Helsing K J, Comstock G W
Am J Public Health. 1977 Nov;67(11):1043-50. doi: 10.2105/ajph.67.11.1043.
In the course of a Community Mental Health Epidemiology study conducted in Washington County, Maryland between December, 1971 and July, 1974, interviews were conducted with randomly selected adults in a weekly systematic sampling of households. In a subsequent re-interview of 1009 respondents who had family cars with seat belts, nearly 47 per cent said they did not use them. Non-use of seat belts was significantly higher among females and among persons with less than high school education or low income. Non-use of seat belts was also higher among those who felt that their station in life as measured by the Cantril ladder was unsatisfactory, who felt powerless to change at least some aspects of their lives, and who were infrequent church attenders. Significant associations were also found with infrequency of two other preventive health behaviors, dental checkups and Pap tests. Among young adults the tendency seemed to be for marriage to increase the non-use of seat belts among females but to decrease non-use among males.
在1971年12月至1974年7月于马里兰州华盛顿县开展的一项社区精神卫生流行病学研究过程中，通过对家庭进行每周一次的系统抽样，对随机挑选的成年人进行访谈。在随后对1009名拥有配有安全带的家用汽车的受访者进行的再次访谈中，近47%的人表示他们不使用安全带。女性、未受过高中教育或低收入者不使用安全带的比例显著更高。在那些认为自己在坎特里尔阶梯量表上所衡量的生活地位不满意、觉得自己无力改变生活至少某些方面以及不常去教堂做礼拜的人当中，不使用安全带的比例也更高。还发现不使用安全带与另外两种预防性健康行为（牙齿检查和巴氏试验）不常进行之间存在显著关联。在年轻人中，情况似乎是结婚会增加女性不使用安全带的比例，但会降低男性不使用安全带的比例。
