title: Analysis of factors associated with seatbelt wearing among rear passengers in Malaysia.
abstract: A cross-sectional survey using a self-administered questionnaire was conducted among 793 rear passengers in Malaysia. Logistic regression was performed to analyse the association of rear seatbelt wearing with 12 independent variables. Seven factors were significantly associated with rear seatbelt wearing. Experience of being stopped by an enforcement officer for not wearing rear seatbelt yielded the highest odds ratio 2.3 (p = 0.002) followed by self-consciousness (odds ratio 1.7; p = 0.004), attitude (odds ratio 1.5, p = 0.001), and knowledge (odds ratio 1.4, p = 0.004). Age of participants and their perception of being caught by an enforcement officer were also significantly associated with rear seatbelt wearing, odds ratios were 1.03 (p = 0.004) and 1.1 (p = 0.004), respectively. In contrast, level of education was negatively associated with rear seatbelt wearing (odds ratio 0.59, p = 0.003). It was concluded that enforcement activities, knowledge and attitude on seatbelt wearing play a very important role in improving the rate of rear seatbelt wearing. Thus, efforts to increase these factors should be the special focus in designing education and social marketing activities to advocate rear seatbelt wearing.
authors.affiliation: Vehicle Safety and Biomechanics Research Centre, Malaysian Institute of Road Safety Research, Kajang Selangor, Malaysia. norlen@miros.gov.my
authors.forename: Norlen
authors.initials: N
authors.lastname: Mohamed
authors.forename: Muhammad Fadhli
authors.initials: MF
authors.lastname: Mohd Yusoff
authors.forename: Noradrenalina
authors.initials: N
authors.lastname: Isah
authors.forename: Ihamah
authors.initials: I
authors.lastname: Othman
authors.forename: Sharifah-Allyana
authors.initials: SA
authors.lastname: Syed Rahim
authors.forename: Noorfaradilla
authors.initials: N
authors.lastname: Paiman
mesh_terms: D000328:Adult; D003430:Cross-Sectional Studies; D003625:Data Collection; D005260:Female; D015438:Health Behavior; D006266:Health Education; D007722:Health Knowledge, Attitudes, Practice; D006293:Health Promotion; D006801:Humans; D008296:Malaysia; D008297:Male; D016017:Odds Ratio; D012309:Risk-Taking; D012449:Safety; D012622:Seat Belts / Q000706:statistics & numerical data*; D012649:Self Concept; D012647:Self-Assessment; D040241:Social Marketing; D013223:Statistics as Topic; D011795:Surveys and Questionnaires