Results The majority of respondents (81.3%) reported that they wear helmets; few of them (32.4%) wearing a helmet consistently. Predictors of helmet use were having a positive attitude, towards helmet use for passengers (p=0.005), protective ability of helmets against head injury (p=0.003), wearing of helmets during the night (p=0.001) and the necessity of wearing helmets even by experienced riders (p=0.000).Commercial motorcyclists who had primary education were more likely to wear helmets than those who had no formal education (AOR 6.146; 95% CI 1.345 to 28.097). No significant difference in helmet wearing between urban and peri-urban areas (p=0.109).
Observations showed that 52.7% were observed wearing helmets and 91.8% of them had no passenger's helmet.
Significance Despite a generally positive attitude towards helmet use, most commercial motorcyclists do not wear helmet consistently. This highlights the need for exploring the factors behind inconsistent helmet use.