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Using a mobile phone is increasingly becoming recognized as very dangerous while driving. With a smartphone, users feel connected and have access to information. The inability to access smartphone has become a phobia, causing anxiety and fear. The present study’s aims are as follows: first, quantify the association between nomophobia and road safety among motorists; second, determine a cut-off value for nomophobia that would identify poor road safety so that interventions can be designed accordingly.

Participants were surveyed online for nomophobia symptoms and a recent history of traffic contraventions. Nomophobia was measured using the nomophobia questionnaire (NMP-Q).

A total of 1731 participants responded to the survey; the mean age was 33 ± 12, and 43% were male. Overall, 483 (28%) [26–30%] participants received a recent traffic contravention. Participants with severe nomophobia showed a statistically significant increased risk for poor road safety odds ratios and a corresponding 95% CI of 4.64 [3.35-6.38] and 4.54 [3.28-6.29] in crude and adjusted models, respectively. Receiver operator characteristic (ROC)-based analyses revealed that NMP-Q scores of = 90 would be effective for identifying at risk drivers with sensitivity, specificity and accuracy of 61%, 75% and 72%, respectively.

Nomophobia symptoms are quite common among adults. Severe nomophobia is associated with poor road safety among motorists. Developing screening and intervention programs aimed at reducing nomophobia may improve road safety among motorists.