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Of the 31,910 vehicle occupants killed in
crashes in 2001, 60 percent were not wearing a safety belt. [The
National Highway Traffic Safety Administration, Annual
Assessment of Motor Vehicle Crashes, 2001]
Safety belts saved 13,274 lives in 2001, and
if all vehicle occupants over age 4 had been wearing safety
belts, 7,334 more lives could have been saved, NHTSA
estimates. [NHTSA, Traffic Safety Facts
Overview, 2001]
Each percentage-point increase in safety
belt use represents 2.8 million more people buckling up, 250
more lives saved and 6,400 serious injuries prevented
annually, NHTSA estimates. [NHTSA, FY2003
Performance Plan, 2002]
Safety belt use has increased significantly
in the past few years, but more must be done. Safety belt
use in the United States rose to 75 percent in 2002 from 58
percent in 1994. [NHTSA, National
Occupant Protection Use Survey, June 2002]

Seventy-three percent of the people who were
in a fatal crash in 2001 and were restrained survived; of
those who were not restrained, only 44 percent survived. [NHTSA,
Annual Assessment of Motor Vehicle Crashes, 2001]
In fatal crashes, 75 percent of all
passenger car occupants who were totally ejected were
killed. Only 1 percent of those occupants had been using a
safety belt. [NHTSA, Traffic Safety Facts
Overview, 2001]

In the past 26 years, safety belts prevented 135,000
fatalities and 3.8 million injuries, saving $585 billion in
medical and other costs. If all vehicle occupants had used
safety belts during that period, nearly 315,000 deaths and
5.2 million injuries could have been prevented — and $913
billion in costs saved. [NHTSA, Economic
Impact of Crashes, 2002]
In 2000, the deaths and serious injuries prevented by
safety belts resulted in savings of $50 billion in medical
care, lost productivity and other injury-related costs. [NHTSA,
Economic Impact of Crashes, 2002]
Motor vehicle crashes in 2000 cost a total of $230.6
billion, an amount equal to 2.3 percent of the gross
domestic product, or $820 for every person living in the
United States. [NHTSA, Economic Impact of
Crashes, 2002]
In 2000, the economic cost to society was more than
$977,000 for each crash fatality and an average of $1.1
million for each critically injured person. [NHTSA,
Economic Impact of Crashes, 2002]
The general public pays nearly three-quarters of all
crash costs, primarily through insurance premiums, taxes,
delays and lost productivity. [NHTSA,
Economic Impact of Crashes, 2002]

In 2001, 64 percent of all 18- to
34-year-old passenger vehicle occupants who were killed or
severely injured in crashes were not wearing safety belts.
By comparison, among vehicle occupants age 35 and older who
were killed or severely injured in crashes, 48 percent were
not buckled up. [Fatality Analysis
Reporting System, 2001 Annual Report File (ARF)]
In 2001, 68 percent of the 18- to
34-year-old male passenger vehicle occupants who were killed
or severely injured in crashes were not wearing safety
belts. Fifty-four percent of the women age 18 to 34 who were
killed or severely injured in crashes were not buckled up. [Fatality
Analysis Reporting System, 2001 Annual Report File (ARF)]
Motor vehicle crashes are the leading cause
of death for people age 15 to 24 in the United States. [National
Center for Health Statistics, National Vital Statistics
Report, 2002]
In 2001, 63 percent of 16- to 20-year-old
drivers and passengers killed or seriously injured in
crashes were not wearing a safety belt. [Fatality
Analysis Reporting System, 2001 Annual Report File (ARF)]
In 2001, the economic cost of
police-reported crashes involving drivers age 15 to 20 was
about $42.3 billion. [NHTSA, Traffic
Safety Facts 2001 –Young Drivers]
Male teens continue to lag behind female
teens in safety belt use. In 2001, 18.1 percent of high
school males said they rarely or never wore a safety belt as
a passenger, compared with 10.2 percent of high school
females. [Centers for Disease Control and
Prevention, Youth Risk Behavior Survey, 2001]
Ninety-four percent of drivers age 16 to 20
said they buckle up to avoid serious injury. Eighty-two
percent said they use safety belts because it’s the law,
and 80 percent do so to avoid a ticket. [NHTSA,
Motor Vehicle Occupant Safety Survey, 2000]

Safety belt use among African Americans rose to 77
percent — increasing to essentially the same level as that
of the general population — in 2002, from 69 percent in
2000. More than a quarter of African Americans who did not
use safety belts in 2000 used them in 2002. [NHTSA,
National Occupant Protection Use Survey, June 2002]
Motor vehicle crashes are the leading cause of death for
African Americans from birth through age 14 and are the
second leading cause of death for African Americans 15 to 24
years old. [Centers for Disease Control
and Prevention, National Center for Injury Prevention and
Control, 1998]
Motor vehicle crashes are the leading cause of death for
Hispanics age one to 34 and the third leading cause of death
for all Hispanics, surpassed only by heart disease and
cancer. [Centers for Disease Control and
Prevention, National Center for Injury Prevention and
Control, 2000]
In 2001, 16.1 percent of African American teens said they
rarely or never used a safety belt as a passenger, compared
with 13.6 percent of white teens and 14.5 percent of
Hispanic teens. [Centers for Disease
Control and Prevention, Youth Risk Behavior Survey, 2001]
Even though African American and Hispanic male teens
drive fewer miles than white male teens, they are twice as
likely than whites to die in a crash. [Archives
Of Pediatric & Adolescent Medicine, 1998]

Safety belt use in rural areas was 73
percent in 2002, slightly below the 75 percent national
average. [NHTSA, National Occupant
Protection Use Survey, June 2002]
Safety belt use by pickup truck occupants is
about 64 percent, among the lowest for any demographic
group. [NHTSA, National Occupant
Protection Use Survey, June 2002]

There are two types of safety belt laws:
primary and secondary. A primary law allows a law
enforcement officer to write a ticket if he or she simply
observes an unbelted driver or passenger. Under a secondary
law, an officer cannot ticket anyone for a safety belt
violation unless the motorist is stopped for another
infraction. Primary laws are very effective in increasing
safety belt use. In 2002, belt use in States with primary
laws was 80 percent, compared with 69 percent in States
without primary laws. [NHTSA, National
Occupant Protection Use Survey, June 2002]
Teen safety belt use is significantly higher
in States with primary safety belt laws than in States with
secondary laws. [National Safety Council,
Teenage Safety Belt Use, 2002]
As of April 2003, only 18 States, Puerto
Rico and the District of Columbia had primary safety belt
laws. The primary-law States are Alabama, California,
Connecticut, Georgia, Hawaii, Indiana, Iowa, Louisiana,
Maryland, Michigan, New Jersey, New Mexico, New York, North
Carolina, Oklahoma, Oregon, Texas and Washington. New
Hampshire is the only State that has no adult safety belt
law.

The Click It or Ticket model uses advertising,
earned media and high-visibility law enforcement to increase
safety belt and child safety seat use. Click It or Ticket
programs have successfully sustained increases in restraint
use at the community, State and regional levels. [NHTSA,
Evaluation of Click It or Ticket Model Programs, 2002]
In May 2002, 10 States that implemented full-scale Click
It or Ticket campaigns increased safety belt use overall
by 8.6 percentage points, to 77.1 percent. The States used
paid and earned media and State-wide law enforcement for
four weeks. But in States that increased enforcement without
publicizing the effort through paid media, belt use rose an
average of only half a percentage point. [NHTSA,
Evaluation of Click It or Ticket Model Programs, 2002]
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