Psychosocial factors associated with helmet use by adult cyclists

Abstract: This study examines beliefs about helmet use in adult cyclists from 17 countries participating in the COST Action TU1101 Project (Helmet Optimization in Europe – HOPE). A total of 5797 respondents were included in the analysis after applying eligibility criteria and data cleaning. Cyclists' beliefs were assessed by 25 items using a 7-point Likert scale. These items were factor analyzed resulting in a four-factor solution (Factor 1: Perceived Benefits and Risk Reduction, Factor 2: Perceived Disadvantages and Barriers to Helmet Use, Factor 3: Perception of Group Norms, and Factor 4: Situation-Dependence of Helmet Use). Results show that both beliefs and helmet wearing behavior diffe…