The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis

Kargar, Shiva; Ansari-Moghaddam, Alireza; Ansari, Hossein

doi:10.1186/s42506-023-00139-3

Cited by 4 publications

(2 citation statements)

References 87 publications

(22 reference statements)

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“…Research has shown that the prevalence of seat belt use is highest in drivers, followed by front seat passengers, and lastly rear seat passengers. Furthermore, women drivers, on average, used seatbelts more often than men drivers [ 13 ]. Understanding factors that influence seat belt compliance, such as passenger demographics and behavioral aspects, could also inform targeted interventions to enhance overall safety.…”

Section: Discussionmentioning

confidence: 99%

Injury Patterns in Vehicle Crashes: The Significance of Occupant Seating Position

Taylor,

Henken-Siefken,

McCague

2024

Cureus

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Objectives: Investigating patterns among the outcomes of patients involved in motor vehicle accidents (MVAs) can provide information necessary to guide targeted interventions to improve road traffic safety. Our purpose is to identify any differences between passenger and driver injury severity and overall clinical course after MVAs. Methods: We performed a retrospective review and analysis of 3,693 patients involved in MVAs from 2016 to 2021. We divided the data into two groups, drivers and passengers, and compared the Injury Severity Score (ISS), Revised Trauma Score (RTS) on admission, days in the Intensive Care Unit (ICU), length of hospital stay (LOS), post Emergency Department (ED) disposition, discharge (DC) disposition, and signs of life on arrival (SOLA) to the ED. We compared mean ISS, New Injury Severity Score (NISS), RTS, length in ICU and LOS using a student’s T-test and SOLA, post-ED and DC disposition using Chi-square analysis. Results: We did not find any statistically significant difference in ISS, RTS, days in ICU, LOS, or SOLA between the drivers and passengers. However, we did find a statistically significant difference in the post-ED (X 2 = 113.743, p=<0.0001) and DC disposition (X 2 =41.172, p=<0.0001) of drivers and passengers. After the ED and DC, more passengers were transferred to a higher level of care than expected, while the inverse was true for drivers. The number of drivers discharged to Skilled Nursing Facilities (SNFs) was also higher than expected, further contributing to the observed difference in DC disposition. Conclusion: Our study found no statistically significant difference between driver and passenger injury severity, length of hospital stay, days in ICU, and SOLA after an MVA. The clinical courses of the two groups were found to be significantly different based on post-ED and DC disposition data. We identified limitations, such as a relatively small sample size and insufficient data on specific car seat locations for passengers, underscoring the need for a more nuanced exploration. Future research must broaden its scope to encompass diverse crash scenarios, vehicle design and safety technologies, seat belt dynamics, and age- and gender-specific vulnerabilities.

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Section: Discussionmentioning

confidence: 99%

Injury Patterns in Vehicle Crashes: The Significance of Occupant Seating Position

Taylor,

Henken-Siefken,

McCague

2024

Cureus

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“…There have been several studies to investigate the effects of different factors on seatbelt wearing behavior. The use of seatbelts has been reported to be more among drivers than passengers [4]. Other variables, which have been tested for their significant effect on seatbelt wearing behavior include age, gender, awareness campaigns and previous accident experience.…”

Section: Introductionmentioning

confidence: 99%

Identifying Traveler Groups Lacking in Seatbelt Usage and Suggesting Policy Measures

Gazder,

Ahmed

2024

JSTER

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This study was aimed to identify the traveler groups who are exposed to potential of severe injury due to lack of seatbelt use. Moreover, policy measures have been suggested to enhance seatbelt use among such groups. A hybrid data collection approach was adopted to gather traveler information. Seatbelt usage questionnaire was used as the survey instrument. The survey was carried out in the parking lots of educational and commercial facilities around Bahrain. Statistical tests, namely, t-tests and Analysis of Variance (ANOVA), were used to compare the attributes of travelers. Literature review was used to verify the findings of this study and identify common traveler groups which are lacking in seatbelt use. The recommendations are also provided on policy measures which could be adopted globally to promote seatbelt use. It was found that occupation, education, gender, nationality and accident occurrence have significant impact on seatbelt wearing. It was also found that accident experience and seatbelt wearing, both are dependent on travelers’ social and cultural background rather than each other. The findings of this study matched previous literature. Groups lacking in seatbelt use included male passengers belonging to lower- and middle-income groups which fits the description of expatriate workers in Bahrain. Some policy measures, appropriate to these groups, have also been suggested.

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Education, incentive, and engineering-based interventions to promote the use of seat belts

Lourens,

Sinclair,

Willems

et al. 2024

Cochrane Database of Systematic Reviews

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The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis

Cited by 4 publications

References 87 publications

Injury Patterns in Vehicle Crashes: The Significance of Occupant Seating Position

Injury Patterns in Vehicle Crashes: The Significance of Occupant Seating Position

Identifying Traveler Groups Lacking in Seatbelt Usage and Suggesting Policy Measures

Education, incentive, and engineering-based interventions to promote the use of seat belts

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