Reported Seat Belt Use Research Articles

Seat Belt Use Among Adult Workers - 21 States, 2013.

Roadway incidents involving motorized vehicles accounted for 24% of fatal occupational injuries in the United States during 2013 and were the leading cause of fatal injuries among workers.* In 2013, workers' compensation costs for serious, nonfatal injuries among work-related roadway incidents involving motorized land vehicles were estimated at $2.96 billion.(†) Seat belt use is a proven method to reduce injuries to motor vehicle occupants (1). Use of lap/shoulder seat belts reduces the risk for fatal injuries to front seat occupants of cars by 45% and the risk to light truck occupants by 60%.(§) To characterize seat belt use among adult workers by occupational group, CDC analyzed data from the 2013 Behavioral Risk Factor Surveillance System (BRFSS) and found that not always using a seat belt was significantly associated with occupational group after controlling for factors known to influence seat belt use. Occupational groups with the highest prevalences of not always using a seat belt included construction and extraction; farming, fishing, and forestry; and installation, maintenance, and repair. To increase seat belt use among persons currently employed, states can enact and enforce primary seat belt laws, employers can set and enforce safety policies requiring seat belt use by all vehicle occupants, and seat belt safety advocates can target interventions to workers in occupational groups with lower reported seat belt use.

Surveillance for Certain Health Behaviors, Chronic Diseases, and Conditions, Access to Health Care, and Use of Preventive Health Services Among States and Selected Local Areas - Behavioral Risk Factor Surveillance System, United States, 2012.

Surveillance for Certain Health Behaviors, Chronic Diseases, and Conditions, Access to Health Care, and Use of Preventive Health Services Among States and Selected Local Areas - Behavioral Risk Factor Surveillance System, United States, 2012.

Geographic and sociodemographic variation in self-reported seat belt use in the United States

Background With new data available, we sought to update existing literature on the prevalence of self-reported seat belt use by state, region, and rural/urban status and to estimate the strength of the association between seat belt use and rural/urban status adjusted for type of seat belt law and several other factors. Methods We examined data on self-reported use of seat belts from 50 states, the District of Columbia, and three territories using the 2008 Behavioral Risk Factor Surveillance System, a state-based random-digit-dialed telephone survey ( n = 406,552). Reported seat belt use was assessed by state, U.S. Census regions, and U.S. Department of Agriculture (USDA) rural/urban continuum codes. Results Overall, 85% of adults in the United States reported they always used seat belts. Regionally, the West had the highest prevalence of persons who reported that they always wear seat belts (89.6%) and the Midwest had the lowest (80.4%). States with primary seat belt laws had the highest prevalence of reported seat belt use, compared with states with secondary or no laws. After adjusting for various sociodemographic characteristics, body mass index, and type of seat belt law, persons in the most densely populated metropolitan areas were significantly more likely to report always wearing seat belts than those in most sparsely populated rural areas (adjusted odds ratio = 2.9). Conclusion Our findings reinforce the evidence that primary enforcement seat belt laws are effective for increasing seat belt use, and suggest that upgrading to primary enforcement laws will be an important strategy for reducing crash-related fatalities in rural areas.

Why Turks do not use seat belts? An interview study

Despite the effectiveness of seat belt use and legislation, seat belt use rate is low in Turkey. The aim of this study was to investigate the motives to use and not to use a seat belt in different traveling conditions in a sample of car drivers and passengers. Interviews were made face to face with 221 interviewees from different age and occupation groups. Frequently reported reasons for using a seat belt were traveling conditions, safety, situational conditions, habit of using a seat belt, and avoiding punishment. Frequently reported reasons for not using a seat belt were situational conditions, not believing in the effectiveness, discomfort and having no habit. Safety was the strongest predictor of reported seat belt use in both low and high risk traveling conditions. Findings suggest that seat belt campaigns should mainly emphasize seat belt's safety impact and aim at habit formation.

Seatbelt use, attitudes, and changes in legislation: An international study

Background The use of seat belts is among the most effective methods of reducing injury in motor vehicle crashes. We examined trends in seat belt use by university students from 13 European countries between 1990 and 2000, in relation to changes in legislation, attitudes, and hazardous driver behaviors. Methods Data were collected via an anonymous standardized questionnaire from university students in Belgium, England, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, the Netherlands, Poland, Portugal, and Spain. There were 10,576 respondents in 1990, and 10,294 in 2000. Data were also collected from 1672 students in the United States in 2000. Analyses were performed in early 2002. Results Reported seat belt use increased from 63% to 73% in male students, and from 66% to 77% in female students over the decade. There were marked increases in seat belt use in countries with changes in legislation or enforcement from 1990 to 2000, with 24% to 64% more respondents reporting seat belt use in 2000. The prevalence of use and noted changes during this period correlated with findings from national surveys ( r= 0.91). Attitudes to seat belt use were associated with behavior both within and between countries. Nonuse of seat belts was positively related to alcohol-impaired driving and failure to obey speed limits. Conclusions Legislation has a substantial impact on the use of vehicle seat belts, but additional gains require efforts to change attitudes within the university student population.

The influence of demographic factors on seatbelt use by adults injured in motor vehicle crashes

This study determined demographic factors associated with reported seatbelt use among injured adults admitted to a trauma center. A retrospective chart review was conducted including all patients admitted to a trauma center for injuries from motor vehicle crashes (MVC). E-codes (i.e. ICD-9 external cause of injury codes) were used to identify all patients injured in a MVC between January 1995 and December 1997. Age, sex, race, residence zip code (i.e. a proxy for income based on geographic location of residence), position in the vehicle, and seatbelt use were obtained from the trauma registry. Forward logistic regression was used to identify significant predictors of seatbelt use. Complete data was available for 1366 (82%) patients. Seatbelt use was reported for 45% of patients under age of 25 years, 52% of those 25–60 years, and 68% of those over 60 years. Overall, seatbelt use was reported for 45% of men and 63% of women, as well as for 56% of Caucasians (i.e. Whites) and 34% of African Americans. In addition, seatbelt use was reported for 33% of those earning less than $20,000 per year and 55% of those earning over $20,000. Finally, seatbelt use was reported for 57% of drivers and 43% of passengers. Logistic regression revealed that age, female gender, Caucasian race, natural log of income, and driver were all significant predictors of reported seatbelt use. These results show that seatbelt use was more likely to be reported for older persons, women, Caucasians, individuals with greater incomes, and drivers. Seatbelt use should be encouraged for everyone; however, young people, men, African Americans, individuals with lower incomes, and passengers should be targeted specifically.

The validity of self-reported seatbelt use: Hispanic and non-Hispanic drivers in El Paso

The validity of self-reported seatbelt use among low belt use populations has not been evaluated directly, despite the importance of such data for estimating the effectiveness of community-wide interventions and compliance with state laws. To address this gap in knowledge 612 drivers were recruited from convenience stores located in 12 randomly generated zip code areas located in El Paso, TX. Self-reported seatbelt use was compared with observed seatbelt use in a single sample of participants. Both data sets were collected almost contemporaneously and no participant was aware of having their seatbelt use observed. Hispanic ( n=388) and white/non-Hispanic ( n=126) drivers over reported seatbelt use by 27 and 21%, respectively. These findings suggest that response bias within low belt use populations may be greater than suggested by state and national data.

Motor Vehicle Crash Injury Patterns and the Virginia Seat Belt Law

Injuries to front seat occupants in tow-away crashes in the Charlottesville, Va, area were compared for 1 year before and 1 year after Virginia's seat belt use law took effect. Vehicle and occupant data were combined to examine crash and injury patterns. Reported seat belt use in crashes increased after the law, and there were substantial decreases in injuries. Front seat occupants were less likely to receive medical treatment following a crash in the postlaw period. The reduction in the number of injuries was greater for passengers in the right front seat than for drivers and for frontal crashes than for other types of crashes. The injury reduction effects occurred primarily through reductions in the number of head and face injuries, particularly those that occur from contact with windshields and instrument panels.

The effects of mandatory seat belt legislation on self-reported seat belt use among male and female college students

The effect of seat belt legislation on self-reported seat belt use among male and female college students was investigated. Questionnaires inquiring about seat belt use were administered to college students on three separate occasions: (i) two months prior to the time a mandatory seat belt law went into effect, (ii) two months after the law went into effect, and (iii) 16 months after the law went into effect. Reported seat belt use increased significantly for male and female college students two months after the law took effect. At 16 months postlaw, reported seat belt use remained high for female students but declined almost to the prelaw level for males. Possible reasons offered for these findings are that male college students may be more resistant to having their behavior regulated and, therefore, less likely to internalize changes forced on them, and college-age males may be more inclined to engage in risk-taking behavior than college-age females. The importance of considering males and females separately with respect to seat belt use and interventions designed to increase seat belt use is discussed.

Children's seatbelt usage: evidence from the National Health Interview Survey.

Data from the 1981 Child Health Supplement to the National Health Interview Survey were used to examine relationships between family and child characteristics and regular use of seatbelts or child restraints. Only for a third of children less than seven years old was regular seatbelt use reported. They were more likely to be used for infants and younger children than for older children; for a given child's age, older mothers were more likely to report seatbelt use by their children. Hispanics and Blacks reported lower rates of seatbelt use than White non-Hispanics, and usage rates were higher when mothers had more education. In a multivariate analysis, the effects of race, ethnicity, family income, urban residence, and child's age remained. A positive association with reported seatbelt use was found for such health-promoting behaviours as breastfeeding and abstinence from smoking during pregnancy.

Correlates of reported attitude towards and use of seat belts

This paper examines the relationships among self-reported seat-belt use, attitudes towards compulsory seat-belt use, and individual differences dimensions in samples of 91 females and 89 males ranging in age from 18 to 24 yr. The results show (a) support for the compulsory use of seat belts (78% for females, 66% for males); (b) significant relationships between reported seat belt use and four fear of death and dying subscales; and, (c) no relationships between the seat-belt variables and Eysenckian personality variables. One caveat is that the generalizability of results from this student sample to other driver populations may be limited.

Legislation and the prediction of reported seat belt use.

The major focus of this study was on differences between jurisdictions with seat belt use laws and jurisdictions without such laws in the relative importance of factors that influence reported seat belt use. A nationally representative sample of 2047 Canadians was interviewed personally about their attitudes toward and use of seat belts. Multiple regression analyses performed separately for legislated and unlegislated respondents revealed that, for both groups, the major predictors of reported seat belt use (past and intended) were attitudes toward seat belt use, normative pressure from friends and family to wear belts, and favorability toward seat belt use laws. Up to 53% of the variance in reported seat belt use was accounted for by these factors and the presence of a seat belt law. The implications of these results for public education programs to promote seat belt use are discussed. (Author/TRRL)

Legislation and the prediction of reported seat belt use.

Legislation and the prediction of reported seat belt use.

Predicting reported seat belt use from attitudinal and normative factors

A study was conducted to determine whether both attitudinal and normative factors would make unique contributions to the prediction of self-reported seat belt use in an area where seat belt use is compulsory. Two samples of drivers were interviewed concerning their attitudes toward seat belt use and the seat belt legislation, social influence of others, reported belt usage and demographic information. The results for the first sample ( N = 445) indicated that attitude toward the seat belt legislation, attitude toward seat belts, social pressure and perceived belt use in the community jointly predicted reported belt use ( R = 0.69). The correlation between predicted belt use and reported belt use ( r = 0.57) in the crossvalidation sample ( N = 438) was close to the multiple correlation obtained for the first sample. The implications of these results for promoting seat belt use are discussed.