The Implication of Health Belief Model to Promote the Performance of Motorcyclists using Helmets in Markazi Province (Arak) in Iran

Previous studies and reports show that majority of motorcyclists do not use helmet in Iran. The aim of study was to evaluate the performance of motorcycle helmet use based on health belief model in Markazi province in Iran. This cross- sectional study was carried out on 384 subjects selected based on convenience sampling. Participants completed a designed questionnaire on attitudes and behaviors relevant to bicycle helmet use. The mean age of participants was 28. 9 ± 8. 5 years and 42% of drivers were single. There were significant association between performance with perceived severity، benefits، barriers، and motorcyclists’ action (P<0. 05). The barriers of using helmet reported by participants were sweating، hearing disturbance، expensiveness، heaviness، and visual limitation، respectively. In time of study، only 16. 2% of motorcyclists used helmet. Based on our health belief model، 61. 4% of participants believed that education and information are the best method، 22. 7% believed that not users of helmet should pay a penalty، and 15. 9% believed that confine of motorcycle could be effective actions to encourage them to use helmet. According to the results، the helmet use practice was poor and should be increased Meanwhile، the perceived severity should increase especially in young people. The community - based health education programs accompanied with police harsh treatment is necessary.