Knishkowy Barry, Gofin Rosa
Family Practice Unit, Social Medicine Department, Hadassah Medical Organization, Braun School of Public Health and Community Medicine, Jerusalem, Israel.
Int J Adolesc Med Health. 2002 Jan-Mar;14(1):51-4. doi: 10.1515/ijamh.2002.14.1.51.
Motor vehicle accidents are the leading cause of deaths among Israeli teenagers. Despite the efficacy of seat belt use in reducing mortality, and legislation requiring seat belt use in all car positions, a large proportion of Israeli adolescents do not consistently use seat belts. Differential data regarding front and rear seat belt use in this population are not available. The objective of this study was to determine the rates of front and rear seat belt use among a sample of Israeli teenagers in the primary care setting. Seventy-eight teenagers attending preventive adolescent health visits in two Israeli family practice clinics completed questionnaires that included questions regarding seat belt use. Structured counseling by the family nurse was provided following completion of the questionnaire. Sixty-four percent of the teenagers reported using front seat belts all of the time, while only 8% used rear seat belts all of the time. Infrequent or non-use of rear seat belts was more prevalent among 10th than among 7th graders. It is concluded that public health strategies in addition to legislation are needed to optimize seat belt use among Israeli teenagers. Health education regarding seat belt use--with an emphasis on rear seat belts--can and should be incorporated into adolescent preventive health visits in the primary care setting.
机动车事故是以色列青少年死亡的主要原因。尽管使用安全带在降低死亡率方面有成效，且有立法要求在汽车的所有座位位置都要使用安全带，但很大一部分以色列青少年并没有始终如一地使用安全带。关于该人群中前排和后排安全带使用情况的差异数据并不存在。本研究的目的是确定在初级保健环境中，以色列青少年样本中前排和后排安全带的使用比例。在两家以色列家庭医疗诊所参加青少年预防性健康检查的78名青少年完成了包含有关安全带使用问题的问卷。问卷完成后，由家庭护士提供结构化咨询。64%的青少年报告一直使用前排安全带，而只有8%的青少年一直使用后排安全带。十年级学生中不经常或不使用后排安全带的情况比七年级学生更为普遍。结论是，除了立法之外，还需要公共卫生策略来优化以色列青少年的安全带使用情况。关于安全带使用的健康教育——重点是后排安全带——能够且应该纳入初级保健环境中的青少年预防性健康检查。
