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Canadian Journal of Public Health = Revue Canadienne de Santé Publique logoLink to Canadian Journal of Public Health = Revue Canadienne de Santé Publique
. 1998 Sep 1;89(5):320–324. doi: 10.1007/BF03404483

Factors Associated with Seat Belt Use: An Evaluation from the Ontario Health Survey

Vic S Sahai 17,37, J Roger Pitblado 17,27,37, Gary W Bota 47, Brian H Rowe 57,✉
PMCID: PMC6990340  PMID: 9813918

Abstract

This study examines the factors associated with seat belt use for drivers and passengers in Ontario. Using the 1990 Ontario Health Survey, a population-based survey of non-institutionalized Ontario residents, factors associated with seat belt use among drivers and passengers were identified and are reported as unadjusted and adjusted odds ratios (OR; 95% CI). Seat belt non-use in Ontario drivers was most strongly associated with younger age (p < 0.0001), high risk health behaviours (drinking and driving (OR: 2.43), speeding (OR: 2.04), smoking (OR: 1.66)), being male (OR: 1.87), living in northern (OR: 1.80) or rural (OR: 1.69) regions, and achieving lower education (OR: 1.46). Seat belt non-use in passengers was associated with younger age (p < 0.0001), smoking (OR: 1.62), being male (OR: 1.68), living in northern (OR: 1.63) or rural (OR: 1.46) regions, and low education (OR: 1.31). Vehicular trauma is a major public health problem and seat belt use has been shown to reduce injuries in the event of a crash. Any strategy to increase seat belt use in Ontario should be targeted to involve both drivers and passengers. Attention should be paid to increasing seat belt usage by younger adults, males, and especially those living in northern and rural regions.

References

  • 1.Ontario Ministry of Health. Ontario Trauma Registry InfoPage. 1995. Injury admissions in Ontario. [Google Scholar]
  • 2.Millar WJ, Last JM. Motor vehicle traffic accident mortality in Canada. Am J Prev Med [PubMed]
  • 3.Runge JW. The cost of injury. Emerg Med Clin North Am. 1993;11(1):241–53. [PubMed] [Google Scholar]
  • 4.Waller JA. An overview of highway injury. In: Waller JA, editor. Injury Control - A Guide to the Causes and Prevention of Trauma. Lexington, Mass.: D.C. Heath and Company; 1985. pp. 107–60. [Google Scholar]
  • 5.Marine WM, Kerwin EM, Moore EE, et al. Mandatory seat belts: Epidemiologic, financial, and medical rationale from the Colorado matched pairs study. J Trauma. 1994;36:96–100. doi: 10.1097/00005373-199401000-00015. [DOI] [PubMed] [Google Scholar]
  • 6.Swierzewski MJ, Feleciano DV, Lillis RP, et al. Deaths from motor vehicle crashes: Patterns of injury in restrained and unrestrained victims. J Trauma. 1994;37:404–7. doi: 10.1097/00005373-199409000-00012. [DOI] [PubMed] [Google Scholar]
  • 7.Viano DC. Restraint effectiveness, availability, and use in fatal crashes: Implications for injury control. J Trauma. 1995;38:538–46. doi: 10.1097/00005373-199504000-00013. [DOI] [PubMed] [Google Scholar]
  • 8.Evans L. Safety-belt effectiveness: The influence of crash severity and selective recruitment. Accid Anal Prev. 1996;28:423–33. doi: 10.1016/0001-4575(96)00006-1. [DOI] [PubMed] [Google Scholar]
  • 9.Redelmeier DA, Blair PJ. Survivors of motor vehicle trauma: An analysis of seat belt use and health care utilization. J Gen Intern Med. 1993;8:199–203. doi: 10.1007/BF02599267. [DOI] [PubMed] [Google Scholar]
  • 10.Zador PL, Ciccone MA. Automobile driver fatalities in frontal impacts: air bags compared to manual belts. Am J Public Health. 1993;83:661–66. doi: 10.2105/AJPH.83.5.661. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 11.Crandon IW, Branday JM, Simeon DT, et al. The prevalence of seat belt use in Jamaica. An observational study. W Ind Med J. 1996;45:31–33. [PubMed] [Google Scholar]
  • 12.Reinfurt DW, St. Cyr CL, Hunter WW. Usage patterns and misuse rates of automatic seat belts by system type. Accid Anal Prev. 1991;23:521–30. doi: 10.1016/0001-4575(91)90017-Y. [DOI] [PubMed] [Google Scholar]
  • 13.Preusser DF, Williams AF, Lund AK. Characteristics of belted and unbelted drivers. Accid Anal Prev. 1991;23:475–82. doi: 10.1016/0001-4575(91)90013-U. [DOI] [PubMed] [Google Scholar]
  • 14.Thompson EJ, Russell ML. Risk factors for non-use of seat belts in rural and urban Alberta. Can J Public Health. 1994;85:304–6. [PubMed] [Google Scholar]
  • 15.Shinar D. Demographic and sociodemographic correlates of safety belt use. Accid Anal Prev. 1993;25:745–55. doi: 10.1016/0001-4575(93)90038-X. [DOI] [PubMed] [Google Scholar]
  • 16.Hunt DK, Lowenstein SR, Badgett RG, Steiner JF. Safety belt nonuse by internal medical patients: A missed opportunity in clinical preventive medicine. Am J Med. 1995;98:343–48. doi: 10.1016/S0002-9343(99)80312-X. [DOI] [PubMed] [Google Scholar]
  • 17.Wasielewski P. Speed as a measure of driver risk: Observed speed versus driver and vehicle characteristics. Accid Anal Prev. 1984;16:80–103. doi: 10.1016/0001-4575(84)90034-4. [DOI] [Google Scholar]
  • 18.Preusser DF, Williams AF, Lund AK. The effect of New York’s seat belt use law on teenage drivers. Accid Anal Prev. 1987;19:73–80. doi: 10.1016/0001-4575(87)90026-1. [DOI] [PubMed] [Google Scholar]
  • 19.Ontario Ministry of Health. Ontario Health Survey 1990, Volume II. Toronto: Ministry of Health; 1990. [Google Scholar]
  • 20.Norusis MJ. SPSS Advanced Statistics Student Manual. Chicago: SPSS Inc.; 1990. [Google Scholar]
  • 21.Korn EL, Graubard BI. Epidemiologic studies utilizing surveys: Accounting for the sampling design. Am J Public Health. 1991;81:1166–73. doi: 10.2105/AJPH.81.9.1166. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 22.Ontario Ministry of Health. Ontario Health Survey 1990: User’s Guide. Volume II. Microdata Manual. 1992. p. 5. [Google Scholar]
  • 23.Brison RJ. Risk of automobile accidents in cigarette smokers. Can J Public Health. 1990;81:102–6. [PubMed] [Google Scholar]
  • 24.Rowe BH, Johnson C, Therrien S, et al. Regional variations of northern health: The epidemic of fatal trauma in Northeastern Ontario. Can J Public Health. 1995;86:249–54. [PubMed] [Google Scholar]
  • 25.Muellerman R. Motor vehicle deaths: A rural epidemic. J Trauma. 1993;35:717–19. doi: 10.1097/00005373-199311000-00011. [DOI] [PubMed] [Google Scholar]
  • 26.Ontario Ministry of Health. Ontario Trauma Registry InfoPage. 1997. Age standardization of injury admission/death rates by Ontario Health Planning Regions: 1990–1994. [Google Scholar]
  • 27.Bota GW, Cox JE. Motor vehicle accidents in northeastern Ontario: Are preadmission deaths inevitable? Can Med Assoc J. 1986;134:1369–72. [PMC free article] [PubMed] [Google Scholar]
  • 28.Hunter WW, Stewart JR, Stutts JC, Rodgman EA. Observed and self-reported seat belt wearing as related to prior traffic accidents and convictions. Accid Anal Prev. 1993;25:545–54. doi: 10.1016/0001-4575(93)90006-I. [DOI] [PubMed] [Google Scholar]
  • 29.Nelson DE. Validity of self-reported data on injury prevention behavior: Lessons from observational and self reported surveys of safety belt use in the US. Injury Prevention. 1996;2:67–69. doi: 10.1136/ip.2.1.67. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 30.Redelmeier DA, Tibshirani RJ. Association between cellular-telephone calls and motor vehicle collisions. N Engl J Med. 1997;336:453–58. doi: 10.1056/NEJM199702133360701. [DOI] [PubMed] [Google Scholar]
  • 31.Mortimer RG. Extra enforcement and the use of seat belts by drivers in Illinois. Accid Anal Prev. 1992;24(6):661–66. doi: 10.1016/0001-4575(92)90018-E. [DOI] [PubMed] [Google Scholar]

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