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  1. Safety belt nonuse by internal medicine patients : a missed opportunity in clinical preventive medicine.

    Article, Communication - En anglais

    Southern Society of General Internal Medicine Regional Meeting - Society of General Internal Medicine National Meeting. New Orleans LA USA ; Washington DC USA, 1992/01/31 - 1992/04/30.

    We undertook this study to determine the prevalence of the nonuse of safety belts among internal medicine patients, to measure the association of nonuse with other health risk factors, and to ascertain the safety belt counseling practices of physicians.


    A total of 492 consecutive patients attending a university-based general medicine clinic were given a validated, self-administered questionnaire, and 94% responded.

    A medical chart review was performed in a blinded fashion on 94% of the eligible charts.


    Of the 454 patients who provided safety belt information, 243 (54%) did not wear safety belts.

    Nonusers were more likely to be problem drinkers, inactive, obese, and to have a low income (adjusted odds ratios 1.8 to 2.0).

    Of patients with all four of these characteristics, 91% did not use safety belts.

    The leading reasons for safety belt nonuse were discomfort (35%), short driving distances (24%), and forgetfulness (13%). Obese patients were more likely to report discomfort as their reason for nonuse (odds ratio 2.4 ; 95% confidence limit 1.4 to 4.3).


    The majority of patients attending an internal medicine clinic do not wear safety belts.

    Nonusers are more likely to be problem drinkers, inactive, obese, and to have a low income.

    Patients with multiple health risk factors are at significant risk of nonuse.

    The most common reason for nonuse is physical discomfort, especially among obese patients.

    Mots-clés Pascal : Utilisation, Ceinture sécurité, Questionnaire, Conseil, Médecin, Médecine préventive, Motivation, Homme, Statut socioéconomique, Etats Unis, Amérique du Nord, Amérique

    Mots-clés Pascal anglais : Use, Safety belt, Questionnaire, Council, Physician, Preventive medicine, Motivation, Human, Socioeconomic status, United States, North America, America

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 95-0328082

    Code Inist : 002B30A03B. Création : 01/03/1996.