TY - JOUR
T1 - Seatbelt wearing rates in middle income countries
T2 - A cross-country analysis
AU - Vecino-Ortiz, Andres I.
AU - Bishai, David
AU - Chandran, Aruna
AU - Bhalla, Kavi
AU - Bachani, Abdulgafoor M.
AU - Gupta, Shivam
AU - Slyunkina, Ekaterina
AU - Hyder, Adnan A.
N1 - Funding Information:
Thanks to Ricardo-Perez-Nuñez for his collaboration on this paper. This study was carried out as part of the Global Road Safety Program, funded by Bloomberg Philanthropies (Grant No. 111882) .
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2014/10
Y1 - 2014/10
N2 - In settings with low seatbelt use prevalence, self-reported seatbelt use estimates often lack validity, and routine observational studies are scarce. In this paper, we aim to describe the prevalence of seatbelt use and associated factors in drivers and front-seat passengers across eight sites in four countries (Egypt, Mexico, Russia, Turkey) using observational studies as well as to produce estimates of country-level and site-level variance. As part of the Bloomberg Philanthropies Global Road Safety Program, data on driver and passenger seatbelt use across four middle-income countries was collected between October 2010 and May 2011 (n = 122,931 vehicles). Logistic regression and Intraclass Correlation Coefficient analyses for sites- and country-level clustering were performed. We found high variability of seatbelt wearing rates ranging from 4 to 72% in drivers and 3-50% in front-seat passengers. Overall, average seatbelt wearing rates were low (under 60% in most sites). At the individual level, older and female drivers were more likely to wear seatbelts, as well as drivers of vehicles transiting at times of increased vehicle flow. We also found that 26-32% and 37-41% of the variance in seatbelt use among drivers and front-seat passengers respectively was explained by differences across sites and countries. Our results demonstrate that there is room for improvement on seatbelt use in middle-income countries and that standardized cross-country studies on road safety risk factors are feasible, providing valuable information for prevention and monitoring activities.
AB - In settings with low seatbelt use prevalence, self-reported seatbelt use estimates often lack validity, and routine observational studies are scarce. In this paper, we aim to describe the prevalence of seatbelt use and associated factors in drivers and front-seat passengers across eight sites in four countries (Egypt, Mexico, Russia, Turkey) using observational studies as well as to produce estimates of country-level and site-level variance. As part of the Bloomberg Philanthropies Global Road Safety Program, data on driver and passenger seatbelt use across four middle-income countries was collected between October 2010 and May 2011 (n = 122,931 vehicles). Logistic regression and Intraclass Correlation Coefficient analyses for sites- and country-level clustering were performed. We found high variability of seatbelt wearing rates ranging from 4 to 72% in drivers and 3-50% in front-seat passengers. Overall, average seatbelt wearing rates were low (under 60% in most sites). At the individual level, older and female drivers were more likely to wear seatbelts, as well as drivers of vehicles transiting at times of increased vehicle flow. We also found that 26-32% and 37-41% of the variance in seatbelt use among drivers and front-seat passengers respectively was explained by differences across sites and countries. Our results demonstrate that there is room for improvement on seatbelt use in middle-income countries and that standardized cross-country studies on road safety risk factors are feasible, providing valuable information for prevention and monitoring activities.
KW - Injuries
KW - Middle income countries
KW - Road safety
KW - Seat belts
KW - Traffic accidents
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U2 - 10.1016/j.aap.2014.04.020
DO - 10.1016/j.aap.2014.04.020
M3 - Article
C2 - 24906165
AN - SCOPUS:84901949970
SN - 0001-4575
VL - 71
SP - 115
EP - 119
JO - Accident Analysis and Prevention
JF - Accident Analysis and Prevention
ER -