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Rear-seated passengers missing belt status (n = 728) or with unknown mortality status (n = 41) were excluded, leaving a study population of 7,229.
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The council said a lack of brownfield land meant removing the green belt status of areas had to be considered.
Driver belt status was strongly predictive of passenger belt status with passengers more than seven times more likely to be belted when the driver was belted (OR = 7.62, 95% CI 6.65, 8.73).
Passenger belt status, driver belt status, driver alcohol involvement, angle crash type and excessive speed were associated with increased injury severity.
The driver's belt status did not independently predict rear-seated adult passenger mortality, but was highly predictive of the passenger's belt status.
Belt status was analyzed as a dichotomous exposure with the use of any type of belt (i.e., lap belt only (n = 316), shoulder belt only (n = 19), or both (n = 3,134)) categorized as restrained.
Percent mortality (black bars) and belt status by seating position (lines) is shown by age group.
The primary exposure of interest is the belt status of adult rear-seated passengers.
Figure 2 Mortality and belt status by seating position and age group.
Adjustment for belt status did not appear to affect the odds of mortality from same-side impacts.
However, driver belt status was not predictive of rear-seated passenger mortality in univariable analyses (p = 0.15).
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