ArticleFrontiers in public health2026
Determinants of seat belt use among drivers: a BRFSS study from a middle-income country (Vojvodina, Serbia).
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Wearing a seat belt is a crucial safety measure to prevent road traffic injuries, but adherence varies among different groups. Local data on driver behavior in Serbia, especially in the Autonomous Province of Vojvodina (APV), is limited. Objective: The aim of our study was to examine the prevalence of seat belt use and the sociodemographic factors influencing seat belt use among drivers in APV. Methods: A cross-sectional survey was conducted in 2023-2024 among 6,726 healthcare users aged ≥18 years. Participants were recruited from 44 primary healthcare centers across 45 municipalities using stratified sampling by age, sex, and settlement type. The questionnaire was adapted from the CDC Behavioral Risk Factor Surveillance System (BRFSS), and data were collected via Computer-Assisted Personal Interview (CAPI), using selected modules on demographics and seat belt use. The outcome was self-reported seat belt use (consistent/inconsistent). Independent variables included sociodemographic characteristics and BMI. Binary logistic regression was used to identify predictors of inconsistent seat belt use. Results: Overall, 83.1% of drivers reported always wearing a seat belt. Inconsistent use was significantly associated with male gender (AOR 0.54; 95% CI 0.47-0.63; Conclusion: Seat belt use among APV drivers is high but varies by sociodemographic factors and region. Implementing targeted public health measures and local enforcement strategies is essential to improve compliance, especially among men, younger drivers, and high-risk occupational groups.
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