Document Type : Original Article

Authors

1 Students Research Committee, School of Meshkin Nursing, Ardabil University of Medical Sciences, Ardabil, Iran

2 Social Determinant of Health Research Center, Ardabil University of Medical Sciences, Ardabil, Iran

3 Social Development and Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran

Abstract

Objective:This study aimed to determine the motivation to helmet use among motorcyclists in Ardabil city using the trans-theoretical model (TTM) motivational interview. Methods: Random cluster sampling was used for this study. Five gas stations were selected from the crowded areas of Ardabil city and motorcyclists who came to these places were randomly interviewed. In this descriptive cross-sectional study, 350 motorcyclists in Ardabil were selected and interviewed by TTM Motivational questionnaire. We used one-way analysis of variance (ANOVA) and linear regression for analysis of data in SPSS software version 20. Results: Findings revealed that 12.6% of respondents consistently wore a helmet when they rode a motorcycle, while 45.2% of helmet non-wearers were uncertain about wearing a helmet in the future. Decisional balance (pros), self-efficacy (decreasing the negative affect situation score), and behavioral process of change can motivate participants to helmet use. Conclusion: Reducing negative social situations and increasing positive emotional states can motivate people to use helmet.

Keywords

Main Subjects

1. World Health Organization (WHO). Global Status Report on Road Safety. WHO; 2018.

2. Barzegar A, Ghadipasha M, Forouzesh M, Valiyari S, Khademi A. Epidemiologic study of traffic crash mortality among motorcycle users in Iran (2011-2017). Chin J Traumatol. 2020;23(4):219-223. doi:10.1016/j. cjtee.2020.05.008.

3. Yadollahi M, Gholamzadeh S. Five-year forecasting deaths caused by traffic accidents in Fars province of Iran. Bull Emerg Trauma 2019; 7(4): 373-80. doi: 10.29252/beat070406.

4. Azami-Aghdash S, Sadeghi-Bazargani H, Shabaninejad H, Abolghasem Gorji H. Injury epidemiology in Iran: a systematic review. J Inj Violence Res 2017; 9(1): 27-40. doi: 10.5249/jivr.v9i1.852.

5. Trifiletti LB, Gielen AC, Sleet DA, Hopkins K. Behavioral and social sciences theories and models: are they used in unintentional injury prevention research? Health Educ Res 2005; 20(3): 298-307. doi: 10.1093/her/cyg126.

6. Bakhtiyari M, Mehmandar MR, Khezeli M, Latifi A, Jouybari TA, Mansournia MA. Estimating the avoidable burden and population attributable fraction of human risk factors of road traffic injuries in iran: application of penalization, bias reduction and sparse data analysis. Int J Inj Contr Saf Promot 2019; 26(4): 405-11. doi: 10.1080/17457300.2019.1660374.

7. Rezapur-Shahkolai F, Khezeli M, Hazavehei SM, Ariapooran S, Soltanian AR, Ahmadi A. The effects of suicidal ideation and constructs of theory of planned behavior on suicidal intention in women: a structural equation modeling approach. BMC Psychiatry 2020; 20(1): 217. doi: 10.1186/ s12888-020-02625-w.

8. Hammond J, Hall S. Using the Transtheoretical Model of Behavior Change to Increase Bicycle Helmet Use. Presented at the annual convention of the International Neuropsychological Society; 2015; Seattle, WA.

9. Glanz K, Rimer BK, Viswanath K. Health Behavior and Health Education: Theory, Research, and Practice. 4th ed. Jossey-Bass; 2008.

10. Narimani S, Farmanbar R, Kazemnejad Leyli E. Predictors of intention to quit smoking among hospital male staff. Journal of Research and Health 2017; 7(2): 674-81.

11. Narimani S, Farmanbar R, Kazemnejad E, Hooshmandi A. Mediating Effects of Self-Efficacy in the Transtheoretical Model among Hospital Male staff of Ardebil University of Medical Sciences in 2014. Biological Forum 2015; 7(2): 806-811.

12. World Health Organization (WHO). Helmets: A Road Safety Manual for Decision-Makers and Practitioners. Geneva, Switzerland: WHO; 2006.

13. Keng SH. Helmet use and motorcycle fatalities in Taiwan. Accid Anal Prev 2005; 37(2): 349-55. doi: 10.1016/j. aap.2004.09.006.

14. Li LP, Li GL, Cai QE, Zhang AL, Lo SK. Improper motorcycle helmet use in provincial areas of a developing country. Accid Anal Prev 2008; 40(6): 1937-42. doi: 10.1016/j.aap.2008.06.019.

15. Adewoye KR, Aremu SK, Olomofe CO, Adeniyi AM, Agbana RD, Abioye OO, et al. The prevalence and determinants of helmet use amongst commercial motorcyclists in Ido-Osi local government area. Arch Environ Occup Health 2020; 75(6): 358-64. doi: 10.1080/19338244.2019.1673692.

16. Armitage CJ, Sheeran P, Conner M, Arden MA. Stages of change or changes of stage? Predicting transitions in transtheoretical model stages in relation to healthy food choice. J Consult Clin Psychol 2004; 72(3): 491-9. doi: 10.1037/0022-006x.72.3.491.

17. Narimani S, Farmanbar R, Mozaffari N, Nemati A, Amani F, Abbasgholizadeh N. Cognitive and behavioral processes and its stages of change for fruit and vegetable consumption among nursing and midwifery staff of Ardabil hospitals, 2016: application of the trans theoretical model. Journal of Health 2018; 9(2): 182-95. doi: 10.29252/j.health.9.2.182. [In Persian].

18. Khosravi A, Emamian MH, Hashemi H, Fotouhi A. Transition in tobacco use stages and its related factors in a longitudinal study. Environ Health Prev Med 2018; 23(1): 39. doi: 10.1186/s12199-018-0728-x.

19. Suh YS, Chung YJ. The effect of nutrition education on the improvement of psychosocial factors related to vegetable and fruit intake of elementary school children in pre-action stages. Korean J Nutr 2009: 43(6):597-606. doi: 10.4163/ kjn.2010.43.6.597.

20. Davidson TL, Jones S, Roy M, Stevenson RJ. The cognitive control of eating and body weight: it’s more than what you “think”. Front Psychol 2019; 10: 62. doi: 10.3389/ fpsyg.2019.00062.