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A seat belt usability study was conducted to investigate factors associated with seat belt comfort and convenience related to shoulder belt contact pressure, shoulder belt fit, and seat belt upper anchorage location. Two major objectives were addressed in this study: (1) Determine the shift in the contact pressure while changing the seat back angle and seat belt attachment points / B-pillar location by utilizing a body pressure measurement system; (2) Identify how seat belt contact pressure and fit affect users' subjective feeling of comfort. Results from the statistical analysis shows that the seat belt contact pressure increases when the D-ring moves away from the driver in the fore-aft direction (X-axis) whereas height adjustment of the D-ring (Z-axis) is not statistically significant in terms of pressure distribution.