Why Do Some Motorbike Riders Wear a Helmet and Others Don'T? Evidence from Delhi, India

Road traffic accident fatalities lead to important private and social costs in the metropolitan areas of most low and middle income countries. An important share of these fatalities is due to injuries to the head and the neck. Helmets can provide efficient protection, but many drivers do not use them. We focus on helmet use behavior among motorbike users in Delhi. We use a detailed data set collected for the purpose of the study. To guide our empirical analysis, we rely on a model in which drivers decide on self-protection and self-insurance. The empirical findings suggest that risk-averse drivers are more likely to wear a helmet and that this has no systematic effect on speed. Helmet use also increases with education. Drivers who show a higher awareness of road risks seem to be both more likely to wear a helmet and to speed less. Controlling for risk awareness, we observe that drivers tend to compensate between speed and helmet use. The results can provide a basis for awareness-raising policies. They also show that improvements to the road infrastructure risk leading to risk-compensating behavior.

[1]  G. Dionne,et al.  The Impact of Prudence on Optimal Prevention Revisited , 2011 .

[2]  S. Boufous,et al.  Helmets for preventing injury in motorcycle riders. , 2008, The Cochrane database of systematic reviews.

[3]  Mogens Fosgerau,et al.  Workers' marginal costs of commuting , 2008 .

[4]  M. van der Pol,et al.  Is risk attitude outcome specific within the health domain? , 2008, Journal of health economics.

[5]  Harris Schlesinger,et al.  Risk Aversion and the Propensities for Self-Insurance and Self-Protection , 1990 .

[6]  Deepak Agrawal,et al.  Fatal road traffic accidents and their relationship with head injuries: An epidemiological survey of five years , 2008, Indian Journal of Neurotrauma.

[7]  André de Palma,et al.  The merits of separating cars and trucks , 2008 .

[8]  D. Roodman,et al.  Estimating Fully Observed Recursive Mixed-Process Models with Cmp , 2009 .

[9]  I. Ehrlich,et al.  Market Insurance, Self-Insurance, and Self-Protection , 1972, Journal of Political Economy.

[10]  Louis Eeckhoudt,et al.  Self-Insurance, Self-Protection and Increased Risk Aversion , 1984 .

[11]  Kangoh Lee,et al.  Risk Aversion and Self-Insurance-cum-Protection , 1998 .

[12]  Michael T French,et al.  Public policies and motorcycle safety. , 2009, Journal of health economics.

[13]  Steven Peterson,et al.  Are Drivers of Air-Bag-Equipped Cars More Aggressive? A Test of the Offsetting Behavior Hypothesis , 1995, Journal law and economy.

[14]  Tamitza Toroyan,et al.  Global status report on road safety , 2009, Injury Prevention.

[15]  Georges Dionne,et al.  Predicted risk perception and risk-taking behavior: The case of impaired driving , 2007 .

[16]  Anna Alberini,et al.  The value of mortality risk reductions in Delhi, India , 2006 .

[17]  Global Road Safety Partnership Helmets : a road safety manual for decision-makers and practitioners , 2006 .

[18]  A. Falk,et al.  Individual Risk Attitudes: Measurement, Determinants and Behavioral Consequences , 2009 .

[19]  David A. Hofmann,et al.  Risk Compensation: Implications for Safety Interventions , 1996 .

[20]  Carole Treibich,et al.  «Your Money or Your Life !» The Influence of Injury and Fine Expectations on Helmet Adoption among Motorcyclists in Delhi , 2015 .

[21]  Paul L. Zador,et al.  Mandatory Belt Use and Driver Risk Taking , 1984 .

[22]  Patrick S. McCarthy,et al.  Evidence on risk compensation and safety behaviour , 1999 .

[23]  Chiara Orsi,et al.  Barriers and facilitators of helmet use in a Greek sample of motorcycle riders: Which evidence? , 2013 .

[24]  Carole Treibich,et al.  Determinants of road traffic crash fatalities across Indian States. , 2013, Health economics.

[25]  Emmanuel Lagarde,et al.  Risk compensation: a male phenomenon? Results from a controlled intervention trial promoting helmet use among cyclists. , 2012, American journal of public health.

[26]  Self-Insurance: The Case of Motorcycle Helmets , 1996 .

[27]  Gerald J.S. Wilde,et al.  The Theory of Risk Homeostasis: Implications for Safety and Health , 1982 .

[28]  S. Peltzman The Effects of Automobile Safety Regulation , 1975, Journal of Political Economy.

[29]  Mehri Ali,et al.  Determinants of helmet use behaviour among employed motorcycle riders in Yazd, Iran based on theory of planned behaviour. , 2011, Injury.

[30]  Robert S. Chirinko,et al.  BUCKLE UP OR SLOW DOWN? NEW ESTIMATES OF OFFSETTING BEHAVIOR AND THEIR IMPLICATIONS FOR AUTOMOBILE SAFETY REGULATION , 1993 .

[31]  G. Charness,et al.  Strong Evidence for Gender Differences in Risk Taking , 2012 .

[32]  J. Pratt RISK AVERSION IN THE SMALL AND IN THE LARGE11This research was supported by the National Science Foundation (grant NSF-G24035). Reproduction in whole or in part is permitted for any purpose of the United States Government. , 1964 .

[33]  Arno Riedl,et al.  Measuring Time and Risk Preferences: Reliability, Stability, Domain Specificity , 2013, SSRN Electronic Journal.

[34]  Jason M. Fletcher,et al.  Religion and Risky Health Behaviors Among U.S. Adolescents and Adults , 2013 .

[35]  Mahdi Quchaniyan Haqverdi,et al.  Identifying psychological and socio-economic factors affecting motorcycle helmet use. , 2015, Accident; analysis and prevention.

[36]  G Blomquist A utility maximization model of driver traffic safety behavior. , 1986, Accident; analysis and prevention.

[37]  Alan D. Lopez,et al.  Global and regional burden of disease and risk factors, 2001: systematic analysis of population health data , 2006, The Lancet.

[38]  Lukas Menkhoff,et al.  Experimentally Validated Survey Evidence on Individual Risk Attitudes in Rural Thailand , 2013, Economic Development and Cultural Change.

[39]  C. Dolea,et al.  World Health Organization , 1949, International Organization.

[40]  Tom Brijs,et al.  Psychological determinants of motorcycle helmet use among young adults in Cambodia , 2014 .

[41]  O. Lipps,et al.  How Answers on Political Attitudes are Shaped by Interviewers: Evidence from a Panel Survey , 2010 .

[42]  Dinesh Mohan,et al.  Social Cost of Road Traffic Crashes in India 1 , 2002 .

[43]  A K Lund,et al.  Perceived risks and driving behavior. , 1986, Accident; analysis and prevention.

[44]  Levon Barseghyan,et al.  Are Risk Preferences Stable Across Contexts? Evidence from Insurance Data , 2011 .

[45]  Margaret M. Peden,et al.  World Report on Road Traffic Injury Prevention , 2004 .

[46]  D. Scott,et al.  Active-transport walking behavior: destinations, durations, distances , 2013 .

[47]  T. Dee Motorcycle helmets and traffic safety. , 2009, Journal of health economics.

[48]  Todd M. Nesbit,et al.  Automobile Safety Regulation and the Incentive to Drive Recklessly: Evidence from NASCAR , 2007 .

[49]  Millicent Awialie Akaateba,et al.  Correlates and Barriers Associated with Motorcycle Helmet Use in Wa, Ghana , 2015, Traffic injury prevention.

[50]  J. Hartog,et al.  Can We Measure Individual Risk Attitudes in a Survey? , 2010, SSRN Electronic Journal.

[51]  Liran Einav,et al.  How General are Risk Preferences? Choices Under Uncertainty in Different Domains , 2010, The American economic review.