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Seatbelt and child-restraint use in Kazakhstan: attitudes and behaviours of medical university students
  1. Zhamilya S Nugmanova1,
  2. Gainel Ussatayeva2,
  3. Louise-Anne McNutt3
  1. 1Kazakh National Medical University, Almaty, Kazakhstan
  2. 2Kazakhstan School of Public Health, Almaty, Kazakhstan
  3. 3Institute for Health and the Environment, University at Albany, State University of New York, Rensselaer, New York, USA
  1. Correspondence to Dr Zhamilya S Nugmanova, Division of HIV-Infection and Infection Control, Kazakh National Medical University, 94 Tole bi Str., Almaty 050000, Kazakhstan; zhamilya.nugmanova{at}


Traffic fatalities in Kazakhstan increased from 15 to more than 30 per 100 000 between 2001 and 2006. Mortality remains high compared with developed nations. Safety-restraint laws have been enacted, but little data exist regarding usage of seatbelts, particularly among children and passengers. This cross-sectional study surveyed medical university students about attitudes and behaviours regarding seatbelt and child safety-restraint usage. Seatbelts are widely used in the front seat (81%) but not in the back seat (79% ‘never’ or ‘rarely’ use a seatbelt in the back seat). Fewer than half reported ‘always’ or ‘almost always’ providing restraint for children under 7 years and 24% reported children secure the seatbelts themselves. Safety in the back seat merits attention. Adults generally do not buckle in the back seat despite a law requiring seatbelt use. Promotion of child safety restraints should be prioritised in prevention education for physicians and the community.

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