Abstract: (450 Views)
Aims: Despite evidence supporting the protective effect of seat belts, compliance with seat belt use during bus travel remains understudied, particularly in Iran. This study aimed to identify predictors of seat belt use among intercity bus passengers.
Instrument & Methods: This cross-sectional study was conducted with 448 passengers recruited from intercity bus terminals in Tehran using a multistage sampling method. Data were collected through a validated 57-item questionnaire. Logistic regression analyses were performed to examine predictors of seatbelt non-use across three models incorporating behavioral, demographic, and background variables. Data were analyzed using SPSS 16.
Findings: Only 24% of passengers consistently used seatbelts. In the final logistic regression model, significant predictors of seatbelt non-use included perceived barriers (OR=1.08; p=0.003), low supervision (OR=1.13; p=0.04), health locus of control (OR=1.18; p=0.05), and poor law adherence (OR=2.6; p<0.001). Conversely, subjective norms (OR=0.75; p<0.001) and environmental factors (OR=0.82; p=0.02) were associated with higher seatbelt use. The model demonstrated acceptable goodness of fit (Hosmer-Lemeshow p=0.08) and good discrimination (area under the curve=0.78; 95%CI: 0.74-0.87).
Conclusion: Seatbelt use among intercity bus passengers in Iran is low and externally motivated.