RA Marottoli, Yale University; G Doros, Yale University; P Peduzzi, Yale University

Objectives: Older persons are at increased risk of injuries, hospitalizations, and death following motor vehicle crashes. The likelihood of an injury occurring during a crash is dependent in part on speed, site of impact, vehicle integrity, and the use of occupant protection devices. The most widely available, and most effective, of the latter are safety belts. In this study we observed the use ofseatbelts in a sample of older drivers recruited from VA and community sources.

Methods: Participants age 70 years and older were recruited for an on-road driving evaluation from the general medicine clinics at VA Connecticut (West Haven) and a number of community sources. At the start of the road test, seat belt use was noted by the examiner.

Results: Of the 552 drivers, only 355 (64%) fastened their safety belt without prompting. There was little difference in seat belt use between VA and community participants (66% v.62%; x2= .57, 1 d.f., p=.45).

Conclusions: In this observational study of older drivers, a substantial portions of drivers did not use their seatbelts without prompting.

Impact: Reasons for seat belt use or non-use need to be explored in more detail and educational strategies revised to increase the use of a vital and effective safety device.