253606 Fatal motor vehicle crashes across the age span: Driving history, moving violations, alcohol and seatbelt use

Wednesday, November 2, 2011: 12:50 PM

Diane Addison, MPH, MIA , Mailman School of Public Health, Department of Epidemiology, Columbia University, New York, NY
Joyce Pressley, PhD, MPH , Departments of Epidemiology and Health Policy and Management, Columbia University, New York, NY
Introduction: Motor vehicle traffic death is a significant cause of mortality across the age span. Additional understanding of driver behavior associated with fatal crashes could be useful in designing intervention programs. Methods: Fatality Analysis Reporting System (FARS) data from 2007-2009 was used to analyze fatal crashes involving four-wheeled passenger vehicles for which complete, non-imputed data were available (n=30,194). The relationship between presence of any driver alcohol (blood alcohol concentration 0.01 g/dL or greater) (BAC) and three categories of moving violations were examined: speeding, lane/wrong side/passing, and total moving violations. Logistic regression was used to obtain adjusted odds ratios (OR) with 95% confidence intervals (CI). Results: Moving violations were present in 70.2% of drivers, with 42.3% having alcohol detected. Compared to those who were BAC negative, presence of alcohol was associated with speeding (OR: 2.15, 95% CI 2.02, 2.28), lane/wrong side/passing violations (OR: 1.50, 95% CI 1.43, 1.57), and total moving violation (OR 2.00, 95% CI 1.90, 2.11), after adjusting for covariates. Drivers with a history in the last 3 years of a speeding, nonspeeding-related moving, or non-moving violation had higher moving violations at fatal crash. Seat belt use was very low (44.0%) with lower belt use in BAC positive drivers (27.1% vs. 56.3%, p<0.0001) and drivers with moving violations at fatal crash (40.7% vs. 51.5%, p<0.0001). Conclusion: This study identifies several areas, including dismally low seat belt use, where targeted prevention and enforcement strategies may help decrease mortality associated with driver moving violations.

Learning Areas:
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy

Learning Objectives:
Identify three factors associated with an increased risk of moving violations in fatal motor vehicle crashes of four-wheeled passenger vehicles Describe the increased risks associated with driver alcohol involvement and three categories of moving violations Identify risk factors associated with low seatbelt use of drivers involved in fatal crashes

Keywords: Injury Control, Motor Vehicles

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a recent Masters in Public Health (epidemiology) conferred May 2011, experience in motor vehicle injury prevention, and the necessary skills and training to analyze this public data set.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.