Do Mandatory Seat Belt Laws Affect Socioeconomic Inequalities in Seat Belt Use

We investigated the effect of mandatory seat belt laws on socioeconomic differences in seat belt use. We identified the differential effect of legislation across socioeconomic groups using a difference-in-difference-in-differences model based on state variations in the timing of the passage of laws. Seat belt laws consistently reduced educational and income gaps, with the smallest differences between socioeconomic groups observed among states that do not require any other violation to issue a citation for seat belt non-use (primary enforcement). Our results imply that existing socioeconomic differences in seat belt use would be further mitigated if all states upgraded to primary enforcement.

[1]  Allan F Williams,et al.  Effect on fatality risk of changing from secondary to primary seat belt enforcement. , 2005, Journal of safety research.

[2]  Ruth A Shults,et al.  Comparison of 2008 national and state-level self-reported and observed seatbelt use estimates , 2011, Injury Prevention.

[3]  D. Nelson,et al.  A comparison of national estimates from the National Health Interview Survey and the Behavioral Risk Factor Surveillance System. , 2003, American journal of public health.

[4]  Allan F. Williams,et al.  Seat belt use among African Americans, Hispanics, and Whites. , 2002, Accident; analysis and prevention.

[5]  Brett Taylor,et al.  An Exploratory Study of the Relationship Between Socioeconomic Status and Motor Vehicle Safety Features , 2010, Traffic injury prevention.

[6]  Elisa R Braver,et al.  Race, Hispanic origin, and socioeconomic status in relation to motor vehicle occupant death rates and risk factors among adults. , 2003, Accident; analysis and prevention.

[7]  James L Nichols,et al.  Primary enforcement seat belt laws are effective even in the face of rising belt use rates. , 2004, Accident; analysis and prevention.

[8]  L. Einav,et al.  The Effects of Mandatory Seat Belt Laws on Driving Behavior and Traffic Fatalities , 2003 .

[9]  C M Kristiansen,et al.  Seat belt legislation and seat belt use: effects on differences related to sex, social class and smoking. , 1985, Accident; analysis and prevention.

[10]  James L Nichols,et al.  Effectiveness of primary enforcement safety belt laws and enhanced enforcement of safety belt laws: a summary of the Guide to Community Preventive Services systematic reviews. , 2004, Journal of safety research.

[11]  D. Girasek Public beliefs about the preventability of unintentional injury deaths. , 2001, Accident; analysis and prevention.

[12]  Lilliard E. Richardson,et al.  Reducing Traffic Fatalities in the American States by Upgrading Seat Belt Use Laws to Primary Enforcement. , 2006 .

[13]  Neil K Chaudhary,et al.  Predictive Models of Safety Belt Use: A Regression Analysis of MVOSS Data , 2004, Traffic injury prevention.

[14]  J M Boyle,et al.  2003 motor vehicle occupant safety survey. Volume 2, Safety belt report , 2008 .

[15]  E. Regidor,et al.  Association between cannabis and cocaine use, traffic injuries and use of protective devices. , 2011, European journal of public health.

[16]  L J Blincoe,et al.  The economic cost of motor vehicle crashes, 1990 , 1992 .

[17]  J. Leigh Schooling and Seat Belt Use , 1990 .

[18]  James A. Tobey PUBLIC HEALTH LAW , 1939 .

[19]  P L Remington,et al.  Design, characteristics, and usefulness of state-based behavioral risk factor surveillance: 1981-87. , 1988, Public health reports.

[20]  Brian O'Neill,et al.  Factors Associated with Observed Safety Belt Use , 1972 .

[21]  G S Smith,et al.  Socioeconomic status and injury mortality: individual and neighbourhood determinants , 2000, Journal of epidemiology and community health.

[22]  Ronald Weitzer,et al.  PERCEPTIONS OF RACIAL PROFILING: RACE, CLASS, AND PERSONAL EXPERIENCE , 2002 .

[23]  D J Beirness,et al.  Seat belt use among drinking drivers in Minnesota. , 1994, American journal of public health.

[24]  Allan F. Williams,et al.  Analyzing the First Years of the "Click It or Ticket" Mobilizations , 2010 .

[25]  Neil K Chaudhary,et al.  The relationship between perceived risk of being ticketed and self-reported seat belt use. , 2004, Journal of safety research.

[26]  J. Lynch,et al.  Trends in Socioeconomic Inequalities in Adult Health Behaviors among U.S. States, 1990–2004 , 2007, Public health reports.

[27]  D E Nelson,et al.  Trends in safety belt use by demographics and by type of state safety belt law, 1987 through 1993. , 1998, American journal of public health.

[28]  P Dreyfuss,et al.  Legislative history of recent primary safety belt laws , 1999 .

[29]  G C Hogelin,et al.  The behavioral risk factor surveys: I. State-specific prevalence estimates of behavioral risk factors. , 1985, American journal of preventive medicine.

[30]  P. Gupta A general method of decomposing a difference between two rates into several components , 1978, Demography.

[31]  Leonard Evans,et al.  Human Behavior Feedback and Traffic Safety , 1985 .

[32]  A. Jemal,et al.  Widening of Socioeconomic Inequalities in U.S. Death Rates, 1993–2001 , 2008, PloS one.

[33]  J. S. Long,et al.  Regression models for categorical dependent variables using Stata, 2nd Edition , 2005 .

[34]  Glenn C. Blomquist,et al.  Value of Life Saving: Implications of Consumption Activity , 1979, Journal of Political Economy.

[35]  H. Koh A 2020 vision for healthy people. , 2010, New England Journal of Medicine.

[36]  Glenn C. Blomquist,et al.  Motorist use of safety equipment: Expected benefits or risk incompetence? , 1991 .

[37]  T. Miller,et al.  Healthy Lifestyle and Safety: An Expected Net Benefit Approach to Seat Belt Use , 1996 .

[38]  David J Houston,et al.  Safety belt use and the switch to primary enforcement, 1991-2003. , 2006, American journal of public health.

[39]  S. Syme,et al.  Legal and Public Policy Interventions to Advance the Population's Health , 2000 .

[40]  I. Waldron,et al.  Possible causes of socioeconomic and ethnic differences in seat belt use among high school students. , 1999, Accident; analysis and prevention.

[41]  W. Halperin,et al.  Deaths Due to Injuries Among Employed Adults: The Effects of Socioeconomic Class , 2003, Epidemiology.

[42]  Gunilla Fhaner,et al.  SEAT BELTS: FACTORS INFLUENCING THEIR USE - A LITERATURE SURVEY , 1973 .

[43]  J Boyle,et al.  1996 MOTOR VEHICLE OCCUPANT SAFETY SURVEY, VOLUME 3: SEAT BELTS , 1997 .

[44]  R M Tipton,et al.  The effects of mandatory seat belt legislation on self-reported seat belt use among male and female college students. , 1990, Accident Analysis and Prevention.

[45]  Laurie F Beck,et al.  Geographic and sociodemographic variation in self-reported seat belt use in the United States. , 2010, Accident; analysis and prevention.

[46]  S. Vesely,et al.  Health risk aversion, health risk affinity, and socio-economic position in the USA: The demographics of multiple risk , 2000 .

[47]  P. Sorlie,et al.  Validity of education information on the death certificate. , 1996, Epidemiology.

[48]  C Borrell,et al.  Education level inequalities and transportation injury mortality in the middle aged and elderly in European settings , 2005, Injury Prevention.

[49]  Eric Rodgman,et al.  Characteristics of seat belt users and non-users in a state with a mandatory belt use law , 1990 .

[50]  J. Marks,et al.  State trends in health risk factors and receipt of clinical preventive services among US adults during the 1990s. , 2002, JAMA.

[51]  David A. Harris The Stories, the Statistics and the Law: Why 'Driving While Black' Matters , 2000 .

[52]  P L Remington,et al.  The influence of safety belt laws on self-reported safety belt use in the United States. , 1992, Accident; analysis and prevention.

[53]  Marshall B. Kapp,et al.  PUBLIC HEALTH LAW: POWER, DUTY, RESTRAINT , 2001 .

[54]  S. Baker,et al.  Secular trends of motor vehicle mortality in the United States, 1910-1994. , 2001, Accident; analysis and prevention.

[55]  D E Nelson,et al.  Reliability and validity of measures from the Behavioral Risk Factor Surveillance System (BRFSS). , 2001, Sozial- und Praventivmedizin.

[56]  M Pledger,et al.  Motor vehicle driver injury and socioeconomic status: a cohort study with prospective and retrospective driver injuries , 2003, Journal of epidemiology and community health.

[57]  D. Hemenway NERVOUS NELLIES AND DANGEROUS DANS , 1993 .

[58]  G W Comstock,et al.  What kinds of people do not use seat belts? , 1977, American journal of public health.

[59]  P L Remington,et al.  Failure to use seat belts in the United States. The 1981-1983 Behavioral Risk Factor Surveys. , 1986, JAMA.

[60]  Bruce D. Meyer Natural and Quasi- Experiments in Economics , 1994 .

[61]  David F. Preusser,et al.  MINORITIES AND PRIMARY VERSUS SECONDARY BELT USE ENFORCEMENT , 2005 .

[62]  A. Levêque,et al.  Seat belt use and social inequality in Belgium. , 2004, European journal of public health.

[63]  D E Nelson,et al.  Validity of self reported data on injury prevention behavior: lessons from observational and self reported surveys of safety belt use in the US. , 1996, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[64]  Ruth A Shults,et al.  Associations between sociodemographics and safety belt use in states with and without primary enforcement laws. , 2007, American journal of public health.

[65]  R. J. Wilson,et al.  The relationship of seat belt non-use to personality, lifestyle and driving record , 1990 .

[66]  F. LeClere,et al.  Socioeconomic status and the occurrence of fatal and nonfatal injury in the United States. , 2000, American journal of public health.

[67]  R. Lifton,et al.  Living and Dying , 1974 .

[68]  Joshua D. Angrist,et al.  Mostly Harmless Econometrics: An Empiricist's Companion , 2008 .

[69]  R. Troiano,et al.  Patterns of health behavior in U.S. adults. , 2003, Preventive medicine.

[70]  E. Rogers Diffusion of Innovations , 1962 .

[71]  Onyebuchi A Arah,et al.  Bias Formulas for Sensitivity Analysis of Unmeasured Confounding for General Outcomes, Treatments, and Confounders , 2011, Epidemiology.

[72]  T S Dee,et al.  Reconsidering the effects of seat belt laws and their enforcement status. , 1998, Accident; analysis and prevention.

[73]  Joni Hersch,et al.  SMOKING, SEAT BELTS, AND OTHER RISKY CONSUMER DECISIONS: DIFFERENCES BY GENDER AND RACE , 1996 .

[74]  J. Gruber The incidence of mandated maternity benefits. , 1994, The American economic review.

[75]  G C Hogelin,et al.  The behavioral risk factor surveys: II. Design, methods, and estimates from combined state data. , 1985, American journal of preventive medicine.

[76]  E. Duflo,et al.  How Much Should We Trust Differences-in-Differences Estimates? , 2001 .

[77]  Alexander C. Wagenaar,et al.  Mandatory seat belt laws in eight states: a time-series evaluation☆ , 1988 .

[78]  F M Streff,et al.  Are there really shortcuts? Estimating seat belt use with self-report measures. , 1989, Accident; analysis and prevention.

[79]  I. Kawachi,et al.  Living and Dying in the USA: Behavioral, Health, and Social Differentials of Adult Mortality , 1999 .

[80]  I. Kawachi,et al.  Integrating Law and Social Epidemiology , 2002, Journal of Law, Medicine & Ethics.