SIMULATING INTERVENTION STRATEGIES FOR IMPROVING SEAT BELT COMPLIANCE AND MOBILE PHONE USE AMONG DRIVERS IN BAGHDAD
DOI:
https://doi.org/10.11113/aej.v16.25012Keywords:
Seat Belt Compliance, Mobile Phone Use, Safety Interventions,, Road Safety, Seat Belt Compliance, Mobile Phone Use, Safety Interventions, cost-benefit.Abstract
Seat belt non-use and mobile phone use while driving pose major road safety risks in Baghdad, Iraq. A survey of 287 drivers revealed critically low seat belt compliance (35% among drivers; <4% among rear passengers) and high mobile phone use (92%). Lower compliance was significantly associated with older age and less education levels. A simulation model tested six intervention strategies over 1- and 10-year periods. The most effective strategy—combining education with enforcement—achieved a 25.2% improvement in seat belt use and a 36,343% ROI. Education-only strategies, while less effective, were highly cost-efficient (ROI: 113,695%). These findings underscore the importance of long-term, targeted interventions, especially for high-risk demographics. Combining education, enforcement, and technology-based tools can substantially enhance road safety in Baghdad and comparable urban settings.
References
World Health Organization (WHO). 2023. Road Safety. [Online]. Available: https://www.who.int/health-topics/road-safety Retrieved on 25 December, 2023
Praveen, B., Ramesh, A., & Kumar, M. 2021. Drivers Perspective on Wearing Seat Belt and Use of Mobile Phone While Driving in Metropolitan City. In Advances in Civil Engineering: Select Proceedings of ARICE 2019. Springer Singapore. 413–426.
Abduljabbar, A. S. 2022. Assessment of Drivers and Passengers Seat Belt Compliances in Baghdad City. Jurnal Kejuruteraan. 34(5): 935–940.
Mahfoud, Z. R., Cheema, S., Alrouh, H., Al-Thani, M. H., Al-Thani, A. A. M., & Mamtani, R. 2015. Seat belt and mobile phone use among vehicle drivers in the city of Doha, Qatar: an observational study. BMC Public Health. 15: 937.
McCartt, A. T., Hellinga, L. A., & Bratiman, K. A. 2006. Cell phones and driving: review of research. Traffic Injury Prevention. 7(2): 89–106.
DOI: 10.1080/15389580500465273
S., Ansari-Moghaddam, A., & Ansari, H. 2023. The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis. Journal of the Egyptian Public Health Association. 98(1): 14.
Densu, S. N., & Salifu, M. 2013. Attitudes Towards Seatbelts Use in Kumasi, Ghana. International Journal of Structural and Civil Engineering Research. 2(1): 82–94.
Begg, D. J., & Langley, J. D. 2000. Seat-belt use and related behaviors among young adults. Journal of Safety Research. 31(4): 211–220.
Shaaban, K. 2012. Young Drivers’ Attitude Regarding Seat Belt Use in Qatar. International Conference on Civil, Electrical and Electronics Engineering (ICCEEE'2012). December 21–22, Bangkok, Thailand.
Kulanthayan, S., Raha, A. R., Law, T. H., & Radin Umar, R. S. 2004. Seat Belt Use Among Car Users in Malaysia. IATSS Research. 28(1): 19–25.
Mohammadi, G. 2009. Mobile phone and seat belt usage and its impact on road accident fatalities and injuries in southeast Iran. International Journal of Crashworthiness. 14(4): 309–314.
Alghnam, S., Towhari, J., Alkelya, M., Binahmad, A., & Bell, T. M. 2018. The effectiveness of introducing detection cameras on compliance with mobile phone and seatbelt laws: a before-after study among drivers in Riyadh, Saudi Arabia. Injury Epidemiology. 5(1): 1–6.
Ebert, J. P., Yan, R., Friday, S., Small, D., McDonald, C. C., Bartolozzi, K., & Delgado, M. K. 2025. Behavioral Interventions for Increasing Seat Belt Use and Decreasing Distracted Driving Using Telematics: A National Randomized Trial. American Journal of Public Health. 115(5): 758–768.
imsekoglu, Ö., & Lajunen, T. 2009. Relationship of seat belt use to health and driver behaviors. Transportation Research Part F: Traffic Psychology and Behaviour. 12(3): 235–241.
Kweon, Y. J., & Kockelman, K. M. 2006. Driver attitudes and choices: speed limits, seat belt use, and drinking-and-driving. Journal of the Transportation Research Forum. 45(3): 39–56.
Jiménez-Mejías, E., Prieto, C. A., Martínez-Ruiz, V., del Castillo, J. D. D. L., Lardelli-Claret, P., & Jiménez-Moleón, J. J. 2014. Gender-related differences in distances travelled, driving behaviour and traffic accidents among university students. Transportation Research Part F: Traffic Psychology and Behaviour. 27: 81–89.
Goel, R., Tiwari, G., Varghese, M., Bhalla, K., Agrawal, G., Saini, G., ... & Mohan, D. 2024. Effectiveness of road safety interventions: An evidence and gap map. Campbell Systematic Reviews. 20(1): e1367.
Somoray, K., White, K. M., Watson, B., & Lewis, I. 2024. Predicting risky driving behaviours using the theory of planned behaviour: A meta-analysis. Accident Analysis & Prevention, 208: 107797.
Eijigu, T. D. (2021). Mobile phone use intention while driving among public service vehicle drivers: Magnitude and its social and cognitive determinants. PLoS one, 16(4): e0251007.
Keffane, S. 2021. Theory of planned behavior as a model of limit mobile phone use while driving. Advanced in Educational and Technology and Psychology, 5: 6-12.
Iraqi Ministry of Planning, 2023. Central Statistical Organization. [Online]. Available: http://cosit.gov.iq/en/home Retrieved on 27 December, 2023
World Health Organization. 2013. Strengthening road safety legislation: a practice and resource manual for countries. World Health Organization.
McEvoy, S. P., Stevenson, M. R., McCartt, A. T., Woodward, M., Haworth, C., Palamara, P., & Cercarelli, R. 2005. Role of mobile phones in motor vehicle crashes resulting in hospital attendance: a case-crossover study. BMJ (Clinical research ed.), 331(7514): 428. DOI: https://doi.org/10.1136/bmj.38537.397512.55
Grdinić-Rakonjac, M., Antić, B., Pešić, D., & Pajković, V. 2021. Construction of road safety composite indicator using grey relational analysis. Promet-Traffic&Transportation, 33(1): 103-116.
Harris, G. T., & Olukoga, I. A. 2005. A cost benefit analysis of an enhanced seat belt enforcement program in South Africa. Injury Prevention. 11(2): 102–105.
Bishai, D. M., & Hyder, A. A. 2006. Modeling the cost effectiveness of injury interventions in lower- and middle-income countries: opportunities and challenges. Cost Effectiveness and Resource Allocation. 4: 1–11.
World Health Organization (WHO). 2018. Global status report on road safety 2018. Geneva: World Health Organization.
Mendivil, J., García-Altés, A., Pérez, C., Marí-Dell'Olmo, M., & Tobias, A. 2011. Speed cameras in an urban setting: A cost-benefit analysis. Injury Prevention. 18(2): 75–80.
Hooke, A., Knox, J., & Portas, D. 1996. Cost benefit analysis of traffic light & speed cameras. London, UK: Home Office, Police Research Group.
Simsekoglu, Ö., & Lajunen, T. 2009. Relationship of seat belt use to health and driver behaviors. Transportation Research Part F: Traffic Psychology and Behaviour. 12(3): 235–241.













