Predictors of Seat-Belt Use among Bus Passengers in Ghana: An Application of the Theory of Planned Behaviour and Health Belief Model.

Background: Seat-belt use is effective in preventing traffic fatalities and injuries yet its use is not universal. This study sought to determine the predictors of self-reported seat-belt use among bus passengers in Ghana based on the theory of planned behaviour and health belief model. Methods: A q...

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Published in:Journal of Community Health Vol. 46; no. 5; pp. 992 - 1000
Main Authors: Okyere, Paul, Agyei-Baffour, Peter, Harris, Muriel Jean, Mock, Charles, Donkor, Peter, Yankson, Isaac Kofi, Owusu-Dabo, Ellis
Format: Article
Published: Springer Nature Oct2021
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Oct2021
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      pub: Springer Nature
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        atl: Predictors of Seat-Belt Use among Bus Passengers in Ghana: An Application of the Theory of Planned Behaviour and Health Belief Model.
      aug:
        au:
          Okyere, Paul
          Agyei-Baffour, Peter
          Harris, Muriel Jean
          Mock, Charles
          Donkor, Peter
          Yankson, Isaac Kofi
          Owusu-Dabo, Ellis
        affil:
          Department of Health Promotion and Education, School of Public Health, Kwame Nkrumah University of Science and Technology (KNUST), Kumasi, Ghana
          Department of Health Policy, Management and Economics, School of Public Health, KNUST, Kumasi, Ghana
          Department of Health Promotion and Behavioral Science, School of Public Health and Information Sciences, University of Louisville, 40202, Louisville, KY, USA
          Harborview Injury Prevention & Research Center, University of Washington, 98104, Seattle, WA, USA
          Department of Surgery, Komfo Anokye Teaching Hospital, Kumasi, Ghana
          Building and Road Research Institute, Council for Scientific and Industrial Research, Kumasi, Ghana
          Department of Global and International Health, School of Public Health, KNUST, Kumasi, Ghana
      su:
        Ghana
        Planned behavior theory
        Health Belief Model
        Automobile safety appliances
        Motor vehicle occupants
        Motor vehicle safety measures
      sug:
        subj:
          Planned behavior theory
          Ghana
          Recreational and other motor vehicles merchant wholesalers
          Automobile and Other Motor Vehicle Merchant Wholesalers
          Motor Vehicle Supplies and New Parts Merchant Wholesalers
          Health Belief Model
          Automobile safety appliances
          Motor vehicle occupants
          Motor vehicle safety measures
      keyword:
        Developing Countries
        Motor Vehicles
        Regression Analysis
        Self-Report
        Surveys and Questionnaires
        Developing Countries
        Motor Vehicles
        Regression Analysis
        Self-Report
        Surveys and Questionnaires
      ab: Background: Seat-belt use is effective in preventing traffic fatalities and injuries yet its use is not universal. This study sought to determine the predictors of self-reported seat-belt use among bus passengers in Ghana based on the theory of planned behaviour and health belief model. Methods: A quantitative cross-sectional study design with 633 randomly selected intercity bus passengers was conducted using a structured questionnaire in Kumasi, Ghana. The resulting data were analysed using SPSS version 23.0. Ordinal regression was employed to determine the predictors of self-reported seat-belt use. Results: Majority of the respondents were male (61.5%) with a mean age of 32.2 (SD = 11.6). A third (33.0%) reported that they always wear their seat-belt as bus passengers. The results indicated that intention (OR = 1.49, 95% CI = 1.21–1.84, p = 0.001), subjective norm (OR = 1.57, 95% CI = 1.15–2.13, p = 0.004) and perceived behavioural control (OR = 1.53; 95% CI = 1.21–1.92, p = 0.001) variables from the theory of planned behaviour were significant independent predictors of seat-belt use. Among the health belief model variables, perceived severity (OR = 1.57, 95% CI = 1.15–2.16, p = 0.005) and perceived barriers (OR = 0.52, 95% CI = 0.39–0.67, p = 0.001) were the only significant independent predictors of self-reported seat-belt use. Conclusion: The findings suggest that intention, subjective norm, perceived behavioural control, perceived severity and perceived barriers play an important role in determining bus passengers' seat-belt use behaviour. Road safety programmes to increase seat-belt use will gain from giving serious attention to these factors in the design and implementation of such programmes.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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