Seat belt use and social inequality in Belgium

Eur J Public Health. 2004 Mar;14(1):27-31. doi: 10.1093/eurpub/14.1.27.

Abstract

Background: To search for and quantify the importance of socio-economic inequality in seat belt use in young Belgians (15-24 years old).

Methods: Using the data of the National Health Survey of Belgium (1997), socio-economic indicators were constructed combining characteristics of the individual and the household to which s/he 'belongs' (equivalent household income, employment, poverty, subjective poverty, and socio-economic insecurity) and the corresponding concentration curves and indices were calculated.

Results: Significant differences were found in seat belt use related to young people's socio-economic status. The failure to buckle up was concentrated most heavily in the least favoured socio-economic groups. Such inequality was a constant finding, although its magnitude varied according to the socio-economic indicator used, going from -0.142 for the variable 'occupational category of the household' to -0.028 for the variable 'poverty'.

Conclusions: This finding of true socio-economic inequality in the use of seat belts by 15-24 year olds should prompt special vigilance in health promotion approaches aimed at changing behaviour. It also underlines the importance of being attentive to the socio-economic indicators that are chosen to quantify such inequality in intra- and inter-country comparisons.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Belgium
  • Female
  • Humans
  • Male
  • Poverty
  • Seat Belts*
  • Social Class
  • Social Justice*