Injury Prevention

Seat Belt Usage Interventions for Motor Vehicle Crash Prevention on the Pine Ridge Indian Reservation, South Dakota

Motor vehicle crashes (MVC) are the leading cause of death from severe injuries on the Pine Ridge Indian Reservation (PRIR), averaging 16 MVC deaths per year from 2002 to 2011. The Sacred Cargo Coalition was established in PRIR in 2007 to implement intervention strategies to increase seat belt usage and reduce MVC fatalities, including seat belt law enforcement, creating a traffic court system, and educational campaigns on MVC prevention. The study described in this article examined the effectiveness of the interventions on increasing the seat belt usage rates and reducing MVC deaths.