Seat-belt use still low in Kuwait: self-reported driving behaviours among adult drivers

Kuwait mandated seat-belt use by drivers in 1976 and by front seat passengers in 1994. The study objectives were to identify and estimate current factors associated with seat-belt use and levels of potentially unsafe driving behaviours in Kuwait. In 2010, 741 adults were surveyed regarding driving habits and history. Only 41.6% of drivers reported always using a seat belt. Front seat passenger belt use was more common (30.5%) than rear seat belt use (6.5%). Distracted driving behaviours were common, including mobile phone use (‘always’ or ‘almost always’: 51.1%) and texting/SMS (32.4%). Logistic regression indicated that drivers who were young (18–19 years), male, Kuwaiti nationals or non-Kuwaiti Arabs, drove over the speed limit, had traffic violation tickets or >1 car crashes in the last year, were less likely to use seat belts. Targeted initiatives to increase public awareness and to enforce car-safety legislation, including use of seat belts, are necessary to decrease the health burden of car crashes in Kuwait.     

NEWS & EVENTS

Abstract

Seat belt use does not only save lives but prevents the severity of injuries in road traffic crashes (RTCs). Vehicle type and usage have been found to influence the use of seat belt in cities like Kumasi, the host of Kwame Nkrumah University of Science and Technology (KNUST) campus. This paper presents a study on an un-obstructive survey of seat belt use by vehicle occupants entering and leaving KNUST campus through the four entrances from 7 to 9 am and 3 to 5?pm on five weekdays. A total of 5489 vehicles with 9542 occupants comprising 5489 drivers, front-right and first back seat and second back seat passengers were observed. The majority of the private and SUV drivers used seat belts. Meanwhile, almost all the commercial drivers did not use seat belts. There is a statistically significant relationship between vehicle type and use and the use of seat belt in KNUST.     

The rate of compliance to seat belt usage among automobile drivers on three categories of roads in Nigeria: an observational survey

Injuries to head, chest and abdomen are a major cause of death for unrestrained vehicle occupants, particularly the drivers. The use of seat belts therefore plays a significant role in reducing the severity of injuries. The study examined the compliance rate of seat belt use on different road hierarchies in Abeokuta (Nigeria) using an observatory method. Findings indicated that there was 54%, 37.3% and 13.6% compliance rate on three categories of roads studied. Also, females complied more with the use of seat belts on each of the roads with compliance rates at 43.3%, 47.2% and 50% compared with males who had 32.6%, 38.6% and 39.6% seat belt compliance rates. Chi-square analysis showed significant variations in the use of seat belt on the roads (p < 0.05). The paper suggests increased awareness and enforcement of traffic laws among others in order to ensure sustainable use of seat belts among motorists in Nigeria.     

Vehicle head restraint positioning knowledge and behaviours in a sample of Irish drivers

A correctly positioned vehicle head restraint (HR) can reduce whiplash injury risk in collisions, however, HRs are often sub-optimally positioned. The primary aim of this study was to investigate vehicle HR position and driver knowledge of correct HR positioning in an Irish population. Secondary aims were to investigate the associations with driver age, gender and vehicle age. Data collection involved HR measurement and a driver questionnaire (n = 110). Just 27% of drivers had optimal HR positioning, while 30% had poor or marginal positioning. Newer vehicles (<5 years old) had better positioned HR in the horizontal plane (p = 0.036), than older vehicles. Younger drivers (<30 years) were more likely to have poorer positioning of HR (p = 0.002), than the 30 years or over group. Females were more likely to have better vertical positioning of their HR (p = 0.003) than males. Driver knowledge of correct position was variable, and not associated with actual HR position, with 65% knowing the correct vertical positioning standard but only 27% identifying the correct horizontal position. Many drivers have inadequately positioned HR, which needs to be addressed by improved vehicle design and public education.     

Do parental decision-making patterns predict compliance with use of child booster seats?

Booster seat use for 4–9 year olds remains the lowest of all age groups in many countries. The objective of this study is to examine whether parents’ decision-making patterns, as measured by the Melbourne Decision Making Questionnaire, relate to car booster seat use. Israeli parents of 4–7 years old children (n = 398) answered a questionnaire about car safety and decision-making habits. Ninety per cent of parents reported having a booster seat; 70.5% reported consistent booster seat use in general and on short drives during the last month (booster seat use compliance index). Greater compliance index was positively related to a vigilant decision-making pattern, passenger compliance with rear seat belts and families with fewer children. Lower booster seat use compliance index was associated with buck-passing decision-making pattern. Health professionals and policy-makers should take into account parents’ habitual decision-making patterns when designing interventions for car booster seat compliance.     

Parameters affecting seat belt use in Greece

The objective of this research is the exploration of seat belt use in Greece and particularly the identification of the parameters affecting seat belt use in Greece. A national field survey was conducted for the analytical recording of seat belt use. A binary logistic regression model was developed, and the impact of each parameter on seat belt use in Greece was quantified. Parameters included in the model concern characteristics of car occupants (gender, age and position in the car), the type of the car and the type of the road network. The data collection revealed that in Greece, the non-use of seat belt on the urban road network was higher than on the national and rural road network and young and older men use seat belts the least. The developed model showed that travelling on a national road is negative for not wearing the seat belt. Finally, the variable with the highest impact on not wearing a seat belt is being a passenger on the back seats.     

Parameters affecting seat belt use in Greece

The objective of this research is the exploration of seat belt use in Greece and particularly the identification of the parameters affecting seat belt use in Greece. A national field survey was conducted for the analytical recording of seat belt use. A binary logistic regression model was developed, and the impact of each parameter on seat belt use in Greece was quantified. Parameters included in the model concern characteristics of car occupants (gender, age and position in the car), the type of the car and the type of the road network. The data collection revealed that in Greece, the non-use of seat belt on the urban road network was higher than on the national and rural road network and young and older men use seat belts the least. The developed model showed that travelling on a national road is negative for not wearing the seat belt. Finally, the variable with the highest impact on not wearing a seat belt is being a passenger on the back seats.     

Experience from a multivenue program to increase the use of car restraints in Greece

Objectives To evaluate a multivenue educational campaign aimed at increasing the use of car restraints in Greater Athens, Greece. Methods From October 1997 to June 1998, the campaign was implemented by a road safety coalition comprising 50 governmental and non-governmental organizations, while during the same period, seat belt law enforcement was not intensified. A pre-intervention survey was conducted in the summer of 1996 among the occupants of 1400 passenger cars and a post-intervention survey was carried out in the summer of 1998 (2250 cars). Both surveys followed the same protocol, focusing on the availability and use of seat belts. The data from the two surveys were modeled through multiple logistic regression. Results The odds ratio of seat belt use was significantly higher in 1998 than in 1996 (1.8 with 95% confidence interval = 1.5-2.1). Improvement was evident in highway traffic and among 25-64 year-old car occupants, but it was minimal among rear seat passengers, younger occupants, and in low-speed city and suburban traffic. There is evidence from the 1998 surveys that among front seat occupants, those travelling in larger engine capacity cars, frequently equipped with airbags, were less likely to use seat belts, whereas seat belting was more frequent among occupants of newer car models. Conclusion An education and information campaign in a Southern European country resulted in increased prevalence of seat belt use. A more intensive and sustained effort is required, however, to increase seat belt use in low-speed traffic and among rear seat occupants.     

The rate of seat belt use and its related factors among car drivers in Tehran,Iran after imposing new regulations

The incidence of road crash deaths is high in Iran. Seat belts can reduce the risk of death or serious injury. This study aimed to estimate the rate of seat belt use and its related factors for car drivers in Tehran, Iran after proclamation of the 2011 legislation. A roadside observational study was conducted in 2012 and 10,752 cars and taxis commuting in different streets of Tehran were screened in regard to drivers' seat belt wearing. Other variables including gender, age range, type of street, district, time of day and day of week were also collected. The rate of seat belt use was 70.9%, and was significantly higher in females, elders and on freeways and significantly less in afternoon hours, side streets and in taxi drivers. The rate of seat belt use in Tehran (a representative of Iran) is still low despite the implementation of new legislations. More initiatives are needed to increase this rate especially in certain groups and areas.     

Matched analysis of parent’s and children’s attitudes and practices towards motor vehicle and bicycle safety: an important information gap

The purpose of this study was to compare parents’ and children’s attitudes and habits towards use of bicycle helmets and car seat belts. We hypothesized that parental perception of their children’s safety practices did not reflect actual behavior and further, that parental practices, rather than their beliefs about a particular safety practice, have a greater affect on their child’s risk-taking behavior. The study population consisted of children in grades four and five and their parents/guardians. Participation in the cross-sectional study was voluntary and confidential anonymous questionnaires were used. In separate and independent surveys, children and parents were questioned in parallel about their knowledge, habits and attitudes toward bicycle helmet use and car safety practices. In the study, 731 students participated with 329 matched child-parent pairs. Ninety-five percent of the children own bicycles and 88% have helmets. Seventy percent of parents report their child always wears a helmet, while only 51% of children report always wearing one (p &lt; 0.05). One-fifth of the children never wear a helmet, whereas parents think only 4% of their children never use one (p &lt; 0.05). Parents report their children wear seat belts 92% of the time while 30% of children report not wearing one. Thirty-eight percent of children ride bicycles with their parents and wear their helmets more often than those who do not ride with their parents (p &lt; 0.05). Parents who always wear a seat belt are more likely to have children who sit in the back seat and wear a seat belt (p &lt; 0.05). Parents’ perceptions of their children’s safety practices may not be accurate and their actions do affect their children’s. Injury prevention programs that target both parents and children may have a greater impact on reducing risk-taking behaviors than working with each group in isolation.     

Promoting youth occupant restraint based on need

Motor vehicle crashes are a leading cause of death for youth. Appropriate occupant protection significantly reduces these preventable injuries. Secondary field observation survey records were studied to identify populations that would most likely benefit from youth occupant protection programs. Multivariate regression analysis showed that drivers of youth between 4 and 14 years were in need of programs promoting youth and driver occupant restraint use. When these drivers were using seat belts, it was 35 times more likely they had youth occupants in safety restraints. A focus on pickup truck drivers may also give these programs greater efficacy in increasing youth restraint use. This study was limited to a single state, but the approach should be transferable to other jurisdictions where youth occupant protection field observation studies are conducted.     

Consumer Risk Response and Consumer Protection: An Economic Analysis of Seat Belt Usage

A utility analysis of decisions involving risk indicated that risk averse consumers would undertake a risk reduction strategy as long as the change in expected loss was equal to or greater than the costs of the strategy. Cost-benefit analysis of seat belt usage was conducted to test this hypothesis. The results indicated that drivers of all size classes would gain from using seat belts in the case of low user costs while the drivers of subcompacts and compacts would gain in the case of higher user costs. However, less than one-fifth of drivers wear seat belts. These results raise questions concerning the effectiveness of the informed buyer approach in areas of risk or uncertainty.     

Exceeding the speed limit: prevalence and determinants in Iran

Speeding is one of the most common risk behaviours associated with crashes causing signficant injury. The objective of this study is to explore the prevalence and determinants of speeding on a road between Tehran and Hamadan, Iran. In a cross-sectional study in 2009, stretches of the road were studied including three groups of posted speed limits: < 50 km/h, 50–100 km/h and > 100 km/h. Each stretch was evaluated both in daylight and dark. Randomly identified driver's speed was checked by a handheld speed camera and then the driver was invited to participate in a survey. Statistical analysis was performed using Chi-Square, crude and adjusted odds ratio, 95% confidence interval and multiple logistic regression models. Overall, 52.8% of the drivers were travelling more than 10 km/h above the posted limit. Where limits were < 50 km/h, 74.6% of drivers were speeding. This declined to 46.9% for sections with limits between 50 and 100 km/h and to 36.9% for sections posted more than 100 km/h. Finally, more than half the drivers were observed to be speeding. Driving more than the posted limit was far more likely on the areas with the lowest posted speed limits, personal passenger vehicles, modern vehicles not using seat belts, and male drivers.     

Keeping our children safe in motor vehicles: knowledge,attitudes and practice among parents in Kuwait regarding child car safety

Child safety restraints can reduce risk of death and decrease injury severity from road traffic crashes; however, knowledge about restraints and their use in Kuwait is limited. A cross-sectional, self-administered survey about child car safety was used among a convenience sample of parents of children aged 18 years or younger at five Kuwaiti university campuses. Of 552 respondents, over 44% have seated a child in the front seat and 41.5% have seated a child in their lap while driving. Few parents are aware of and fewer report using the appropriate child restraint; e.g., 36% of parents of infants recognised an infant seat and 26% reported using one. Over 70% reported wearing seat belts either “all of the time” (33%) or “most of the time” (41%). This new information about parents' knowledge and practice regarding child car seat use in Kuwait can inform interventions to prevent child occupant injury and death.     

Understanding Voluntary Intentions within the Theories of Self-Determination and Planned Behavior

This survey study aimed to test the usefulness of an integrated model that combines self-determination theory (SDT) and the theory of planned behavior (TPB) in explaining volunteers’ intention to continue. Participants (N = 284) completed a survey form measuring the psychological constructs derived from SDT (i.e., autonomous and controlled motivations) and the TPB (i.e., attitudes, subjective norms, perceived behavioral control [PBC], and intention). Results of path analysis showed that autonomous motivation positively predicted attitudes (β = 0.47, p < 0.01) and PBC (β = 0.39, p < 0.01). Conversely, controlled motivation was negatively associated with attitudes (β = -0.16, p < 0.01) and PBC (β = -0.18, p < 0.01). Attitudes (β = 0.39, p < 0.01) and PBC (β = 0.49, p < 0.01) were then positively related to intention. The integrated model is generally supported in the context of volunteerism, and it may better explain voluntary retention than only use SDT or the TPB.     

Rural-urban disparity in knowledge and compliance with traffic signs among young commercial motorcyclists in selected local government areas in Oyo State,Nigeria

This study compared knowledge and compliance with traffic signs among young commercial motorcyclists in rural and urban communities in Oyo state, Nigeria. Information on knowledge and compliance with 10 common traffic signs was obtained from 149 rural and 113 urban commercial motorcyclists aged 18–35 years. Aggregate knowledge scores were computed and categorized as good (≥5) and poor (<5) knowledge. Overall, 98.7% rural versus 61.1% urban motorcyclists had poor knowledge of traffic signs (p < 0.05). After controlling for age, level of education and years of commercial riding, motorcyclists in the rural areas were more likely to have poor knowledge of the traffic signs (OR = 58.15; 95% CI = 11.96–282.79). A higher proportion of rural than urban motorcyclists never obeyed any of the traffic signs. Young rural commercial motorcyclists' knowledge and compliance with the road signs was poorer than their urban counterparts. Interventions to improve the rural motorcyclists' knowledge and ultimately compliance with road signs are urgently required.     

Interpersonal violence in the United Arab Emirates

We aimed to study the anatomical distribution, severity and outcome of hospitalised interpersonal violence-related injured patients in Al-Ain, United Arab Emirates so as to give recommendations regarding the magnitude of this problem, its causes and priorities of prevention. Data were retrieved from Al-Ain Hospital Trauma Registry, which was prospectively collected over three years. There were 75 patients (males = 85.3%) having a mean age of 30 years. Eighty-one percent had blunt trauma. The estimated annual injury hospitalisation of interpersonal violence in Al-Ain city was 6.7 per 100,000 population. Females were significantly more injured by a family member (p = 0.02), at home (p = 0.005), and had more severe injuries (p = 0.003). There was a trend for children less than 18 years old to have more penetrating trauma (p = 0.06) and to be injured by a family member (p = 0.09). There was only one case of woman sexual assault and two cases of child abuse. The mean (SD) hospital stay was 7.87 (14.1) days. Less than 3% (n = 2) were admitted to the intensive care unit with no deaths. In conclusion, the majority of patients in our study had minor injuries. Nevertheless, the psychological impact may be major. This highlights the need to develop suitable mental health services in support of victims of interpersonal violence.     

The incidence of home accidents is going down in Belgium

The objective of the present study was to estimate the incidence of home accidents in Belgium in 2002 and to compare them with the results of 1996. The Belgian network of general practitioners (GPs) is a national network of GPs who collect and report data on selected conditions, including home accidents. The data about home accidents were recorded by 181 GPs in 1996 and by 150 GPs in 2002. The standardized incidence of home accidents decreased from 2935 per 100 000 inhabitants in 1996 (95% CI 2846 – 3026) to 2669 in 2002 (95% CI 2588 – 2751). This corresponds to a decrease of 9% (p < 0.001). A decrease of 14% was observed in the Flemish Community (p < 0.001). The reduction was very important (36%) among women aged between 75 and 89 years (p < 0.001). In the French community the decrease was not significant. The incidence of home accidents observed in general practice decreased in Belgium, especially in the Flemish Community.     

Water safety education among primary school children in Grenada

Drowning is a common cause of death among children. Successful prevention interventions currently used in developed countries are often not transferable into developing countries due to differences in both environment and resources. In this study, we adapted a water safety education programme developed by the American Red Cross for primary school students in Grenada. Water safety knowledge before and after the training session was assessed using a nine-question evaluation tool. Following the training, a survey was administered to all teachers to assess the adaptability and effectiveness of the WHALE Tales training. Fifty-six students (30% males) completed the training. The age range was between 5 and 12 years old. Participants’ water safety knowledge increased 15% (p < 0.01). Mean scores of correct answers increased for every grade level, ranging from a 5% increase for first graders to 33% increase for second graders. The findings from this study suggested that implementation of such a programme is effective. With cultural modifications and outsourcing, we believe this adapted programme would be successful in Grenada and other similar settings.     

Childhood and adolescent injuries in elementary schools in north-western Uganda: extent,risk and associated factors

Childhood injuries remain understudied in Uganda. The objective of this study was to determine the extent, nature and determinants of school-related childhood injury risk in north-western Uganda. A cohort of 1000 grade fives from 13 elementary schools was followed-up for one term. Survival and multi-level modelling techniques compared the risk rates across gender, schools and locations. Childhood injuries are common in north-western Uganda. Most of them occur during travel, breaks, practical classes and gardening, while walking, playing, learning and digging. Most injuries result from collisions with objects, sports and falls. Two-thirds of children receive first aid and hospital care. Times to injury were 72.1 and 192.9 person days (p = 0.0000). Gender differences in time to event were significant (p = 0.0091). Girls had better survival rates: cumulative prevalence of childhood injury was 36.1%; with significant gender differences (p = 0.007). Injury rate was 12.3/1000 person days, with a hazard ratio of 1.4. Compared to girls, boys had a 37% higher injury rate (p = 0.004). Rates varied among schools. Associated factors include sex and school. Rural–urban location and school differences do influence childhood injury risk. Childhood injuries are common: the risk is high, gender- and school-specific. Determinants include gender and school. Location and school contexts influence injury risk.