Objective: The use of helmets that do not comply with safety standards is common in California. The objective of this study was to describe the use of these nonstandard helmets among San Francisco Bay–area (SFBA) motorcyclists and to identify personal and motorcycle characteristics that are associated with the use of nonstandard helmets. Methods: A survey of 860 SFBA motorcyclists was conducted. Log-binomial regression was used to estimate risk ratios to compare probabilities of nonstandard helmet use. Results: Fifteen percent of motorcyclists reported wearing a nonstandard helmet sometimes...