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The effects of mandatory seatbelt laws on seatbelt use, motor vehicle fatalities, and crash-related injuries among youths
Journal article   Open access   Peer reviewed

The effects of mandatory seatbelt laws on seatbelt use, motor vehicle fatalities, and crash-related injuries among youths

Christopher S Carpenter and Mark Stehr
Journal of health economics, v 27(3), pp 642-662
2008
PMID: 18242744
url
https://doi.org/10.1016/j.jhealeco.2007.09.010View
Published, Version of Record (VoR) Open

Abstract

Youth seatbelt use Traffic fatalities and injuries Seatbelt laws
We provide the first comprehensive assessment of the effects of mandatory seatbelt laws on self-reported seatbelt use, highway fatalities, and crash-related injuries among high school age youths using data from the Centers for Disease Control's (CDC) national, state, and local Youth Risk Behavior Surveys (YRBS) and the Fatality Analysis Reporting System (FARS) from 1991 to 2005, a period spanning over 20 changes in state seatbelt laws. Our quasi-experimental approaches isolate the independent effects of seatbelt laws net of demographic characteristics, area and year fixed effects, and smooth area-specific trends. Across all data sources, we find consistent evidence that state mandatory seatbelt laws – particularly those permitting primary enforcement – significantly increased seatbelt use among high school age youths by 45–80%, primarily at the extensive margin. Unlike previous research for adults, however, we find evidence against the selective recruitment hypothesis: seatbelt laws had consistently larger effects on those most likely to be involved in traffic accidents (drinkers, alcohol-involved drivers). We also find that mandatory seatbelt laws significantly reduced traffic fatalities and serious injuries resulting from fatal crashes by 8 and 9%, respectively. Our results suggest that if all states had primary enforcement seatbelt laws then regular youth seatbelt use would be nearly universal and youth fatalities would fall by about 120 per year.

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Collaboration types
Domestic collaboration
Web of Science research areas
Economics
Health Care Sciences & Services
Health Policy & Services
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