The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis
Objective: This systematic review and meta-analysis was undertaken to estimate the effectiveness of motorcycle safety campaigns for increasing helmet use among motorcycle riders and passengers. Methods: PubMed, Scopus, EMBASE, and the Web of Science (WOS) databases were systematically searched up Ju...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-12-01
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| Series: | IATSS Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0386111221000248 |
| _version_ | 1818965034239262720 |
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| author | Maryam Akbari Kamran B. Lankarani Reza Tabrizi Mohebat Vali Seyed Taghi Heydari Seyed Abbas Motevalian Mark J.M. Sullman |
| author_facet | Maryam Akbari Kamran B. Lankarani Reza Tabrizi Mohebat Vali Seyed Taghi Heydari Seyed Abbas Motevalian Mark J.M. Sullman |
| author_sort | Maryam Akbari |
| collection | DOAJ |
| description | Objective: This systematic review and meta-analysis was undertaken to estimate the effectiveness of motorcycle safety campaigns for increasing helmet use among motorcycle riders and passengers. Methods: PubMed, Scopus, EMBASE, and the Web of Science (WOS) databases were systematically searched up June 2020 for all relevant studies. The National Institute of Health (NIH) tool was used to assess the quality of all included studies. Inter-study heterogeneity was measured using the Chi-Squared and I2 statistics, with the odds ratio (OR) being used as a measure of the pooled effect size. Results: Out of the 561 records identified from the literature searches, eight articles (or 11 studies) were eligible for inclusion in the present meta-analysis. Using a random effects model, the results of the meta-analysis demonstrated statistically significant increases in helmet use among motorcycle riders (OR = 4.52, 95% CI: 1.01–20.14, I2 = 99.9%) and passengers (OR = 6.57, 95% CI: 1.41–30.56, I2 = 99.9%). The findings of sensitivity analyses, based on alternative levels of r for imputing the standard error (SE) of the ORs, showed the pooled OR of helmet use among motorcycle riders (r = 0.7; 3.49; 95% CI: 0.78, 16.44; r = 0.9; 3.49; 95% CI: 0.76, 16.11) was sensitive to different levels of r. However, no significant effect was detected on the pooled effect size for different correlation coefficients for motorcycle passengers (r = 0.7; 6.56; 95% CI: 1.59, 27.00; r = 0.9; 6.56; 95% CI: 2.25, 19.13). Increases in helmet use among motorcycle passengers were found in studies that: monitored pre and post campaign periods for longer than one year and were conducted in Thailand or Vietnam. However, the effect of motorcycle safety campaigns on helmet use among motorcycle riders remained significant for all of the different strata included. Conclusion: The present meta-analysis found that motorcycle safety campaigns can lead to a significant increase in helmet use among both motorcycle riders and passengers. Due to the high degree of inter study heterogeneity, these findings should be interpreted with some caution. Despite the apparent favourable influence of motorcycle safety campaigns, more robust research is required. |
| first_indexed | 2024-12-20T13:10:35Z |
| format | Article |
| id | doaj.art-2d18a52548dc4d57b3c47ef8c6b5f2e7 |
| institution | Directory Open Access Journal |
| issn | 0386-1112 |
| language | English |
| last_indexed | 2024-12-20T13:10:35Z |
| publishDate | 2021-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | IATSS Research |
| spelling | doaj.art-2d18a52548dc4d57b3c47ef8c6b5f2e72022-12-21T19:39:40ZengElsevierIATSS Research0386-11122021-12-01454513520The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysisMaryam Akbari0Kamran B. Lankarani1Reza Tabrizi2Mohebat Vali3Seyed Taghi Heydari4Seyed Abbas Motevalian5Mark J.M. Sullman6Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran; Corresponding author at: Health Policy Research Center, Institute of Health, 8th Floor, Building No. 2, School of Medicine, Zand Avenue, Shiraz, IranNoncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, IranDepartment of Epidemiology, Shiraz University of Medical Sciences, Shiraz, IranHealth Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Epidemiology, School of Public Health, Iran University of Medical Sciences, Tehran, IranDepartment of Social Sciences, School of Humanities and Social Sciences, University of Nicosia, Nicosia, CyprusObjective: This systematic review and meta-analysis was undertaken to estimate the effectiveness of motorcycle safety campaigns for increasing helmet use among motorcycle riders and passengers. Methods: PubMed, Scopus, EMBASE, and the Web of Science (WOS) databases were systematically searched up June 2020 for all relevant studies. The National Institute of Health (NIH) tool was used to assess the quality of all included studies. Inter-study heterogeneity was measured using the Chi-Squared and I2 statistics, with the odds ratio (OR) being used as a measure of the pooled effect size. Results: Out of the 561 records identified from the literature searches, eight articles (or 11 studies) were eligible for inclusion in the present meta-analysis. Using a random effects model, the results of the meta-analysis demonstrated statistically significant increases in helmet use among motorcycle riders (OR = 4.52, 95% CI: 1.01–20.14, I2 = 99.9%) and passengers (OR = 6.57, 95% CI: 1.41–30.56, I2 = 99.9%). The findings of sensitivity analyses, based on alternative levels of r for imputing the standard error (SE) of the ORs, showed the pooled OR of helmet use among motorcycle riders (r = 0.7; 3.49; 95% CI: 0.78, 16.44; r = 0.9; 3.49; 95% CI: 0.76, 16.11) was sensitive to different levels of r. However, no significant effect was detected on the pooled effect size for different correlation coefficients for motorcycle passengers (r = 0.7; 6.56; 95% CI: 1.59, 27.00; r = 0.9; 6.56; 95% CI: 2.25, 19.13). Increases in helmet use among motorcycle passengers were found in studies that: monitored pre and post campaign periods for longer than one year and were conducted in Thailand or Vietnam. However, the effect of motorcycle safety campaigns on helmet use among motorcycle riders remained significant for all of the different strata included. Conclusion: The present meta-analysis found that motorcycle safety campaigns can lead to a significant increase in helmet use among both motorcycle riders and passengers. Due to the high degree of inter study heterogeneity, these findings should be interpreted with some caution. Despite the apparent favourable influence of motorcycle safety campaigns, more robust research is required.http://www.sciencedirect.com/science/article/pii/S0386111221000248Motorcycle safety campaignHelmet useMeta-analysis |
| spellingShingle | Maryam Akbari Kamran B. Lankarani Reza Tabrizi Mohebat Vali Seyed Taghi Heydari Seyed Abbas Motevalian Mark J.M. Sullman The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis IATSS Research Motorcycle safety campaign Helmet use Meta-analysis |
| title | The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis |
| title_full | The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis |
| title_fullStr | The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis |
| title_full_unstemmed | The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis |
| title_short | The effect of motorcycle safety campaign on helmet use: A systematic review and meta-analysis |
| title_sort | effect of motorcycle safety campaign on helmet use a systematic review and meta analysis |
| topic | Motorcycle safety campaign Helmet use Meta-analysis |
| url | http://www.sciencedirect.com/science/article/pii/S0386111221000248 |
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