Knowledge, Attitude, and Practice of Using Helmets in Children amongst Parents to Prevent Head Injuries: A Cross-Sectional Study in Riyadh, Saudi Arabia
Objectives: The primary objective was to characterize
the range of Knowledge, Attitude, and Practice (KAP) of Helmet use in children
amongst parents to prevent head injuries and death. Methods: This is a
cross-sectional study, done by online survey using a snowball sampling
technique, the number of included responses were 386 parents (Male and female)
living in Riyadh Aged 21 - 60 years old or above. Results: The study
showed that there is a difference in Parents’ belief in the importance of
helmet use while riding a Bicycle vs Motorcycle/Quad bike and that was affected
by parents’ education level, almost all the people who answered the survey
(76.7%) agree that it is important for their children to wear a helmet when
riding both a Bicycle and a Motorcycle or Quadbike with a cumulative percentage
of (93.8%). And almost all agreed on multiple approaches to help increase
helmet use be it by forcing rental shops to give out helmets, forcing sellers
to recommend the use of helmets, increasing awareness campaigns, and imposing
fines for not wearing helmets. Conclusions: This study is the first to
explore Family helmet use while riding Bicycles and Motorcycles/Quad bikes.
Although Parent’s belief in the importance of helmet use for their children was
high, it is clear that the level of practice is low. With that the risk of head
injuries might be high, our findings suggest that safety interventions for
increasing pediatric helmet use are needed to increase helmet use and reduce
the risk of head injury and hospitalization.
References
[1]
McLean, L., Russell, K., McFaull, S., Warda, L., Tenenbein, M. and McGavock, J. (2017) Age and the Risk of All-Terrain Vehicle-Related Injuries in Children and Adolescents: A Cross Sectional Study. BMC Pediatrics, 17, Article Number: 81.
https://doi.org/10.1186/s12887-017-0807-y
[2]
Mace, S.E., Gerardi, M.J., Dietrich, A.M., Knazik, S.R., Mulligan-Smith, D., Sweeney, R.L. and Warden, C.R. (2001) Injury Prevention and Control in Children. Annals of Emergency Medicine, 38, 405-414.
https://doi.org/10.1067/mem.2001.115882
[3]
Jewett, A., Beck, L.F., Taylor, C. and Baldwin, G. (2016) Bicycle Helmet Use among Persons 5 Years and Older in the United States, 2012. Journal of Safety Research, 59, 1-7. https://doi.org/10.1016/j.jsr.2016.09.001
[4]
Ehrlich, P.F., Longhi, J., Vaughan, R. and Rockwell, S. (2001) Correlation between Parental Perception and Actual Childhood Patterns of Bicycle Helmet Use and Riding Practices: Implications for Designing Injury Prevention Strategies. Journal of Pediatric Surgery, 36, 763-766. https://doi.org/10.1053/jpsu.2001.22955
[5]
Weiss, B.D. (1986) Bicycle Helmet Use by Children. Pediatrics, 77, 677-679.
https://doi.org/10.1542/peds.77.5.677
[6]
Linn, S., Smith, D. and Sheps, S. (1998) Epidemiology of Bicycle Injury, Head Injury, and Helmet Use among Children in British Columbia: A Five-Year Descriptive Study. Injury Prevention, 4, 122-125. https://doi.org/10.1136/ip.4.2.122
[7]
Shafi, S., Gilbert, J.C., Loghmanee, F., Allen, J.E., Caty, M.G., Glick, P.L., Carden, S. and Azizkhan, R.G. (1998) Impact of Bicycle Helmet Safety Legislation on Children Admitted to a Regional Pediatric Trauma Center. Journal of Pediatric Surgery, 33, 317-321. https://doi.org/10.1016/S0022-3468(98)90454-7
[8]
Wymore, C., Denning, G., Hoogerwerf, P., Wetjen, K. and Jennissen, C. (2020) Parental Attitudes and Family Helmet Use for All-Terrain Vehicles and Bicycles. Injury Epidemiology, 7, Article Number 23.
https://doi.org/10.1186/s40621-020-00253-2
[9]
Jantz, P.B. and Trinh, T.L. (2023) Parental Beliefs regarding Adult and Child Motorcycle Helmet-Wearing Practices in Vietnam. Journal of Child Health Care.
https://doi.org/10.1177/13674935221150296
[10]
Robertson, D.W., Lang, B.D. and Schaefer, J.M. (2014) Parental Attitudes and Behaviours Concerning Helmet Use in Childhood Activities: Rural Focus Group Interviews. Accident Analysis & Prevention, 70, 314-319.
https://doi.org/10.1016/j.aap.2014.04.011
[11]
Trinh, T.A. and Le, T.P. (2016) Motorcycle Helmet Usage among Children Passengers: Role of Parents as Promoter. Procedia Engineering, 142, 10-17.
https://doi.org/10.1016/j.proeng.2016.02.007
[12]
Bernstein, J.D., Harper, M.A., Pardi, L.A. and Christopher, N.C. (2003) Parental Knowledge and Children’s Use of Bicycle Helmets. Clinical Pediatrics, 42, 673-677.
https://doi.org/10.1177/000992280304200802
[13]
Miller, P.A., Binns, H.J. and Christoffel, K.K. (1996) Children’s Bicycle Helmet Attitudes and Use: Association with Parental Rules. Archives of Pediatrics & Adolescent Medicine, 150, 1259-1264.
https://doi.org/10.1001/archpedi.1996.02170370037005