title: Practices, attitudes and perceptions toward road safety in yerevan, republic of armenia.
abstract: OBJECTIVE
  : To determine knowledge and attitudes regarding traffic safety devices, measures, and legislation in the general population in Yerevan, Republic of Armenia.
  
  
  METHODS
  : We conducted a baseline random digit dial fixed line telephone verbal survey of Yerevan households in April 2009 with a follow-up survey in May 2010. Survey domains included restraint use, motor vehicle crash experiences, and attitudes regarding traffic safety.
  
  
  RESULTS
  : In the initial survey, of 2137 numbers dialed, 436 persons were reached and 390 (90%) agreed to participate. Of survey respondents, 90% percent of household cars had seatbelts, while 47% had airbags. Twenty-four percent always or usually wore a seatbelt when driving, 21% wore a belt as a passenger. 39% were unaware of child restraints. Of the 61% who were aware of child restraints, only 32% had ever used one. A follow-up survey was conducted one year later after enforcement efforts were increased. In the follow-up survey, 81% percent always or usually wore a seatbelt when driving, and 69% wore a belt as a passenger. There was no significant increase of awareness or use of child restraints in the follow-up survey.
  
  
  CONCLUSIONS
  : Although cars in Yerevan have seat belts, the majority of drivers and passengers prior to the intervention did not use them. Knowledge and use of child restraints was poor. The follow-up survey conducted after an enforcement campaign was underway in Yerevan showed that improved enforcement greatly increased awareness and compliance with current legislation. This study provides vital baseline information for the formulation of future policy. It also highlights the need for a multi-dimensional road traffic safety initiative through public educational campaigns, enforcement of current laws, and development of novel prevention policies and regulations.
authors.affiliation: Yale University School of Medicine, Department of Emergency Medicine American University of Armenia.
authors.forename: Sharon Anoush
authors.initials: SA
authors.lastname: Chekijian
authors.forename: Nune
authors.initials: N
authors.lastname: Truzyan
mesh_terms: D001136:Armenia; D001334:Automobile Driving; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D012449:Safety; D012622:Seat Belts