Seat belt law enforcement and racial disparities in seat belt use
Seat belt law enforcement and racial disparities in seat belt use
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DOI：
10.1016/j.amepre.2006.03.024
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发表时间：
2006-08-01
影响因子：
5.5
通讯作者：
Warren, Rueben C.
中科院分区：
文献类型：
--
作者：
Briggs, Nathaniel C.;Schlundt, David G.;Warren, Rueben C.
背景：许多报告表明，与白人相比，美国黑人使用安全带的流行率较低。有限的数据表明，在主要安全带法律的州，（驾车者可以被拦下并因违反安全带法而被传讯）的标志比有二级法律的州要少（只有在因其他违法行为而被拦下时，驾驶员才能因违反安全带法而被传讯）。方法：2005年，对来自死亡分析报告系统的数据进行了分析，比较了11,574名73岁中期黑人的安全带使用情况，从1999年到2003年，在33个州，639名16岁或16岁以上的白人在车祸中丧生，这些州有主要或次要的成人安全带法，每年有80%或更多的死者报告种族。在按安全带类型对各州进行分层后，使用logistic回归计算黑人相对于白人使用安全带的优势比和95%置信区间（CI），并对年龄、性别、座位位置进行调整。城市/农村地区。结果：在主要安全带法和次要安全带法州，黑人座椅铃列表的比值比和95%CI分别为1.05（0.97-1.13）和0.89（0.83-0.95）。结论：在主要安全带法的州，黑人和白人在安全带使用方面的差异有所减轻。只有24个州有主要法律。在其他州颁布主要法律可能会减少或消除安全带使用方面的种族差异。
Background: Numerous reports have documented a lower prevalence of seat belt use among blacks in the United States, compared with whites. Limited data suggest that black-white disparities in states with primary seat belt laws (motorists can be stopped and cited for violating a seat belt law) are less marked than in states with secondary laws (motorists can be cited for violating a seat belt law only if stopped for another offense).Methods: Data from the Fatality Analysis Reporting System were analyzed in 2005 to compare seat belt use among 11,574 blacks mid 73,639 whites aged 16 or more ass killed in crashes from 1999 to 2003 in 33 states with a primary or secondary adult seat belt law and annual reporting of race for 80% or more of decedents. After stratification of states by type of seat belt = logistic regression was used to calculate odds ratios and 95% confidence intervals (CIs) for seat belt use among blacks, relative to whites, with adjustment for age, gender seat position. urban/rural region. and income.Results: Odds ratios and 95% CIs for seat bell list, among blacks were 1.05 (0.97-1.13) and 0.89 (0.83-0.95) in primary and secondary-law states, respectively.Conclusions: Black-white disparities in seat belt use were mitigated in states with primary seat belt laws. Only 24 states have primary laws. Enacting primary laws in other states might reduce or eliminate racial disparities in seat belt use.