RESUMO
OBJECTIVE: This study analyzed the wearing of seatbelts among British Forces personnel in Iraq and explored the various factors that prevented their use. METHODS: Questionnaires were administered to 237 British Forces personnel in southern Iraq from December 2003 to January 2004. Data analysis was by percentages. RESULTS: A total of 78% of respondents knew the seatbelt regulations (i.e., to wear seatbelts always). Respondents perceived the biggest threats to driving to be bad roads, speeding, security dangers, and Iraqi drivers. Seatbelt usage by drivers was 52% always, 25% sometimes, and 22% never. This was similar to usage by front seat passengers (52%, 27%, and 21%, respectively). The main reasons for not wearing seatbelts for drivers and front seat passengers were inhibition of exit and weapons. A total of 66% of back seat passengers in Land Rovers never wore seatbelts. CONCLUSIONS: The wearing of seatbelts is mandatory. The Ministry of Defence seatbelt policy is clear and is understood by most service personnel. However, this study shows a disparity between awareness regarding the mandatory use of seatbelts and actual use. Soldiers perceive the use of seatbelts as restrictive in a hostile environment. More effective education is needed and should emphasize the importance of seatbelt usage even in hostile areas such as Iraq.