An observational cross-sectional survey showed that 21.1% of private m
otor vehicle drivers and 13.5% of front seat passengers voluntarily wo
re seat belts in Kingston, Jamaica, where there is no law requiring th
is. Rear passenger utilisation was not examined. Compared to males, fe
males were significantly more likely to wear seat belts when driving b
ut not as front seat passengers. Of all motor vehicles examined, 10.1%
were not equipped with seat belts. The oldest group of vehicles were
mostly not fitted with seat belts. Drivers of older vehicles were sign
ificantly less likely to use seat belts even when the vehicles were eq
uipped with belts. implementation of legislation can reduce mortality,
morbidity and costs from road traffic accidents which are relatively
frequent in Jamaica. Male drivers, drivers of older vehicles and all p
assengers may require specific targeting in an educational and enforce
ment campaign should legislation, which is highly desirable, be implem
ented.