Enhanced seat belt enforcement programs
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Evidence Ratings
Scientifically Supported: Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Some Evidence: Strategies with this rating are likely to work, but further research is needed to confirm effects. These strategies have been tested more than once and results trend positive overall.
Expert Opinion: Strategies with this rating are recommended by credible, impartial experts but have limited research documenting effects; further research, often with stronger designs, is needed to confirm effects.
Insufficient Evidence: Strategies with this rating have limited research documenting effects. These strategies need further research, often with stronger designs, to confirm effects.
Mixed Evidence: Strategies with this rating have been tested more than once and results are inconsistent or trend negative; further research is needed to confirm effects.
Evidence of Ineffectiveness: Strategies with this rating are not good investments. These strategies have been tested in many robust studies with consistently negative and sometimes harmful results. Learn more about our methods
Strategies with this rating are most likely to make a difference. These strategies have been tested in many robust studies with consistently positive results.
Community conditions, also known as the social determinants of health, shape the health of individuals and communities. Quality education, jobs that pay a living wage and a clean environment are among the conditions that impact our health. Modifying these social, economic and environmental conditions can influence how long and how well people live.
Learn more about community conditions by viewing our model of health.
Retired strategies are no longer updated.
Enhanced seat belt enforcement programs add publicity and other strategies to existing enforcement efforts1. Enhanced enforcement programs often include supplemental patrols, an increased number of officers on patrol, targeted patrols or publicity campaigns that increase public awareness of enhanced enforcement programs2.
What could this strategy improve?
Expected Benefits
Our evidence rating is based on the likelihood of achieving these outcomes:
Increased seat belt use
Reduced fatal and non-fatal injuries
What does the research say about effectiveness?
There is strong evidence that enhanced seat belt enforcement programs increase seat belt use and reduce fatal and non-fatal injuries1. Programs are more effective in suburban and rural settings than urban areas3.
Enhanced enforcement programs that use targeted patrols are equally as effective as supplemental patrols in increasing seat belt use. Such programs have also led to additional arrests for other crimes, such as alcohol-impaired driving, possession of drugs or weapons, and license violations3.
Enhanced nighttime enforcement efforts have been shown to increase night seatbelt use4, 5.
How could this strategy impact health disparities? This strategy is rated no impact on disparities likely.
Implementation Examples
Implementation Resources
NHTSA-Marketing - National Highway Traffic Safety Administration (NHTSA). Traffic Safety Marketing (TSM).
Footnotes
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1 CG-Motor vehicle injury - The Guide to Community Preventive Services (The Community Guide). Motor vehicle injury prevention.
2 NHTSA-Goodwin 2013 - Goodwin A, Sandt B, Hall W, Thomas L, O’Brien N, Summerlin D. Countermeasures that work: A highway safety countermeasure guide for state highway safety offices, 7th edition. Washington, D.C.: National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation (U.S. DOT); 2013.
3 Dihn-Zarr 2001 - Dihn-Zarr TB, Sleet DA, Shults RA, et al. Reviews of evidence regarding interventions to increase the use of safety belts. American Journal of Preventive Medicine. 2001; 21(4S):48-65.
4 NHTSA-Solomon 2009 - Solomon MG, Chaffe RHB, Preusser DF. Nighttime enforcement of seat belt laws: An evaluation of three community programs. Washington, D.C.: National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation (U.S. DOT); 2009.
5 NHTSA-Thomas 2010 - Thomas FD, Blomberg RD, Van Dyk, J. Evaluation of the first year of the Washington nighttime seat belt enforcement program. Washington, D.C.: National Highway Traffic Safety Administration (NHTSA), U.S. Department of Transportation (U.S. DOT); 2010.
6 NHTSA-Marketing - National Highway Traffic Safety Administration (NHTSA). Traffic Safety Marketing (TSM).
Related What Works for Health Strategies
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countyhealthrankings.org/whatworks