Citation

Crump CE, Letourneau RJ, Billie H, Zhang X, West BA. Public Health 2019; ePub(ePub): ePub.

Affiliation

National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, 4770 Buford Highway NE, Mailstop F-62, Atlanta, GA, 30341, USA.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.puhe.2019.07.014

PMID

31542168

Abstract

OBJECTIVES: The aim of the study is to increase seat belt (SB) use and reduce motor vehicle (MV) injuries and death; eight tribal communities implemented evidence-based strategies from the Guide to Community Preventive Services during 2010-2014. STUDY DESIGN: SB use was measured through direct observational surveys and traffic safety activity data. Traffic safety activities included enhanced enforcement campaign events, ongoing enforcement of SB laws, and media. The number of MV injuries (including fatal and non-fatal) was measured through MV crash data collected by police.

RESULTS: Percentage change increases in SB use were observed in all eight projects; average annual increases of three projects were statistically significant (ranging from 10% to 43%). Four of the eight projects exceeded their goals for percentage change increases in SB use. Approximately 200 media events and 100 enforcement events focused on SB use were conducted across the eight projects. Five projects had an annual average of ≥100 SB use citations during the project period. MV injuries (fatal and non-fatal combined) significantly decreased in three projects (ranging from a 10% to 21% average annual decrease).

CONCLUSIONS: Increases in SB use and decreases in the number of MV injuries can be achieved by tailoring evidence-based strategies to tribal communities.

Copyright © 2019 The Royal Society for Public Health. All rights reserved.

Language: en

Keywords

Alaska Natives; American Indians; Evidence-based strategies; Health disparities; Motor vehicle crash; Seat belt use; Traffic injury; Tribes