Seatbelt law enforcement and motor vehicle crash fatalities among blacks and whites in Louisiana and Mississippi.
BACKGROUND
Seatbelt laws save lives. Primary enforcement (allowing citations solely for seatbelt nonuse) is a more effective means of saving lives, yet seven southern states have no primary laws, due in part to concern about racial profiling.


METHODS
Non-Hispanic, black:white (B:W), occupant motor vehicle crash mortality rate ratios (MRRs) were compared across the 15 to 64 age range over two time periods in two demographically comparable southern states (Louisiana and Mississippi).


RESULTS
From 1992 to 1994 (when neither state had primary law) to 1996 to 1998 (when Louisiana had primary law) B:W MRRs were 0.73 (95% confidence interval = 0.61, 0.88) and 0.72 (0.60, 0.86) in Louisiana and 1.01 (0.9, 1.12) and 1.22 (1.10, 1.35) in Mississippi.


CONCLUSIONS
Successful opposition to primary seat belt enforcement may have the unintended effect of producing racial disparities in motor vehicle crash mortality that adversely affects blacks.
Levine
Robert S
RS
National Center for Primary Care, Department of Community Medicine/Preventive Medicine, Morehouse School Of Medicine, Atlanta, GA 33010, USA. rlevine@msm.edu
Briggs
Nathaniel C
NC
Schlundt
David G
DG
Stinson
Nathan
N
Warren
Rueben C
RC
Goldzweig
Irwin A
IA
D000063:Accidents, Traffic / Q000401:mortality* / Q000517:prevention & control / Q000639:trends; D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000368:Aged; D002648:Child; D002675:Child, Preschool; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D035846:Law Enforcement; D008145:Louisiana / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D008922:Mississippi / Q000453:epidemiology; D012189:Retrospective Studies; D012622:Seat Belts / Q000331:legislation & jurisprudence*; D015996:Survival Rate / Q000639:trends; D044465:White People