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Attitudes towards and practice of helmet use among commercial motorcyclists in Dar Es Salaam region, Tanzania
  1. E Mwakapasa1,
  2. A Outwater2
  1. 1Ministry of Health and Social Welfare, School of Operating Theatre Management, Mbeya, Tanzania; 2Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania


    Background The non-use of helmets is a specific factor leading to head injuries resulting from motorcycle crashes.

    Purpose The study's purpose was to explore the commercial motorcyclists' attitude and their practices of helmet wearing.

    Methods A cross-sectional survey was conducted in urban and peri-urban areas of Dar es Salaam region in May, 2011 at 40 randomly selected commercial motorcycle parking points. A total of 273 commercial motorcyclists participated. Face-to-face interviews were performed using a standard questionnaire while observations were conducted using adapted WHO checklist. Data was analysed using SPSS V.16.0.

    Results The majority of respondents (81.3%) reported that they wear helmets; few of them (32.4%) wearing a helmet consistently. Predictors of helmet use were having a positive attitude, towards helmet use for passengers (p=0.005), protective ability of helmets against head injury (p=0.003), wearing of helmets during the night (p=0.001) and the necessity of wearing helmets even by experienced riders (p=0.000).Commercial motorcyclists who had primary education were more likely to wear helmets than those who had no formal education (AOR 6.146; 95% CI 1.345 to 28.097). No significant difference in helmet wearing between urban and peri-urban areas (p=0.109). Observations showed that 52.7% were observed wearing helmets and 91.8% of them had no passenger's helmet.

    Significance Despite a generally positive attitude towards helmet use, most commercial motorcyclists do not wear helmet consistently. This highlights the need for exploring the factors behind inconsistent helmet use.

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