Motor Vehicle Injuries in Different Populations

toddler in car seat

Before selecting your intervention strategies, it is important to think about how certain population characteristics may affect the success of the intervention. For example, population subgroups that differ by age, race, ethnicity, income or geography may respond differently to your intervention.  The following considerations and strategies reflect “lessons learned” from motor vehicle injury interventions conducted within various population subgroups. 

Despite the increasing accumulation of all types of evidence, knowledge about “how something should be done” remains limited (Rychetnik, 2004). Therefore, the considerations and strategies provided below may or may not be applicable to all subgroups. As always, it may be useful to work with the priority populations in adapting intervention activities to fit their needs.

Racial and ethnic minorities



Older Adults

Occupational Risk





Boyle JM, and Vanderwolf P (2003). 2003 Motor Vehicle Occupant Safety Survey. Volume 2, Safety Belt Report. National Highway Traffic Safety Administration, Washington, DC.

Carr DB (2000) The older adult. American Family Physician. 61:141-6,148.

Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance—United States, 2005 [Online]. (2006). National Center for Chronic Disease Prevention and Health Promotion: Available from: URL:

Cherpitel CJ, and Tam TW (2000). Variables associated with DUI offender status among whites and Mexican-Americans. Journal of Studies on Alcohol. 61:698-703.

Cohen L, Miller T, et al. (2003). Bridging the gap: Bringing together intentional and unintentional injury prevention efforts to improve health and well being. Journal of Safety Research 34:473-483.

Daniels F, et al. (2002). The role of the African-American physician in reducing traffic-related injury and death among African Americans: consensus report of the National Medical Association. Journal of the National Medical Association. 94(2):108-18.

Ebel BE, Koepsell TD, et al. (2003). Too small for a seatbelt: Predictors of booster seat use by child passengers. Pediatrics 111(4):e323-7.

Greenberg E, Macias RF, et al. (2001). English literacy and language minorities in the United States. National Center for Education Statistics.  U.S. Department of Education, Office of Education Research and Development. Available at:

Glassbrenner, D. (March 2003). Safety belt use in 2002 – Demographic characteristics (Research Note DOT HS 809 557). Washington, DC: Department of Transportation, National Highway Traffic Safety Administration, and National Center for Statistics and Analysis.

Insurance Institute for Highway Safety (IIHS). Fatality facts: teenagers 2005. Arlington (VA): The Institute; 2006.

Jaccard J, and Turrisi R (1999). Parent-based intervention strategies to reduce adolescent alcohol-impaired driving. Journal of Studies on Alcohol. Supplement. 13:84-93.

Jett K, Tappen RM, and Rosselli M (2005). Imposed versus involved: different strategies to effect driving cessation in cognitively impaired older adults. Geriatric Nursing. 26(2):111-6.

Jonah BA & Dawson NE (1987). Youth and risk: age differences in risky driving, risk perception, and risk utility. Alcohol, Drugs and Driving 3:13–29.

Knight S, Cook LJ, and Olson LM (2004). The fast and the fatal: street racing fatal crashes in the United States. Injury Prevention 10:53-5.

Lyznicki JM, Doege TC, et al. (1998). Sleepiness, driving, and motor vehicle crashes.  Journal of the American Medical Association. 279(23):1908-13.

McCartt AT, and Northrup VS (2004). Factors related to seat belt use among fatally injured teenage drivers. Journal of Safety Research. 5:29-38.

Marin PS, and Brown BV (2005). Are teens driving safer? Child Trends. 4:1-10.

Missouri Department of Transportation (MoDot). Available at:

National Highway Traffic Safety Administration.  Available at:

Preusser, D. F., Ferguson, S. A., and Williams, A. F. (1998). The effect of teenage passengers on the fatal crash risk of teenage drivers. Accident Analysis and Prevention, 30 (2), 217-222.

Riffe HA, Turner S, and Rojas-Guyler L. (2008). The diverse faces of Latinos in the Midwest: Planning for service delivery and building community.  Health & Social Work. 33(2):101-10.

Rychetnik L, Hawe P, Waters E, Barratt A, and Frommer M. (2004). A glossary for evidence based public health. Journal of Epidemiology and Community Health. 58:538-545.

Simpson EM, Moll EK, et al. (2002). Barriers to booster seat use and strategies to increase their use. Pediatrics 110(4):729-36.

Stiles MC, and Grieshop JI (1999). Impacts of culture on driver knowledge and safety device usage among Hispanic farm workers. Accident Analysis and Prevention. 31:235-41.

US Department of Health and Human Services (USDHSS). (2000). Healthy People 2010 – Physical Activity and Fitness.

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