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Trends in Passenger Seat Belt Use Among High School Students—United States, 1991–2019

  • Alexander Evans
    Affiliations
    Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

    The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio
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  • Cassandra Polak
    Affiliations
    Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio
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  • Lucas M. Neuroth
    Affiliations
    The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio
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  • Gary A. Smith
    Affiliations
    The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio

    Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio
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  • Motao Zhu
    Correspondence
    Address correspondence to: Motao Zhu, M.D., Ph.D., The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children’s Hospital, 700 Children's Drive, Columbus, Ohio 43205.
    Affiliations
    Division of Epidemiology, College of Public Health, The Ohio State University, Columbus, Ohio

    The Center for Injury Research and Policy, Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, Ohio

    Department of Pediatrics, College of Medicine, The Ohio State University, Columbus, Ohio
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Published:September 07, 2022DOI:https://doi.org/10.1016/j.jadohealth.2022.07.005

      Abstract

      Purpose

      Despite having the highest risk per miles driven for motor vehicle crash involvement, only 57% of US high school students reported always using a seat belt when riding in a car with another driver in 2019.

      Methods

      Data from the national Youth Risk Behavior Surveys conducted biennially from 1991 to 2019 were used to assess trends in seat belt use. Modified Poisson regression with robust variance estimates and linear splines was used to examine seat belt use trend changes overall and by gender, race/ethnicity, and grade.

      Results

      From 1991 to 2015, seat belt use was about 3.3% higher each survey cycle compared with the previous survey cycle, adjusting for gender, race/ethnicity, and age. After 2015, seat belt use was about 1.8% lower each survey cycle than the previous survey cycle, adjusting for the same covariates.

      Discussion

      New and effective strategies should be considered for promoting consistent seat belt use among US high school students.

      Keywords

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      References

        • Abbas A.K.
        • Hefny A.F.
        • Abu-Zidan F.M.
        Seatbelts and road traffic collision injuries.
        World J Emerg Surg. 2011; 6: 18
        • Williams A.F.
        Teenage drivers: Patterns of risk.
        J Safety Res. 2003; 34: 5-15
        • Underwood J.M.
        • Brener N.
        • Thornton J.
        • et al.
        Overview and methods for the youth risk behavior surveillance system—United States, 2019.
        MMWR Suppl. 2020; 69: 1-10
        • Zou G.
        A modified poisson regression approach to prospective studies with binary data.
        Am J Epidemiol. 2004; 159: 702-706
        • Briggs N.C.
        • Schlundt D.G.
        • Levine R.S.
        • et al.
        Seat belt law enforcement and racial disparities in seat belt use.
        Am J Prev Med. 2006; 31: 135-141
        • Briggs N.C.
        • Lambert E.W.
        • Goldzweig I.A.
        • et al.
        Driver and passenger seatbelt use among U.S. High school students.
        Am J Prev Med. 2008; 35: 224-229
        • Juarez P.
        • Schlundt D.G.
        • Goldzweig I.
        • Stinson Jr., N.
        A conceptual framework for reducing risky teen driving behaviors among minority youth.
        Inj Prev. 2006; 12: i49-i55