title: In-car cell phone use and hazards following hands free legislation.
abstract: OBJECTIVE
  A new law took effect in Finland at the beginning of 2003 which prohibits the handheld use of mobile phones while driving a motor vehicle. The purpose of this study was to assess the impact of the law on phone usage and self-reported safety during the first few months and 16 months later to determine whether the initial level of compliance with the law had been sustained.
  
  
  METHODS
  Data were collected by Gallup home poll before (spring 2002) and after legislation took effect (spring 2003 and 2004). A representative sample of drivers who owned a cell phone (n = 836 to 966) was interviewed each time. On-road observations were also collected in four cities for 2003 and 2004.
  
  
  RESULTS
  Just after the law, 97% of drivers were aware of the new hands free legislation. In sharp contrast to the pre-law rate of 16%, 43% reported not using the phone while driving immediately after the law and 41% one year later. The occasional users especially reduced their use of phones while driving. The law was correlated to reductions in self-reported handheld use of cell phones while driving, from 55.6% pre-law to 15.2% immediately after passage. In spite of this change, however, the hands free legislation did not reduce self-reported involvement of Finnish drivers in phone-related hazards. Handheld usage was still lower in 2004 than pre-law (20.0%), but the 32% increase from 2003 was significant. Observational data collected in Finland in 2003 and 2004 showed an even higher upward trend in handheld use (87% increase, from 3.1% to 5.8%; pre-law data were not available), and matched a similar increase reported by McCartt and Geary (2004) in their observational evaluation of New York's handheld mobile phone law.
  
  
  CONCLUSIONS
  The self-reports indicate that the hands-free law reduced handheld phone use, among occasional users especially, but did not reduce phone-related hazards. The effect of the law on phone use substantially declined within one year.
authors.affiliation: Liikenneturva (Central Organization for Traffic Safety in Finland), Helsinki, Finland.
authors.forename: Sirpa
authors.initials: S
authors.lastname: Rajalin
authors.forename: Heikki
authors.initials: H
authors.lastname: Summala
authors.forename: Leena
authors.initials: L
authors.lastname: Pöysti
authors.forename: Pasi
authors.initials: P
authors.lastname: Anteroinen
authors.forename: Bryan E
authors.initials: BE
authors.lastname: Porter
mesh_terms: D000328:Adult; D001288:Attention; D001334:Automobile Driving / Q000331:legislation & jurisprudence*; D040421:Cell Phone / Q000706:statistics & numerical data*; D005260:Female; D005387:Finland; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D013997:Time Factors