Devices / Q000706:statistics & numerical data*; D006801:Humans; D007407:Interviews as Topic; D009049:Motorcycles / Q000331:legislation & jurisprudence*; D019370:Observation