Increasing Seat Belt Use Among African Americans
A Public Health Perspective
Presentation by Dr. Otis Cosby
9th Annual Summer Public Health Videoconference on Minority Health
Meharry-State Farm Alliance
“United in the Drive to Save Lives”
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Meharry Medical College 1999 Study
• Documented a disparity
• Save 1,300 lives
• Prevent 26,000 injuries
• Reduce costs by $2.6 billion
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Blue Ribbon Panel
• U.S. Dept. of Transportation
• “Public Health Crisis”
• Recommendations
• Meharry-State Farm Alliance
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Research • Wear It and Share It
– Focus Groups– Educational Intervention
• Database Analysis– MVOSS– FARS– Others
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Alliance Process Model
Coalitions
Save Lives
E
D
U
C
A
T
I
O
N
DISSEMINATIONPROMOTION
R
E
S
E
A
R
C
H
Save Lives
Behavior Change
Public Policy
Communities
Coalitions Stakeholders
Meharry-State Farm Alliance
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Key Points
• Framework: Public Health
• Goal: Appropriate And Consistent Use - Always (AACUA)
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Key Points
• Method: Law, Enforcement, Education (LEE)
• Evaluation: Process & Outcome
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Primary vs. Secondary States“All The Time Seat Belt Use”
0
20
40
60
80
100
Primary SecondaryStates
Perc
ent
Use
Blacks Whites
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Primary States
• AL, CA, CT, GA, HI, IA,
• IL, LA, MD, MI, NJ, NM,
• NY, NC, OK, OR, TX,
• WA, D.C., Puerto Rico
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Seat Belt Use 2002Primary vs. Secondary
75
69
80
60
65
70
75
80
85
Type of Seat Belt Enforcement Law
Perc
ent U
se
All States
Secondary
Primary
Meharry-State Farm Alliance "United In The Drive To Save Lives"
High Stakes
The 2% Difference• 5.5 million new users• 500 lives saved• Reduce severity of 8,800
serious injuries• > $900 million in societal costs
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Stakeholders
• NDA
• NMA
• NHTSA • NCBM
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Stakeholders
• NBCSL • NOBLE • NACHC• HBCU• ON Wheels
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Multi-City Evaluation Study
A Collaboration Between
• Meharry-State Farm Alliance • National Conference of Black
Mayors • National Highway Traffic Safety
Administration
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Mini-Grant Recipients
• Detroit, MI
• Houston, TX
• Inglewood, CA
• Jackson, MS
• Rochester, NY
• Washington, D.C.
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Multi-City Evaluation Study
• Process & Outcomes
• Coalitions
• Observations
• Web-Based
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Educational Office Kit Pilot Project
• 2001 NDA & NMA Surveys
• 2002 NMA Preference Poll
• 2002 Physician & Dentist Focus Group
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Educational Office Kit Pilot Project
• 2002 NDA, NDAF & NMA Leadership Meeting
• 2003 NMA Board of Trustees
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Thin Line Between Life & Death
Meharry-State Farm Alliance "United In The Drive To Save Lives"
I Do, So Should You
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Button & Sticker
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Magnets
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Educational Office Kit Cities – Secondary States
• Chicago, IL
• Jackson, MS
• Jacksonville, FL
• Little Rock, AR
• Nashville, TN
Meharry-State Farm Alliance "United In The Drive To Save Lives"
Conclusions
• Framework: Public Health
• Goal: AACUA
• Method: LEE
• Evaluation: P & O
Meharry-State Farm Alliance
Meharry Medical College Otis Cosby, MD, MSPH
615-321-2901
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