Effects of Increased Auto Safety Belt Use Levels on Fatalities

To reduce the annual toll of highway deaths, more than 30 states have passed laws mandating the use of safety belts. All have been effective at raising safety belt use; equipped with different provisions and enforced with unequal care, however, they have done so to different degrees. The article estimates the relationship between attained belt use and fatalities averted. Monthly 1982‐1986 fatality, collision, belt use, and other data from 64 areas in nine states were collected, then analyzed using a Poisson multiple regression model. The analysis indicates that an increase in belt use from 14‐40% averts about 13% of fatalities; a more pronounced increase to 50% averts about 18%. An increase from 50‐75% averts about 16% of remaining fatalities. Three significant conclusions emerge. First, previous estimates appear to have understated, in general, the overall effectiveness of belt use laws. Second, the benefits of programs to boost safety belt use in this country from its current level of about 50% to up to 75%, estimated on the basis of more direct evidence from U.S. data than previously available, appear to be very large. Third, Poisson and other multiple regression models including explicit allowance for other causal factors can usefully complement other statistical approaches in traffic safety studies.