Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Injury. 2013 Dec;44 Suppl 4:S57-63. doi: 10.1016/S0020-1383(13)70214-6.
Seatbelt use is a major determinant of a driver's safety on the road. In Turkey and other middle-income countries, seatbelt use is lower than in high-income countries and contributes to the higher burden of road traffic injuries. Assessing factors behind drivers' motivations to wear seatbelts can help determine appropriate interventions for specific subpopulations.
To analyze the factors predictive of whether drivers who wear seatbelts in Afyonkarahisar and Ankara, Turkey do so because they believe seatbelts can save their lives.
As part of the monitoring and evaluation of the Bloomberg Philanthropies Global Road Safety Programme, 817 drivers were randomly recruited in Afyonkarahisar and Ankara, Turkey, to participate in roadside interviews. Logistic regression was run on data from 408 drivers who claimed they always wore seatbelts. Predictors were driver's city, driver's age group (30 and younger, 31 to 40, and over 40 years), whether at least one passenger was in the car, and an interaction term between age group and whether passengers were in the car. The outcome variable of interest was whether drivers wore seatbelts because they believed seatbelts can save their lives, referred to in this paper as "selection of Reason 3."
The odds of selecting Reason 3 were 2.45 (95% CI: 1.40-4.31) times higher in Ankara than in Afyonkarahisar, 2.52 (95% CI: 1.38-4.60) and 3.65 (95% CI: 1.92-6.95) times higher for drivers aged 31-40 and drivers over the age of 40 than for drivers 30 years of age and younger, respectively, and 5.89 (95% CI: 2.02-17.23), 7.22 (95% CI: 1.61-32.42), and 0.83 (95% CI: 0.32-2.19) times higher for drivers traveling with passengers who were 30 years of age and younger, between 31 and 40, and over 40 than for drivers traveling without passengers in these age groups, respectively.
Drivers with passengers had higher odds of selecting Reason 3, especially younger drivers who are more likely to succumb to peer pressure. Older drivers had higher odds of selecting Reason 3. Peer groups and peer education campaigns may have an impact. Education interventions combined with extrinsic campaigns can be aimed at younger drivers to increase and maintain adherence in the population.
系好安全带是驾驶员行车安全的主要决定因素。在土耳其和其他中等收入国家，安全带的使用率低于高收入国家，这导致道路交通伤害负担更重。评估驾驶员系安全带动机背后的因素有助于确定针对特定亚人群的适当干预措施。
分析在土耳其阿菲永卡拉希萨尔和安卡拉，那些声称一直系安全带的驾驶员之所以系安全带是因为他们认为安全带可以拯救生命的影响因素。
作为彭博慈善基金会全球道路安全计划监测和评估的一部分，在土耳其阿菲永卡拉希萨尔和安卡拉随机招募了 817 名驾驶员进行路边访谈，共有 408 名声称一直系安全带的驾驶员参与了数据分析。对数据进行逻辑回归分析，预测因子为驾驶员所在城市、驾驶员年龄组（30 岁及以下、31-40 岁和 40 岁以上）、车上是否至少有一名乘客以及年龄组与是否有乘客之间的交互项。本研究中感兴趣的结果变量是驾驶员是否因认为安全带可以拯救生命而选择系安全带，这被称为“选择原因 3”。
与阿菲永卡拉希萨尔相比，安卡拉选择原因 3 的几率高 2.45 倍（95%CI：1.40-4.31）；与 30 岁的驾驶员相比，31-40 岁和 40 岁以上的驾驶员分别高 2.52 倍（95%CI：1.38-4.60）和 3.65 倍（95%CI：1.92-6.95）；与 30 岁以下的乘客相比，与 31-40 岁和 40 岁以上的乘客一起旅行的驾驶员分别高 5.89 倍（95%CI：2.02-17.23）、7.22 倍（95%CI：1.61-32.42）和 0.83 倍（95%CI：0.32-2.19）；与没有同年龄段乘客的驾驶员相比。
有乘客的驾驶员选择原因 3 的几率更高，尤其是那些更容易受到同龄人群压力影响的年轻驾驶员。年龄较大的驾驶员选择原因 3 的几率更高。同伴群体和同伴教育运动可能会产生影响。教育干预措施结合外在运动可以针对年轻驾驶员，以提高和维持人群中的依从性。
