The validity of self-reported seatbelt use among low belt use populations h
as not been evaluated directly, despite the importance of such data for est
imating the effectiveness of community-wide interventions and compliance wi
th state laws. To address this gap in knowledge 612 drivers were recruited
from convenience stores located in 12 randomly generated zip code areas loc
ated in El Paso, TX. Self-reported seatbelt use was compared with observed
seatbelt use in a single sample of participants. Both data sets were collec
ted almost contemporaneously and no participant was aware of having their s
eatbelt use observed. Hispanic (n = 388) and white/non-Hispanic (n = 126) d
rivers over reported seatbelt use by 27 and 21%, respectively. These findin
gs suggest that response bias within low belt use populations may be greate
r than suggested by state and national data. (C) 2000 Elsevier Science Ltd.
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