Effect of motorcycle helmet types on head injuries: Evidence from eight level-I trauma centres in Taiwan

Carlos Lam, Bayu Satria Wiratama, Wen Han Chang, Ping Ling Chen, Wen Ta Chiu, Wafaa Saleh, Chih Wei Pai

Research output: Contribution to journalArticle


Background: Motorcycle full-coverage helmet use may reduce fatalities and head injuries. Methods: This retrospective cohort study extracted injury data from eight level-I trauma centres in Taiwan and performed a questionnaire survey to investigate injuries sustained by motorcyclists for the period between January 2015 and June 2017. Results: As many as 725 patients participated in the questionnaire survey and reported their helmet types or phone use during crashes. The results of multivariate logistic models demonstrated that nonstandard helmet (half or open-face helmet) use was associated with an increased risk of head injuries and more severe injuries (injury severity score ≥ 8). Drunk riding and phone use appeared to be two important risk factors for head injuries and increased injury severity. Anaemia was also found to be a determinant of head injuries." Conclusions: Compared to full-coverage helmets, nonstandard provide less protection against head injuries and increased injury severity among motorcyclists.

Original languageEnglish
Article number78
Pages (from-to)78
JournalBMC Public Health
Issue number1
Publication statusPublished - Jan 17 2020



  • Head injury
  • Motorcycle helmet type
  • Motorcyclist injury severity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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