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Geographic and sociodemographic variation in self-reported seat belt use in the United States

机译：美国自我报告的安全带使用情况的地理和社会人口统计学变化

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摘要

Background: With new data available, we sought to update existing literature on the prevalence of self-reported seat belt use by state, region, and rural/urban status and to estimate the strength of the association between seat belt use and rural/urban status adjusted for type of seat belt law and several other factors.rnMethods: We examined data on self-reported use of seat belts from 50 states, the District of Columbia, and three territories using the 2008 Behavioral Risk Factor Surveillance System, a state-based random-digit-dialed telephone survey (n = 406,552). Reported seat belt use was assessed by state. U.S. Census regions, and U.S. Department of Agriculture (USDA) rural/urban continuum codes.rnResults: Overall, 85% of adults in the United States reported they always used seat belts. Regionally, the West had the highest prevalence of persons who reported that they always wear seat belts (89.6%) and the Midwest had the lowest (80.4%). States with primary seat belt laws had the highest prevalence of reported seat belt use, compared with states with secondary or no laws. After adjusting for various sociodemographic characteristics, body mass index, and type of seat belt law, persons in the most densely populated metropolitan areas were significantly more likely to report always wearing seat belts than those in most sparsely populated rural areas (adjusted odds ratio=2.9).rnConclusion: Our findings reinforce the evidence that primary enforcement seat belt laws are effective for increasing seat belt use, and suggest that upgrading to primary enforcement laws will be an important strategy for reducing crash-related fatalities in rural areas.
机译：背景：利用可获得的新数据，我们试图更新有关各州，地区和农村/城市状况自我报告的安全带使用流行率的现有文献，并估算安全带使用与农村/城市状况之间关联的强度根据安全带法律的类型和其他几个因素进行调整。方法：我们使用基于州的2008年行为风险因素监视系统，检查了来自50个州，哥伦比亚特区和三个地区的自我报告的安全带使用数据随机数字拨号电话调查（n = 406,552）。报告的安全带使用情况已按州进行了评估。美国人口普查地区和美国农业部（USDA）的农村/城市连续体代码。结果：总体而言，美国有85％的成年人表示他们始终使用安全带。在区域上，西部地区报告称始终系好安全带的人群中患病率最高（89.6％），而中西部地区则最低（80.4％）。与没有次要法律或没有法律的州相比，拥有主要安全带法律的州报告的安全带使用率最高。在对各种社会人口统计学特征，体重指数和安全带法律类型进行调整之后，与人口最稀少的农村地区相比，人口最稠密的大都市地区的人报告其始终佩戴安全带的可能性更高（调整后的优势比= 2.9 ）。结论：我们的发现加强了主要执法安全带法律对增加安全带使用有效的证据，并建议升级为主要执法安全法律将是减少农村地区因撞车致死的重要战略。

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  • 来源
    《Accident Analysis and Prevention》 |2010年第4期|P.1066-1071|共6页
  • 作者

    Tara W. Strine; Laurie F. Beck; Julie Bolen; Catherine Okoro; Satvinder Dhingra; Lina Balluz;

  • 作者单位

    Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health, Atlanta, GA, United States;

    Centers for Disease Control and Prevention, National Center for Injury Prevention and Control, Division of Unintentional Injury Prevention, Atlanta, GA, United States;

    Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health, Atlanta, GA, United States;

    Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health, Atlanta, GA, United States;

    Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health, Atlanta, GA, United States;

    Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Adult and Community Health, Atlanta, GA, United States;

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  • 正文语种 eng
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  • 关键词

    seat belt use; injury; primary and secondary seat belt laws; geographic variation; behavioral risk factor surveillance system;

    机译：安全带的使用;受伤;主要和次要安全带法律;地理差异;行为危险因素监测系统;

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