Defining Contextual Variables Related to Seat Belt Use in Fatal Crashes
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2021-09-01
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Edition:Final Report, September 22, 2017–January 21, 2020
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Abstract:Seat belt use rates vary considerably across the United States, as do the percentages of motor vehicle traffic crash fatalities that are unrestrained. This exploratory study investigated some of the contextual and environmental characteristics of places that may influence seat belt use and, by implication, the lack of restraint in crash fatalities. Three kinds of “alcohol outlets” were examined: on-premises businesses that sell alcohol for on-site consumption such as bars and pubs, businesses that sell alcohol for off-site consumption such as liquor stores, and tourism locations. These alcohol outlets were examined for potential relationships to lack of restraint use in crash fatalities in the United States from 2012 to 2016. As expected, greater densities (locations per 1,000 county residents) of off-premises alcohol outlets were associated with increased likelihood that fatalities were unrestrained. However, greater densities of on-premises alcohol outlets and tourism places were not associated with increased likelihood that fatalities were unrestrained. When on-premises alcohol outlets were subdivided into bars, dancing, stage performance, and tasting venues, greater densities of bars and stage performance locations were associated with increased likelihood that fatalities were unrestrained.
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