Background and Objective : After suffering from some diseases,car accident is the most common cause of mortality in Iran.Using safety seat belt has a considerable role in reducing the injuries. This study has been established for comparing the trend of safety belt use from 2007to­ 2010 in Golestan province.

  Material and Methods: This population-based cross-sectional study was carried out on 3999 subjects aged 15-65,­during four years,in 11 urban and rural public health centers.They were selected by stratified and cluster sampling.­ Interviewers recorded the data using a all of them filled demographic data sheet,and were asked whether they asked seat belt or not.We used Chi-2 test to compare the frequencies and regression logistic to estimate seat belt use odds ratio.

  Results: The rate of seat belt use in the years of 2007, 2008, 2009 and 2010 were 71%, 69.8%, 74.5 and 86.4%, respectively.The difference is signficant(P<0.01) safety belt use during the four years increases by 15.4%.­ This increase in urban area is 19% while in rural area is 14.9%. In under 35-­year-old group,the increase is 17.85% and in over 35 is 14.3% .In 2010,­using seat belt in men was more than women, by 14.8%.

  Conclusion: Using safety belt increased by 3.85% for each year.It^,s use in urban higher that rural are,and in institutionalization to use the safety belt and a growing trend to use clear men more them women was reported.Interalization horizon in the province in reducing mortality from accidents will open of using seat belt and it^,s increasing use is considerable in this Province.