Document Type : Original Article

Authors

1 Department of Epidemiology, Faculty of Public Health & Safety and Safety Promotion & Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

2 Department of Epidemiology, School of Public Health & Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran

3 Department of Psychology, Lorestan University, Lorestan, Iran

10.30476/beat.2025.103825.1537

Abstract

This study explores the underlying reasons for non-compliance with seat belt usage among rear-seat passengers.

Methods: This research is a qualitative study conducted in2023on a group of driving instructors, drivers, psychologists, rear-seat passengers, and experts in the field of accidents and driving in Tehran, Khuzestan, and Golestan. Data were collected through semi-structured interviews and focus group discussions and analyzed using conventional content analysis. The interviews lasted between 40 to 90 minutes and were recorded using two digital recorders. The interviews were transcribed and analyzed following the conventional qualitative content analysis method.

Results: The results showed that various factors such as lack of sufficient awareness of laws and regulations, incorrect behavioural and cultural attitudes, social and economic factors, the insufficient role of the police and other organisations, and poor quality of safety belts influence the lack of seat belt usage by rear seat passengers. Accordingly, solutions such as continuous education and awareness, improving the quality of safety belts, and organisational collaboration to promote traffic culture have been proposed. Education and information on the importance of using seat belts should start comprehensively from a young age and continue into adulthood, with the family playing a crucial role.

Conclusion: This study identified key factors behind the non-use of rear seatbelts, including awareness of laws, cultural attitudes, socio-economic influences, and poor seatbelt quality. It recommends prioritizing ongoing education on seatbelt use, improving seatbelt quality, and fostering collaboration among traffic police, media, and schools. These steps aim to enhance traffic safety and compliance with seatbelt laws, ultimately reducing road accident deaths and injuries.

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