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  • 标题:Seatbelt use among drunk drivers in different legislative settings.
  • 作者:Adams, Scott ; Cotti, Chad ; Tefft, Nathan
  • 期刊名称:Economic Inquiry
  • 印刷版ISSN:0095-2583
  • 出版年度:2015
  • 期号:January
  • 语种:English
  • 出版社:Western Economic Association International
  • 摘要:The National Transportation Safety Board (NTSB) recently proposed that all states move to a 0.05 maximum legal blood alcohol content (BAC) threshold for drivers. The 0.05 threshold is a common limit across the globe, and the NTSB predicts such a move would save many lives. (1) This discussion will likely spark renewed interest in the impact of lower BAC thresholds. Laboratory experimentation suggests a significant compromise to competence for drivers above BAC levels of 0.08 (Moskowitz and Fiorentino 2000). The number of lives saved, however, will not simply rise from the reduced fatality risk between the 0.05 and 0.08 thresholds implied by these experiments. Reductions in fatalities also depend on how drivers react to the changing threshold by adjusting their behavior and the impact of concurrent policies. For this reason, it is important to understand these responses so policies can be coordinated most effectively.
  • 关键词:Automobile drivers;Blood alcohol;Motor vehicle drivers;Seat belts;Traffic regulations

Seatbelt use among drunk drivers in different legislative settings.


Adams, Scott ; Cotti, Chad ; Tefft, Nathan 等


I. INTRODUCTION

The National Transportation Safety Board (NTSB) recently proposed that all states move to a 0.05 maximum legal blood alcohol content (BAC) threshold for drivers. The 0.05 threshold is a common limit across the globe, and the NTSB predicts such a move would save many lives. (1) This discussion will likely spark renewed interest in the impact of lower BAC thresholds. Laboratory experimentation suggests a significant compromise to competence for drivers above BAC levels of 0.08 (Moskowitz and Fiorentino 2000). The number of lives saved, however, will not simply rise from the reduced fatality risk between the 0.05 and 0.08 thresholds implied by these experiments. Reductions in fatalities also depend on how drivers react to the changing threshold by adjusting their behavior and the impact of concurrent policies. For this reason, it is important to understand these responses so policies can be coordinated most effectively.

In this study, we explore one such driver behavior--seatbelt use--in the case of lower BAC requirements being in effect along with variably enforced seatbelt laws.

Specifically, we hypothesize that drivers adjust their seatbelt use in light of lower BAC thresholds in cases where local seatbelt laws are primarily enforced. Primary enforcement means that law enforcement personnel can pull over a driver if he or a passenger is observed to be not wearing a seatbelt. The mechanism is as follows. Drunk drivers anticipate an increased likelihood of detection in such cases where they are pulled over for an alternative infraction, for example, failure to wear a seatbelt. Therefore, they avoid such interaction with law enforcement by complying with seatbelts laws. Ample evidence already suggests that there is a notable response to primary enforcement of seatbelt laws compared with secondary enforcement.2 The penalties associated with BAC laws are far stricter than seatbelt laws, however, and are likely to interact with primary seatbelt laws to both increase belt use and reduce the number of fatal accidents. To our knowledge, this article is the first to bring together these two strands of the literature on driver behavior in a systematic analysis of the interactive effects of BAC and seatbelt laws.

Our analysis empirically confirms the hypotheses outlined above using multiple tests that use several datasets. First, we appeal to the crash-level microdata of the Fatality Analysis Reporting System (FARS), which includes detailed information on every fatal accident in the United States. We show that the interactive effect of a primarily enforced seatbelt law with a stricter BAC threshold (0.08 vs. 0.10) increases the likelihood that a driver in any fatal crash is wearing a seatbelt at the time a fatal accident occurs. The effects are concentrated among crashes that involve drivers with BAC levels at 0.08 or higher. We see no increase in seatbelt use, however, among sober drivers. Again, inebriated drivers may be more concerned with being pulled over, thus choosing to buckle up to avoid interaction with law enforcement. This first analysis only observes drivers involved in a fatal accident, however, which is a highly selected subsample. Moreover, we expect to observe fewer fatal crashes in total if there is more seatbelt use, so we also appeal to different tests and data to confirm our finding. (3)

In a supporting set of tests, we appeal to survey data using the Behavioral Risk Factor Surveillance System (BRFSS). In these data, seatbelt use is measured over the previous 30 days, and we can test whether there is any difference among drivers and passengers observed in response to stricter BAC thresholds. The evidence again points to a strong response in terms of general seatbelt use following BAC threshold implementation in states with primary seatbelt enforcement. The effect is concentrated among binge drinkers.

An implication of increased seatbelt use should be that lives are saved, because the evidence that seatbelt use reduces fatalities is not in dispute. In our final analysis, we again appeal to the FARS, this time to verify that the stricter thresholds and primary enforcement of seatbelt laws indeed interact to save lives. We show in states with primarily enforced bans, coupled with a reduction in BAC from 0.10 to 0.08, there is a reduction in fatal accidents. This effect is concentrated in the evening and nighttime hours when a much higher percentage of drivers are potentially inebriated.

This article proceeds as follows: Section II provides background of legislation regarding seatbelt use and BAC thresholds, including a review of the literature on the relevant behavioral responses of individuals; Section III describes our analysis of seatbelt usage, with additional explanations provided for the two data sources used; Section IV presents our analysis of the effects of the laws on fatalities; and Section V concludes.

II. BACKGROUND

A. A Brief Review of Seatbelt and BAC Threshold Legislation in the United States

The first meaningful legislation pertaining to seatbelts in the United States was passed in 1961 in Wisconsin. All cars were required to be equipped with front-seat restraints but no mandates on usage were specified. Federal legislation followed in 1968, but as with the Wisconsin legislation, no requirements on usage were established. The first law that mandated that seatbelts actually be used was passed in New York in 1984. Many states followed with similar legislation, and currently only New Hampshire does not require seatbelt usage for adults. (4)

Table 1 summarizes the current status of seatbelt legislation across all states. With the exception of New Hampshire, legislation is either enforced as a primary or secondary offense. Recall that primary offense cases are those in which officers can pull a person over if the driver or a passenger are suspected of not wearing a seatbelt. This is where we would expect the interactive effects with concurrent BAC legislation. (5) Although the fines tend not to be severe, being pulled over for a primary offense opens up the possibility for the investigation of other potential offenses, such as alcohol, drugs, and weapons.

Legislation against driving while intoxicated (DWI) in the United States has been in place for nearly as long as cars have been on the road. However, specific definitions of intoxication and enforcement of drunk driving laws emerged in the 1960s and continued over the next several decades. Initial laws set BAC minimums at 0.15, but states soon began establishing 0.08 or 0.10 as the more appropriate threshold. Currently, all states have a 0.08 threshold in place. Although many states conformed and codified this legislation voluntarily, legislation passed at the Federal level in 2000 prompted the remainder of the states to switch by 2004 or lose highway funds. Table 1 provides a list of dates when states moved to the 0.08 level during the sample period.

B. Effects of Seat Belt Laws and BAC Threshold Laws

This study links two strands of literature on driver behavior. The first is whether seatbelt laws encourage use and ultimately save lives. The literature has reached a general consensus that it does. A comprehensive review and meta-analysis was conducted over a decade ago by Dinh-Zarr et al. (2001). With regard to fatal injuries, the median finding across studies was a 9% reduction, and the range was 2%-18%. Nonfatal injuries barely changed, with many studies showing an increase in injuries. (6)

Dinh-Zarr et al. (2001) also reviewed a number of studies that looked at the improvement of primarily enforced seatbelt laws over secondarily enforced laws and found that the median incremental decrease in fatal accidents was 8%. The specific study within this group that is most relevant to ours is the study by Lange and Voas (1998). Although they considered just two communities in California, Salinas, and Oceanside, they were one of the few to assess seatbelt use among drunk drivers specifically. Their method of inquiry was periodic roadside surveys of drivers in these two communities, all of which were conducted between 9 p.m. and 2 a.m. They find that nighttime seatbelt use increased dramatically after California moved from secondarily enforced bans to primarily enforced bans. Specifically, the jump was from 73% to 96% for all drivers in their survey. For drivers with BAC content over the legal limit of 0.10 (at the time), the change was a much more substantial increase from 53% to 92%.

There have been a few additional studies of seatbelt use that are important for our purposes. First, Houston and Richardson (2006, 5) use a panel data approach to states enacting seatbelt legislation and find that seatbelt use increased by 9 percentage points more in states with primary laws compared with states with secondary laws. The most relevant study for our purposes is the study by Carpenter and Stehr (2008), which offers comprehensive evidence of the effects of different types of seatbelt laws on use and the incidence of fatal accidents. Their findings confirm the general consensus in the literature that primarily enforced seatbelt laws are more effective than secondarily enforced bans. They also suggest that high-risk drivers (such as drinkers) are more responsive to seatbelt laws. The importance of aggressive seatbelt enforcement was recently highlighted by Luca (2014), who shows that a "Click-It or Ticket" campaign has a notable influence on traffic safety, particularly at night. The efficacy of such campaigns in the evening hearkens back to the work of Lange and Voas, and is consistent with our hypothesis.

Turning to the effectiveness of laws dictating lower BAC thresholds, we see far more mixed results with regard to driver safety. The General Accounting Office (GAO) (1999) concluded that there was not enough evidence to conclude that BAC laws by themselves are effective at reducing drunk driving fatalities. Without proper enforcement, public education, and other drunk driving laws in place, the effect of BAC laws themselves is unclear. (7) Recent research suggests even more limited effects of lowering the BAC threshold by correcting for serial correlation and the effects of the more recent states reducing their BAC thresholds (Freeman 2007). Grant (2010) shows a declining effect of several types of drunk driving legislation over time, including a 0.08 per se law. In short, the recent overall assessment of the .08 law is that it is of limited effectiveness by itself. The current study adds to this discussion by showing a possible additional reason for the mixed evidence on the effectiveness of BAC laws.

Before describing our data, we point out two other recent studies relevant to our analysis. Chang et al. (2012) estimates the effect of seatbelt laws and lower BAC requirements, finding evidence consistent with the former having a greater effect on fatalities. The interactive effects are neither explored, however, nor is the difference between primarily and secondarily enforced seatbelt laws. Carpenter and Harris (2005) examine drinking behaviors following the move from 0.10 BAC thresholds to 0.08 thresholds. Although they find some decline in alcohol consumption following these laws, they see no change in the likelihood of binge-drinking or alcohol-involved driving. Carpenter and Harris (2005) suggest that the reduced alcohol consumption represents a deterrent effect of laws, resulting in lower fatalities. Our evidence offers an additional explanation. Even binge drinkers and alcohol-impaired drivers are less likely to be involved in fatal accidents because their seatbelt use protects them and reduces the chance that any given crash results in a fatality.

III. SEATBELT USE ANALYSIS

A. Data and Methods

We utilize two data sources to assess the impact of seatbelt use and BAC threshold legislation. The first is the FARS, which has the benefit of being a census of nonself-reported data. It is also the most reliable means to assess the ultimate impact of traffic legislation, which is the number of lives saved. Our final results will verify the interactive effect of seatbelt laws and BAC thresholds on fatal accident totals, making this dataset of primary importance to this study. Given our focus on seatbelt laws, we only use FARS accident data that involve passenger vehicles (as defined by the National Highway Traffic Safety Administration [NHTSA]), which include cars, light trucks, and vans. (8)

The first step in our inquiry is to ask whether actual seatbelt use differs among those who are likely most responsive to BAC threshold legislation in terms of their seatbelt use. Specifically, we look at drivers who become affected by both lower BAC thresholds and live in a state with primary seatbelt enforcement. Our data span every month from 1991 to 2010, which captures a substantial number of states switching from BAC restrictions of 0.10 to 0.08. We estimate Equation (1) as a probit model, with s and t indicating the state and month in which an accident took place.

(1) SB[U.sub.ist] = [[alpha].sub.s] + [[tau].sub.t] + [X.sub.ist][beta] + [delta]PB[L.sub.st] + [gamma][BA08.sub.st] + [psi][BA08.sub.st] * PB[L.sub.ist] + [[epsilon].sub.ist].

Equation (1) is estimated using driver-level data, with the i subscript indicating a driver, for a sample of drivers with a BAC of 0.08 or greater. The variable SBU is a dichotomous variable indicating that a driver in a fatal accident uses a seatbelt. All regressions include a series of state fixed effects and year-month fixed effects. The former capture common differences in seatbelt use across states that are fixed with respect to time, whereas the latter allows for a unique intercept for seatbelt use for every time period in the sample. PBL is a dummy variable indicating a state has a primarily enforced seatbelt law in effect at the time of the accident. The BA08 dummy indicates a BAC laws of 0.08 is in effect in the state, as opposed to a 0.10 law. The interaction between the two and its corresponding coefficient estimate [psi] is the effect of primary interest. (9)

In the X vector, we add a number of factors that might affect the likelihood a driver wears a seatbelt. These include the driver's age and gender, a dichotomous measure of "good" weather conditions, (10) whether it was daytime (6:00 a.m. to 5:59 p.m.), and whether the vehicle was a passenger car (vs. light truck or van). Finally, we include a series of dummy variables to account for the speed limit where the accident occurred. (11) Overall, the inclusion of these factors will capture variation over time in driver or road characteristics that may impact the likelihood of drivers in a particular state wearing a seatbelt, such as age and gender composition, weather conditions, or propensity for highway driving, for example.

Our difference-in-difference research design requires that the control states serve as a valid control group to the treatment states. Therefore, trends in seatbelt usage before the treatment occurs should be similar in the treatment and control states. Of the 32 states that are treated at some point during our sample time frame, 25 did not enter the treatment group until after 2000. This 10-year period (where approximately three-quarters of the treatment group had no change) provides us with an opportunity to investigate if a difference in general trends exists between the two groups. Specifically, we compare the time trend in the seatbelt usage rate for drunk drivers before 2001 among the 25 states that did not become treated until after 2000, to the trend for the 18 states that remain in the control group over the entire 1991-2010 period. Figure 1 shows that there is no discernible difference in this unconditional trend between these two groups prior to 2001, which helps to alleviate concerns that our research design may be undermined by a difference in underlining trends between the treatment and control states (the evident level difference will be absorbed by the constant term in the regression models). That said, we more formally investigate this potential concern later in this study.

[FIGURE 1 OMITTED]

Although Figure 1 is suggestive of no difference in seatbelt use leading up to both laws being in effect, we recognize this is not proof of policy exogeneity. Given the sheer volume of policies aimed at traffic safety, we cannot rule out a concurrent policy change confounding our results. We believe our results are immune from such omitted variables biases. For another policy to fit our pattern of results, it would have to be correlated with drunk driving deaths (but not sober driving deaths), seatbelt use by heavy drinkers (but not nondrinkers), seatbelt enforcement provisions, and stricter BAC thresholds.

Figure 2 summarizes our research approach by presenting an event-history representation of the patterns in average drunk driver seatbelt usage rates in states that passed both stricter BAC thresholds and primary enforced seatbelt laws (treatment states). We also constructed a synthetic control group using a weighted average of the drunk driver seatbelt usage rates in the control states. (12) Trends have been indexed and smoothed for easier comparison. Acknowledging that drivers are impacted by the policy changes at different times in different states, the horizontal axis represents the number of quarters before or after the policy interaction occurred. In the earliest quarters prior to the treatment, there was a slight increase in seatbelt usage in the treatment states over control states, but both exhibited mild increases. However, in the periods around the treatment we observe an upswing in seatbelt usage in the treatment states. The large increase appears to begin slightly before the treatment, which is likely because of our smoothing of the data. We find no suggestion of an upswing in the control states in the post-treatment period. That said, Figure 2 is only suggestive of an impact of the interaction of these laws, as it has no controls for other potentially important influences on seatbelt usage rates, including time, persistent location differences, and driver or accident characteristics. Hence, to more carefully consider this relationship, we return to our more complete modeling of driver-level seatbelt usage presented in Equation (1) above.

[FIGURE 2 OMITTED]

B. Seatbelt Use Estimates Using the FARS

We report our formal estimation of Equation (1) via a probit model in Table 2. Column (1) provides the result using only state- and time-fixed effects (no other controls). The estimate of is 0.875 and is statistically significant at a high level (p value = 0.007), which suggests a strong interactive effect of BAC laws in the presence of primarily enforced seatbelt legislation.

In the second column, we add controls for observed driver age and gender, with little change in the parameter estimate [psi] (coef = 0.0897, p value = 0.004). Also, we observe, as expected, that older drivers and women are more likely to be wearing seatbelts. In the third column, we move to our preferred specification and add in the controls the remaining controls included in vector X, which capture aspects about the crash, weather, vehicle, and so on, that may impact an individual's propensity to wear their seatbelt. The primary measure of interest is now slightly smaller (coef =0.0805, p value = 0.014), but remains basically unchanged. We also observe that drivers wear seatbelts less in good weather and at night. The latter is likely because of the greater number of risky drivers on the road at night. Finally, we find that seatbelt use is highest on higher speed roads, for example, highways. It is notable that the estimates of the control variables behave as expected, given this is a sample of drivers involved in fatal crashes and therefore suggests selection may not be of substantial influence.

We calculate marginal effects of the policy variables and our interaction of interest in the bottom panel of Table 2, and follow suggestions by Greene (2010) for presenting interactive probit effects. (13) These estimates provide strong evidence that when primary seatbelt laws are in effect in states where there is a lower BAC threshold, there is approximately a 2.6-2.8 percentage point increase in the likelihood of a legally drunk driver wearing a seatbelt relative to locations without a primary enforced seatbelt law or a higher BAC threshold. Given that in the sample the average seatbelt use of drunk drivers involved in a fatal accident is only 27%, this is a substantial effect. (14)

The results presented to this point suggest that drunk drivers do, indeed, respond to the interaction of these policies by wearing the seatbelts with greater frequency. However, given that the penalties associated with repeat drunk driving offense are significantly greater, we would expect drivers with a past drunk driving conviction to respond even more to these policy incentives. The FARS data do allow for a cursory investigation of the relationship, as information on whether or not a driver had a past DWI conviction within the last 3 years is available. Results of this brief extension of our primary analysis are presented in the last two columns of Table 2, and they are consistent with expectations. Specifically, while drunk drivers without a previous DWI conviction responded similarly to the whole sample, those with a recent DWI conviction responded much more strongly. This provides further evidence of a behavioral response to the interaction between the two laws.

Comparison with Estimates for Sober Drivers. Results in Table 2 indicate that the interaction between primary seatbelt laws and the stricter drunk driving thresholds leads to a large and statistically significant increase in seatbelt usage among drunk drivers. One may worry, however, that the empirical connection is somehow driven by uncaptured differences in trends in seatbelt usage between the treatment and control locations. To allow for this possibility, we also estimate Equation (1) for a sample of sober drivers (BAC = 0.00). Evidence from sober individuals is potentially useful for two reasons. First, if the hypothesis of increased seatbelt use among inebriated drivers in response to stricter thresholds and primary belt enforcement is correct, the estimate [psi] of should be zero in the sober sample and significantly greater than zero in the intoxicated sample. Such an outcome would leave us less worried about bias from unobservable differences in trends affecting our estimates. Second, even if the estimated effects for the sober sample are nonzero, the difference in estimated effects across age groups (drunk minus sober) can be used as a difference-in-difference-in-difference estimator of the effect of this policy interaction on seatbelt usage among drunk drivers (removing any bias from differences in trends). However, if estimates from the sober population are similar to those found for drunk drivers, and no significant difference is detected, it would cast doubt on the validity of the earlier results in Table 2.

Table 3 presents the results of this analysis, with the results for drunk drivers duplicated from column (3) from Table 2 to provide easy comparison. Results for the sober drivers, presented in column (2) of Table 3, indicate that there is no impact of the interactive effect of lower BAC thresholds and primary seatbelt laws (p value = 0.755). The primary belt law itself provides the only effect, which is consistent with expectations. We note that the combined effect of primary seatbelt laws ([delta] + [psi]) in the inebriated sample exceeds that in the sober sample, which furthers confirms our hypothesis that drunk drivers are avoiding interaction with police in the primary belt law states.

While the difference between these estimates is consistent with our hypothesis and suggests that underlining trends are not an issue, we formalize our results in column (3) by explicitly adding a triple interaction between our policy variables and a drunk driver indicator (DWI). Specifically, we will also estimate Equation (2), which is similar to Equation (1) except it fully interacts the specification with DWI, an indicator set equal to one if the driver's BAC is greater than or equal to 0.08 and set equal to zero if his BAC is 0 (drivers with BAC between 0 and 0.08 are excluded from this estimation).

(2) [MATHEMATICAL EXPRESSION NOT REPRODUCIBLE IN ASCII].

The triple interaction between both policies and the driver intoxication dummy (DWI) and its corresponding coefficient ([[PSI].sub.4]) is the primary measure of interest in Equation (2).

As indicated from the outcomes in columns (1) and (2), the triple interaction presented in column (3) tells a consistent story, suggesting approximately a 3 percentage point increase in seatbelt use when both a BAC 0.08 threshold and primary seatbelt law are in place. This estimate is significant as the p value equals 0.041.

Lastly, while this analysis conducted in Table 3 strongly alleviates concerns that the control state trends differ over time (a fundamental violation of the difference-in-difference identification), it is possible that differences in seatbelt usage trends may only exist among drunk drivers prior to the passage of the policy interaction of interest. While this is not supported by the trends shown in Figure I. as a last investigation of trend differences, we explicitly control for differences in time trends between the treatment and control locations in our full-specification of Equations (1). Results are consistent and robust (Coef = 0.0826, p value = 0.028).

C. Seatbelt Use Estimates Using the BRFSS

While the results presented in Section III.B indicate increased seatbelt use by those drivers who fear being pulled over, there is an important caveat to the Table 2 estimates just described. Specifically, the FARS data come from accidents with a fatality. If seatbelts result in fewer deaths, then it might be the case that we are observing a select group of more severe accidents. It is possible that many of these missing observations are related to increased seatbelt use among drivers wishing to avoid detection. If so, the influence of selection bias should understate any measured effect. Therefore, we also appeal to the BRFSS, which includes nationwide data on seatbelt use for samples large enough to make inferences at the state level. It also includes a myriad of additional information, including frequency of drinking, to investigate whether similar patterns can be identified. The BRFSS has the important disadvantage of not recording whether the affected seatbelt users were actually making simultaneous drinking, driving, and seatbelt decisions, which is a meaningful limitation, but it nevertheless confirms the FARS finding in a broader sample and acts as a further robustness investigation.

The BRFSS estimation proceeds by estimating Equations (1) and (2) in a similar fashion, with a few notable differences. Equations (1) and (2) are ordered probit equations because the SBU variable in the BRFSS is an ordered measure. Specifically, seatbelt usage is self-reported in response to the question "How often do you use seat belts when you drive or ride in a car? Would you say ..." as one of the following frequencies: "Always," "Nearly always," "Sometimes," "Seldom," and "Never." Not only does it utilize more information, but the ordered probit model is perhaps more telling of the seatbelt user behavior if the driver is marginally affected by the change in BAC threshold. That is, he may only buckle up when he fears he is within the threshold. Among binge drinkers, this may lead to the driver moving along an ordered scale of seatbelt use frequency.

Another difference is the triple interaction indicator (DWI) used in Equation (2). The BRFSS asks about alcohol consumption in the 30 days prior to the interview. Hence, the DWI indicator is exchanged with a BINGE variable, which represents the BRFSS survey question that asks whether an individual had five or more drinks in any one sitting in the past 30 days. We suspect that this common definition of binge drinking would identify those most affected by the law.

Lastly, we are able to include a richer set of demographic controls in vector X for this analysis, as the BRFSS data provide significant detail on individual characteristics (i.e., employment status, education, income, etc.). Table A2 (Appendix) summarizes the BRFSS sample used in the analysis.

Within the timeframe of the FARS analysis (1990-2010), the BRFSS seatbelt use question was asked annually and then later biennially, so we draw on the 1990-1998, 2002, 2006, 2008, and 2010 BRFSS survey waves. A total of 2,063,436 participants responded to the seatbelt survey question in these survey waves. After dropping observations with missing demographic, income, or employment data, the final sample consists of 1,709,344 (approximately 17% of the sample is dropped).

Table 4 presents the results, where the dependent variable is the frequency scale-dependent variable of seatbelt use described above. Only the primary policy effects and their interactions are presented in this table, but the coefficients for the full set of controls are reported in Table A3. In columns (1) and (2), we test the simple interactive result of a lower BAC threshold and a primarily enforced ban separately for respondents reporting a binge drinking event or no drinking events in the previous 30 days. Thus, these two columns are estimated with a similar goal to the first two columns of the FARS estimates in Table 3. However, we do not know each respondent's BAC.

Evident from the estimates of [PSI] in columns (1), the interactive effect of a primarily enforced ban and a lower BAC on binge drinkers is large and positive, which is consistent with the FARS analysis. That said, the results are not statistically significant. Unlike the FARS, the BRFSS does not directly link seatbelt use and drinking activity, which may reduce precision.

We next combine the samples of binge and nondrinkers and fully interact an indicator of binge drinking in the previous 30 days in order to formally test the difference between the two groups, as shown in column (3). The first variable, entered in column (3), is an indicator of whether one binge drank in the last 30 days. Not surprisingly, binge drinkers are less likely to wear a seatbelt. Also, the triple interaction of binge drinking with both primary belt enforcement and a lower BAC threshold is positive and statistically significant (coef = 0.0569, p value = 0.042). Taken collectively, these outcomes are consistent with the FARS results, as they demonstrate increased seatbelt use among drivers who would most like to avoid interaction with law enforcement.

Cross-partial effects, which can be interpreted as the difference in the probability of seatbelt use when reducing the BAC threshold to 0.08 under primary enforcement compared with reducing the BAC threshold similarly when not under primary enforcement, were also calculated using the estimated model coefficients and are reported in Table 5. The cross-partial effects of the interactions, or the double differences when comparing across the two policies, show a consistent shift away from reporting partial or no seatbelt use to always seatbelt use. This effect is also stronger among binge drinkers, reflecting the cross-partial effects for the FARS analysis presented in the bottom portion of Table 3.

IV. ACCIDENT ANALYSIS

A. Data and Methods

Using two very different data sources, we have established that seatbelt use increases when BAC thresholds are lower in the presence of primarily enforced seatbelt laws. Effects are only observed for drinkers, as expected. The implication is that lives will likely be saved by this change in behavior. This leads to an extension of our investigation--that is, to verify whether when both laws are in place there are indeed fewer fatalities on the roadways. That seatbelts save lives is not controversial and the evidence cited earlier attests to this. We do have several reasons to be cautious about analyzing fatalities. First, the Peltzman effect suggests that drivers might be more reckless when wearing a seatbelt. This would put upward pressure on our results. Second, analyzing BAC law effects using FARS has not yielded consistent results in past studies.

For these estimates, we return to the FARS data and aggregate fatal passenger vehicle accidents at the state level. The following equation assesses the relevant impact on such accidents:

(3) [MATHEMATICAL EXPRESSION NOT REPRODUCIBLE IN ASCII].

The log total of passenger-vehicle accidents in each state-month cell is estimated as a function of the same set of variables used earlier in the FARS. Estimations are weighted by the number of accidents to limit the undue influence of low-frequency, high variance states. (15) All standard errors are clustered at the state level to allow for nonindependence of observation from the same location over time (Bertrand et al. 2004).

The X vector in these specifications also includes controls for population, which varies annually rather than monthly. As state-fixed effects capture the general size of the state, population reflects a change in relative density in this context. We round out the X vector with beer tax and unemployment rate controls. The former has been shown to reduce drunk driving accidents. (16) The latter represents depressed economic activity, which is likely associated with decreased traffic and accidents (Cotti and Tefft 2011).

Equation (3) results measure the various effects of legislation along with the incremental effect of a lower BAC threshold enacted in the presence a primary seatbelt law. Given that we are interested in the total number of alcohol-related accidents in each state and year, we can no longer exclude accidents where the BAC levels are missing. Instead, we use NFITSA-imputed BAC for all drivers where BAC is missing. As seatbelt use is a factor used by the NHTSA in imputing BAC levels, comparable estimates that divide the sample using BAC level (as was carried out in Table 2) are not appropriate for this analysis. We instead divide the sample into nighttime accidents (6:00 p.m. to 5:59 a.m.) and daytime accidents (6:00 a.m. to 5:59 p.m.). (17) We would expect a change in nighttime accidents, as this is the time period when the proportion of drivers that are intoxicated is highest. (18) Moreover, police presence to deter drunk driving is more prevalent in the evening. We would therefore also expect drivers to react more to legislation at night.

B. Fatal Accident Estimates Using the FARS

The estimates in Table 6 support that nighttime accidents are most affected by the interactive effects of the legislation. There is a nearly 7% reduction in fatal accidents in states with a lower BAC threshold and a primarily enforced seatbelt law compared with a state without both laws in place (i.e., only one or the other are in place). (19) Given that the average number of fatal nighttime passenger vehicle accidents per month in a typical state is approximately 27.6 in the sample, a 7% reduction translates into roughly 2 fewer fatal accidents per state per month, or over 1,200 annually across the country. In fact, these estimates also suggest that there is no discernible reduction in fatal nighttime accidents unless both a primarily enforced seatbelt law and lower BAC threshold are in place, rather than with each law in place on its own.

In column (2) of Table 5 we contrast our nighttime findings to analogous estimates from daytime accidents. While daytime accidents are by no means exclusively nonalcohol related, there is a significant contrast based on time of day, so we should see a much smaller or nonexistent impact of the interaction on fatal accidents if our hypothesis is correct. Results are consistent with this expectation, as estimates of the interaction on outcomes are now half as large and no longer statistically significant. A conservative reading is that the negative estimate of [PSI] observed in column (2) demonstrates the presence of an underlying difference in unobservables between treatment and control states in general accident rates that is correlated with the interaction of both policies in question. Consequently, if we difference the estimates between nighttime and daytime accidents we would "net" a negative effect of around a 3%-4% decline in accidents. Due to the imprecision of the estimates, results are not statistically different from one another, so we are unable to completely eliminate this concern.

Among our other determinants of fatal accidents, it is worth noting that only beer taxes have a measureable impact on nighttime accidents, again consistent with drunk driving being more prevalent in the nighttime hours. We detect no effect of the state-level unemployment rate on nighttime accidents but a small decrease in daytime accidents. We also note the rather large positive effect of the lower BAC thresholds on fatal accidents in both the day and night. One possible explanation is that BAC laws were passed in response to increasing accident rates. That said, the interactive effect is highly consistent with what was found when analyzing seatbelt use, which was the point of the fatality analysis.

V. CONCLUSION

This study is the first to assess whether the effectiveness of stricter BAC thresholds is influenced by another concurrent policy, namely seatbelt law enforcement. We suspected that primarily enforced laws raise the probability that a drunk driver would be detected by law enforcement. For this reason, we should observe heightened seatbelt use among drunk drivers.

Our data suggest that, indeed, seatbelt use increases among potentially inebriated drivers when BAC thresholds are set at .08 rather than .10 but only in areas with primarily enforced seatbelt laws. This is true in a census of fatal accidents. Drivers with a high BAC in such accidents are more likely to be wearing their seatbelt than in cases where there is no primary enforcement. This relationship is not observed in a sample of crashes where no driver was inebriated. We also look at the BRFSS, which retrospectively asks drivers about their seatbelt use. Among binge drinkers, frequency of seatbelt use increases when lower BAC thresholds and primarily enforced seatbelt laws are jointly effective.

Although the increased seatbelt use is expected to save lives, we also investigate the question of whether the interactive effect of these policies is lowering traffic fatalities compared with either passed in isolation. We find that the laws, if enacted together, reduce accidents by 7% compared to cases with a secondary enforcement or a higher BAC level. This provides a direct policy prescription when enacting stricter BAC thresholds. These laws should also be passed in an environment with strict seatbelt provisions if the intention is to maximize lives saved. We note that the observed reduction in fatal accidents is likely among drivers and their passengers, rather than other noninebriated drivers and pedestrians.

This means that drunk driving externalities, which are typically limited to lives lost outside of the car of the inebriated driver (Levitt and Porter 2001) are not substantially reduced. Nevertheless, the reduction in fatalities still is economically meaningful if one considers the contribution to society that can be made by those lives saved.

The implications of the results of this study are far-reaching. Evidence clearly supports that drivers adjust their behavior given the combination of regulations in place and their own personal circumstances. They are more selective in following laws if they face a higher cost of not complying because they fear interaction with law enforcement officials. This study suggests several additional lines of inquiry. In the case of seatbelt laws and BAC legislation, the net effect is positive in terms of lives saved. This need not be the case. If seatbelt use leads to some illegal behavior not being detected, perhaps in the case of drug possession or weapons infractions, the net effect may not be positive. We anticipate more findings of the interactive effect of seatbelt law enforcement with other policies. We also suggest that future work on traffic safety should more generally look at the interactive effects of policies.

ABBREVIATIONS

BAC: Blood Alcohol Content

BRFSS: Behavioral Risk Factor Surveillance System

DWI: Driving While Intoxicated

FARS: Fatality Analysis Reporting System

NHTSA: National Highway Traffic Safety Administration

NTSB: National Transportation Safety Board

doi: 10.1111/ecin.12155
APPENDIX

TABLE A1
Mean and Proportion, Fatality Analysis Reporting System, 1991-2010

                                Full Sample   Neither Law   BAC08 Only

Panel A: Drivers BAC = 0.08+
  Seatbelt used                    0.265         0.174        0.235
  Age                              33.55         33.21        34.03
  Male                             0.837         0.842        0.828
  Good weather                     0.892         0.879        0.899
  Daytime                          0.185         0.183        0.187
  Vehicle type: car                0.579         0.622        0.565
  Speed limit < 30                 0.039         0.042        0.037
  Speed limit 30-39                0.156         0.151        0.158
  Speed limit 40-49                0.196         0.186        0.219
  Speed limit 50-59                0.469         0.541        0.430
  Speed limit 60+                  0.140         0.080        0.155
  Observations                    125.983       45.506        32.417
Panel B: Drivers BAC = 0.00
  Seatbelt used                    0.586         0.500        0.556
  Age                              41.60         41.27        42.40
  Male                             0.656         0.652        0.652
  Good weather                     0.849         0.828        0.857
  Daytime                          0.640         0.658        0.647
  Vehicle type: car                0.612         0.659        0.592
  Speed limit < 30                 0.029         0.029        0.026
  Speed limit 30-39                0.115         0.113        0.113
  Speed limit 40-49                0.190         0.182        0.202
  Speed limit 50-59                0.477         0.549        0.434
  Speed limit 60+                  0.189         0.128        0.223
  Observations                    211,571       71,453        56.265

                                PBL Only   Both Laws

Panel A: Drivers BAC = 0.08+
  Seatbelt used                  0.286       0.406
  Age                            32.93       33.80
  Male                           0.846       0.836
  Good weather                   0.895       0.903
  Daytime                        0.164       0.193
  Vehicle type: car              0.578       0.534
  Speed limit < 30               0.034       0.041
  Speed limit 30-39              0.174       0.154
  Speed limit 40-49              0.171       0.197
  Speed limit 50-59              0.484       0.402
  Speed limit 60+                0.136       0.206
  Observations                   13,943     34.117
Panel B: Drivers BAC = 0.00
  Seatbelt used                  0.631       0.708
  Age                            40.64       41.60
  Male                           0.662       0.661
  Good weather                   0.839       0.871
  Daytime                        0.630       0.615
  Vehicle type: car              0.617       0.575
  Speed limit < 30               0.029       0.032
  Speed limit 30-39              0.123       0.115
  Speed limit 40-49              0.176       0.194
  Speed limit 50-59              0.501       0.424
  Speed limit 60+                0.170       0.235
  Observations                   22,640     61,213

TABLE A2
Summary Statistics, Behavioral Risk Factor Surveillance System

                                                 Mean/Proportion

                                            Full Sample   Neither Law

Uses seatbelt always                              0.761        0.615
Uses seatbelt nearly always                       0.123        0.169
Uses seatbelt sometimes                           0.057        0.103
Uses seatbelt seldom                              0.028        0.054
Uses seatbelt never                               0.031        0.059
Any drinks in last 30 days                        0.505        0.500
Any binge drinking events in last 30 days         0.126        0.136
Age                                              50.615       45.638
Male                                              0.404        0.423
White                                             0.858        0.870
Black                                             0.083        0.095
Hispanic                                          0.055        0.034
High-school grad                                  0.308        0.340
Some college                                      0.272        0.268
College grad                                      0.317        0.251
Married                                           0.562        0.551
Current smoker                                    0.200        0.240
Income $10k to $15k                               0.071        0.095
Income $ 15k to $20k                              0.086        0.104
Income $20k to $25k                               0.104        0.116
Income $25k to $35k                               0.145        0.177
Income $35k to $50k                               0.169        0.182
Income >$50k                                      0.351        0.210
Employed for wages                                0.501        0.555
Self-employed                                     0.089        0.083
Out of work for > 1 year                          0.020        0.019
Out work for < 1 year                             0.025        0.024
Homemaker                                         0.074        0.082
Student                                           0.022        0.032
Retired                                           0.220        0.184
Unable to work                                    0.047        0.020
Observations                                1709344       434583

                                                 Mean/Proportion

                                            BAC08 Only   PBL Only

Uses seatbelt always                             0.746       0.749
Uses seatbelt nearly always                      0.139       0.130
Uses seatbelt sometimes                          0.058       0.061
Uses seatbelt seldom                             0.027       0.030
Uses seatbelt never                              0.031       0.030
Any drinks in last 30 days                       0.513       0.546
Any binge drinking events in last 30 days        0.127       0.145
Age                                             52.148      45.501
Male                                             0.405       0.421
White                                            0.900       0.807
Black                                            0.049       0.100
Hispanic                                         0.046       0.088
High-school grad                                 0.310       0.314
Some college                                     0.275       0.274
College grad                                     0.330       0.300
Married                                          0.579       0.551
Current smoker                                   0.189       0.224
Income $10k to $15k                              0.063       0.075
Income $ 15k to $20k                             0.081       0.089
Income $20k to $25k                              0.102       0.110
Income $25k to $35k                              0.139       0.170
Income $35k to $50k                              0.172       0.188
Income >$50k                                     0.390       0.284
Employed for wages                               0.497       0.565
Self-employed                                    0.097       0.087
Out of work for > 1 year                         0.018       0.020
Out work for < 1 year                            0.023       0.026
Homemaker                                        0.071       0.076
Student                                          0.017       0.035
Retired                                          0.225       0.169
Unable to work                                   0.053       0.023
Observations                                564517       84176

                                                Mean/Proportion

                                            Both Laws    Min   Max

Uses seatbelt always                             0.879    0     1
Uses seatbelt nearly always                      0.076    0     1
Uses seatbelt sometimes                          0.023    0     1
Uses seatbelt seldom                             0.010    0     1
Uses seatbelt never                              0.012    0     1
Any drinks in last 30 days                       0.496    0     1
Any binge drinking events in last 30 days        0.116    0     1
Age                                             53.374   18    99
Male                                             0.388    0     1
White                                            0.818    0     1
Black                                            0.104    0     1
Hispanic                                         0.073    0     1
High-school grad                                 0.283    0     1
Some college                                     0.271    0     1
College grad                                     0.352    0     1
Married                                          0.556    0     1
Current smoker                                   0.178    0     1
Income $10k to $15k                              0.063    0     1
Income $ 15k to $20k                             0.078    0     1
Income $20k to $25k                              0.096    0     1
Income $25k to $35k                              0.125    0     1
Income $35k to $50k                              0.156    0     1
Income >$50k                                     0.423    0     1
Employed for wages                               0.460    0     1
Self-employed                                    0.086    0     1
Out of work for > 1 year                         0.024    0     1
Out work for < 1 year                            0.026    0     1
Homemaker                                        0.072    0     1
Student                                          0.018    0     1
Retired                                          0.249    0     1
Unable to work                                   0.065    0     1
Observations                                626068

Notes: Summary of observations without nonresponses, as described in
the text. The sample consists of BRFSS waves in which respondents
reported seatbelt use (1990-1998, 2002, 2006, 2008, 2010).

TABLE A3
BAC 0.08 and Primary Enforcement Law Effects, BRFSS Seatbelt Use
Ordered Probits (All Coefficients)

                                   (1)                    (2)
                            Any Binge Drinking        No Drinking

BA08                         -0.0264 (0.0311)       -0.0115 (0.0365)
PBL                         0.1213 ** (0.0565)     0.1162 ** (0.0454)
BA08 and PBL                 0.0713 (0.0560)        0.0177 (0.0503)
Age                          0.0015 (0.0012)      0.0209 *** (0.0015)
Age squared                  0.0000 (0.0000)      -0.0002 *** (0.0000)
Male                       -0.3424 *** (0.0064)   -0.3857 *** (0.0108)
White                      -0.0499 *** (0.0168)   -0.0442 ** (0.0225)
Black                      -0.0650 *** (0.0187)     -0.0353 (0.0288)
Hispanic                   0.1327 *** (0.0166)    0.1232 *** (0.0191)
High-school grad           0.0971 *** (0.0078)    0.1184 *** (0.0111)
Some college               0.1872 *** (0.0117)    0.2809 *** (0.0149)
College grad               0.3341 *** (0.0157)    0.4945 *** (0.0205)
Married                    0.0761 *** (0.0060)    0.1380 *** (0.0073)
Current smoker             -0.1729 *** (0.0104)   -0.1581 *** (0.0121)
Income $ 10k to $15k       0.0562 *** (0.0065)      0.0086 (0.0169)
Income $ 15k to $20k       0.0863 *** (0.0073)     0.0290 * (0.0161)
Income $20k to $25k        0.1003 *** (0.0096)     0.0371 ** (0.0147)
Income $25k to $35k        0.1048 *** (0.0099)    0.0416 *** (0.0156)
Income $35k to $50k        0.1268 *** (0.0107)    0.0741 *** (0.0134)
Income >$50k               0.1733 *** (0.0125)    0.1143 *** (0.0175)
Self-employed              -0.2216 *** (0.0084)   -0.2813 *** (0.0131)
Out of work for > 1 year   -0.0462 *** (0.0103)   -0.0861 *** (0.0173)
Out work for < 1 year      -0.0664 *** (0.0110)   -0.0555 *** (0.0136)
Homemaker                  0.0499 *** (0.0083)    0.0716 *** (0.0152)
Student                    0.0773 *** (0.0136)    0.1162 *** (0.0203)
Retired                    0.0889 *** (0.0064)    0.0578 *** (0.0148)
Unable to work              0.0242 * (0.0137)       -0.0433 (0.0271)
Observations                     845,860                215,364

Notes: All results are model coefficients and hypothesis tests (not
partial effects). The sample consists of BRFSS waves in which
respondents reported seatbelt use (1990-1998, 2002, 2006, 2008,
2010). Each column represents a separate regression. All models
include indicators for year-month and state of residence. Robust
standard errors clustered by state of residence are in parentheses.

*** p < 0.01; ** p < 0.05; * p < 0.1.


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(1.) See http://www.ntsb.gov/news/2013/130514.html (last accessed October 10, 2013).

(2.) Dinh-Zarr et al. (2001) reviews the early evidence.

(3.) Selection bias likely understates any measured effect, as an increase in seatbelt usage should reduce fatalities, and bias us from observing these individuals. Note that not all drivers involved in the accidents died, but that the accident involved at least one fatality.

(4.) See http://www.iihs.org/iihs/topics/laws/safetybeltuse ?topicName=safety-belts (last accessed October 10, 2013) for a chronology of such state legislation.

(5.) There are also modest differences in age groups covered and fines. Given the penalties of drunk driving are much more severe, we view these minor differences as not meaningful sources of variation in this article.

(6.) The mixed result is perhaps due in part to injuries among survivors of crashes who would have died had they not been wearing their seatbelt. Alternatively, passage of seatbelt laws may have led to a Peltzman effect, where drivers are more reckless with the increased perceived safety of seatbelts (Peltzman 1975).

(7.) However, Dee (2001) used the time and space variation afforded by the imposition of various state BAC thresholds to show a significant reduction in fatalities stemming from both the 0.10 and the 0.08 threshold. Eisenberg (2003) makes the salient observation that the differential between these two estimates is most relevant since it represents the marginal changes most often observed in recent legislative actions. He indicates the Dee estimates imply a mere 2% reduction in accidents stemming from a reduced BAC threshold from 0.10 to 0.08. Eisenberg's own estimates imply a slightly larger impact of BAC threshold.

(8.) The vast majority of the non-passenger vehicle-accidents observations excluded are those involving motorcycles.

(9.) BAC levels are not available for all fatal crashes in the FARS even though such measures are required by law. We remove those cases where BAC levels are not directly measured.

(10.) NHTSA classifies the prevailing atmospheric conditions that existed at the time of the crash as recorded on the crash report form. For our purposes, we define the "good" weather condition dummy equal to one if NHSTA reports the weather as "clear" and zero if the weather condition is classified otherwise, which includes rain, hail, snow, fog, and so on.

(11.) Summary statistics for the FARS data used in Equation (1) is provided in Table Al.

(12.) In this synthetic control group, the calendar quarters for the control group are weighted to match the calendar quarters represented in the corresponding lead or lag period for the treated group (as set out in Ayers and Levitt 1998, and Adams et al. 2012). Control groups are New Hampshire, states prior to their enactment of primarily enforced belt laws, and states before the move to a 0.08 threshold.

(13.) These effects were calculated using the "margins r.policy1, over(r.policy2)" command in Stata (v12). Note that these are not naive marginal effects that would ignore the calculated interaction coefficients, but are the first derivative of the conditional mean with respect to the policy of interest (Ai and Norton 2003; Greene 2010).

(14.) Results are robust to restricting the sample to accidents involving a single car only (coef = 0.0959, p-value < .01), or restricting the sample to accidents involving drivers 21 years old or more (coef = 0.0722, p value = 0.031).

(15.) While a weighted least squares approach is our preferred method, we confirmed that the results are robust to other specifications, such as OLS, Poisson, and Negative Binomial models.

(16.) Ruhm (1996) finds beer taxes to be effective in deter ring drunk driving for at least a subset of the population, while Eisenberg (2003), however, finds limited evidence of the effect of beer taxes.

(17.) This is the formal nighttime vs. daytime convention used by the NHSTA when classifying accidents in the FARS data. We further restrict the daytime accidents to only weekdays (Monday-Friday) to further isolate the hours of the week when drunk driving is least prevalent form this sample. If every state-month period (day or night) had a positive number of fatal accidents the sample size would be 12, 240 (51*20*12). Our estimates will have slightly fewer than this total, as not all locations have at least one fatal accident every month "day" or "night."

(18.) This approach is consistent with much of the literature that studies drunk driving accidents (e.g., Eisenberg 2003; Ruhm 1996). Notably, the BAC measures in the FARS data (both imputed and not) suggest that the proportion of nighttime accidents that involve alcohol is approximately 50%, whereas during daytime on weekdays the number is approximately 6%, suggesting that our bifurcation of the data is consistent with expectations and suitable for this investigation.

(19.) For robustness purposes, we re-estimate these results isolating alcohol-related accidents, as classified by the BAC measures in the data, including the imputed alcohol data files from NHTSA. While this is likely inappropriate given the nature of the imputation process and the focus of our study on seatbelt laws, results are not sensitive to this approach.

SCOTT ADAMS, CHAD COTTI and NATHAN TEFF *

* We thank seminar participants at Yale University, Potsdam University, the Southern Economics Association Meetings, the American Society of Health Economics Meetings, as well as McKinley Blackburn. Ken Couch, John Heywood, and Owen Thompson for helpful comments

Adams: Department of Economics, University of Wisconsin-Milwaukee, Milwaukee, WI 53201. Phone 414-229-4212, Fax 414-229-1122, E-mail sjadams@uwm.edu

Cotti: Department of Economics, University of Wisconsin-Oshkosh, Oshkosh, WI 54901. Phone 920-203-4660, Fax 920-424-7413, E-mail cottic@uwosh.edu

Teffi: Department of Economics, Bates College, Lewiston, ME. Phone 207-786-6056, Fax 207-786-8337, E-mail tefft@uw.edu
TABLE 1
Primary Seatbelt Law and BAC Transitions

                                                      Date of
         Any Belt Law       Belt Law: Primary       Transition
State      in Effect           Enforcement          to BAC 0.08

AL         7/18/1991     Yes; effective 12/09/99      10/1995
AK         9/12/1990     Yes; effective 05/01/06      9/2001
AZ         1/1/1991                 No                9/2001
AR         7/15/1991     Yes, effective 06/30/09      8/2001
CA         1/1/1986      Yes; effective 01/01/93      1/1990
CO         7/1/1987                 No                7/2004
CT         1/1/1986      Yes; effective 01/01/86      7/2002
DE         1/1/1992      Yes; effective 06/30/03      7/2004
DC        12/12/1985     Yes; effective 10/01/97      4/1999
FL         7/1/1986       Yes; effective 6/30/09      1/1994
GA         9/1/1988      Yes; effective 07/01/96      7/2001
HI        12/16/1985     Yes; effective 12/16/85      7/1995
ID         7/1/1986                 No                7/1997
IL         1/1/1988      Yes; effective 07/03/03      7/1997
IN         7/1/1987      Yes; effective 07/01/98      7/2001
IA         7/1/1986      Yes; effective 07/01/86      7/2003
KS         7/1/1986       Yes; effective 6/10/10      7/1993
KY         7/15/1994     Yes; effective 07/20/06      10/2000
LA         7/1/1986      Yes; effective 09/01/95      10/2003
ME        12/26/1995     Yes; effective 09/20/07      8/1988
MD         7/1/1986      Yes; effective 10/01/97      10/2001
MA         2/1/1994                 No                7/2003
MI         7/1/1985      Yes; effective 04/01/00      10/2003
MN         8/1/1986      Yes; effective 06/09/09      8/2005
MS         7/1/1994      Yes; effective 05/27/06      7/2002
MO         9/28/1985                No                10/2001
MT         10/1/1987                No                4/2003
NE         1/1/1993                 No                9/2001
NV         7/1/1987                 No                9/2003
NH            n/a                 No law              1/1994
NJ         3/1/1985      Yes; effective 05/01/00      1/2004
NM         1/1/1986      Yes; effective 01/01/86      1/1994
NY         12/1/1984     Yes; effective 12/01/84      7/2003
NC         10/1/1985     Yes; effective 12/01/06      10/1993
ND         7/14/1994                No                9/2003
OH         5/6/1986                 No                7/2003
OK         2/1/1987      Yes; effective 11/01/97      7/2001
OR         12/7/1990     Yes; effective 12/07/90      10/1983
PA        11/23/1987                No                10/2003
RI         6/18/1991      Yes; effective 6/30/11      7/2000
SC         7/1/1989      Yes; effective 12/09/05      8/2003
SD         1/1/1995                 No                7/2002
TN         4/21/1986     Yes; effective 07/01/04      7/2003
TX         9/1/1985      Yes; effective 09/01/85      9/1999
UT         4/28/1986                No                8/1983
VT         1/1/1994                 No                7/1991
VA         1/1/1988                 No                7/1994
WA         6/11/1986     Yes; effective 07/01/02      1/1999
WV         9/1/1993      Yes; effective 07/1/2013     5/2004
WI         12/1/1987     Yes; effective 06/30/09      10/2003
WY         6/8/1989                 No                7/2002

Sources: Insurance Institute for Highway Safety, National
Highway Traffic Safety Administration, State Departments of
Transportation.

TABLE 2
BAC 0.08 and Primary Enforcement Law Effects on Seatbelt Use
among Drunk Drivers, FARS

                               (1)                  (2)
                             FE Only             FE + Demo

BA08                     -0.0394 (0.0375)     -0.0398 (0.0377)
PBL                     0.0954 *** (0.0352)  0.0943 *** (0.0353)
BA08 and PBL ([psi])    0.0875 *** (0.0316)  0.0897 *** (0.0313)
Age                                           0.00113(0.00099)
Male                                         -0.241 *** (0.0144)
Good weather
Daytime
Vehicle type: car
Speed limit < 30
Speed limit 30-39
Speed limit 40-49
Speed limit 50-59
Speed limit 60+
Observations                 133.052              132,973
Partial effects
BA08                          0.0005               0.0007
PBL                           0.0463               0.0461
BA08 and PBL                  0.0282               0.0288
    (cross-partial)

                                (3)                  (4)
                            Full Model             Prev DWI

BA08                      -0.0320(0.0315)      -0.0980 (0.0829)
PBL                     0.118 *** (0.0352)     0.128 * (0.0701)
BA08 and PBL ([psi])    0.0805 ** (0.0329)    0.179 *** (0.0663)
Age                     0.00170 * (0.00092)   0.00138 (0.00129)
Male                    -0.202 *** (0.0133)   -0.229 *** (0.0445)
Good weather            -0.0811 *** (0.0109)  -0.0887 ** (0.0432)
Daytime                 0.0528 *** (0.0148)   0.180 *** (0.0376)
Vehicle type: car       0.229 *** (0.0124)    0.203 *** (0.0292)
Speed limit < 30        -0.259 *** (0.0342)   -0.136 ** (0.0694)
Speed limit 30-39       -0.142 *** (0.0347)   -0.136 ** (0.0630)
Speed limit 40-49       -0.0788 * (0.0408)     -0.0780 (0.0496)
Speed limit 50-59       -0.185 *** (0.0294)   -0.195 *** (0.0472)
Speed limit 60+                  @                    @
Observations                  125.983               13,755
Partial effects
BA08                          0.0013               -0.0053
PBL                           0.0507                0.0584
BA08 and PBL                  0.0259                0.0470
    (cross-partial)

                                (5)
                            No Prev DWI

BA08                     -0.0242 (0.0280)
PBL                     0.115 *** (0.0390)
BA08 and PBL ([psi])     0.0665 * (0.0354)
Age                     0.00172 * (0.000939)
Male                    -0.195 *** (0.0141)
Good weather            -0.0797 *** (0.0107)
Daytime                 0.0420 *** (0.0147)
Vehicle type: car       0.232 *** (0.0123)
Speed limit < 30        -0.266 *** (0.0364)
Speed limit 30-39       -0.140 *** (0.0338)
Speed limit 40-49       -0.0760 * (0.0433)
Speed limit 50-59       -0.182 *** (0.0301)
Speed limit 60+                  @
Observations                  109,593
Partial effects
BA08                          0.0018
PBL                           0.0482
BA08 and PBL                  0.0219
    (cross-partial)

Notes: Probit models include state and period (year-month)
fixed effects. Robust standard errors clustered by state of
residence are in parentheses. @ indicates excluded category.
Sample includes FARS data from 1991 to 2010.

*** p < 0.01; ** p < 0.05; * p <0.1.

TABLE 3
BAC 0.08 and Primary Enforcement Law Effects on
Seatbelt Use Estimates, FARS

                                   (1)                  (2)
                                 Drinkers           Nondrinkers
                              (BAC = 0.08+)          (BAC = 0)
                               Seatbelt Use         Seatbelt Use

BA08                         -0.0320 (0.0315)     -0.0004 (0.0323)
PBL                         0.118 *** (0.0352)   0.173 *** (0.0437)
BA08 and PBL ([psi])        0.0805 ** (0.0329)    -0.0135 (0.0432)

PBL and drunk driver
BA08 and PBL and drunk
  driver ([[psi].sub.4])
Observations                     125.983              211,571

Partial effects                  Drinkers           Nondrinkers
                               (BAC 0.08+)           (BAC = 0)

BA08                              0.0013              -0.0020
PBL                               0.0507               0.0611
BA08 and PBL                      0.0259              -0.0046
  (cross-partial)
BA08 and PBL and drunk             n/a                  n/a
  driver

                                   (3)
                             Drinkers Versus
                               Nondrinkers
                               Interaction
                              Seatbelt Use

BA08                        -0.0007 (0.0321)
PBL                         0.173 *** (0.0436)
BA08 and PBL ([psi])       -0.0133 (0.0432)
                            -0.595 *** (0.119)
                            -0.0313 (0.0355)
PBL and drunk driver        -0.0550 (0.0402)
BA08 and PBL and drunk      0.0933 ** (0.0457)
  driver ([[psi].sub.4])
Observations                     337,552

Partial effects              Drinkers Versus
                               Nondrinkers
                               Interaction

BA08                             -0.0008
PBL                              0.0571
BA08 and PBL                       n/a
  (cross-partial)
BA08 and PBL and drunk           0.0302
  driver

Notes: Probit models include state and period (year-month)
fixed effects, as well as all covariates included in
Equation (1).

Results presented in column (3) are generated from a fully
interacted model. Robust standard errors clustered by state
of residence are in parentheses. Sample includes FARS data
from 1991 to 2010.

*** p<0.01; ** p< 0.05; * p<0.1.

TABLE 4
BAC 0.08 and Primary Enforcement Law Effects, BRFSS Seatbelt
Use Ordered Probits

                               (1)                  (2)
                        Any Binge Drinking      No Drinking

BA08                     -0.0264 (0.0311)    -0.0115 (0.0365)
PBL                     0.1213 ** (0.0565)   0.1162 ** (0.0454)
BA08 and PBL ([psi])     0.0713 (0.0560)      0.0177 (0.0503)
BINGE30
BA08 and BINGE30
PBL and BINGE30
BA08 and PBL and
  BINGE30
  ([[psi].sub.4])
Observations                 845,860              215,364

                                (3)
                             Combined

BA08                     -0.0114 (0.0368)
PBL                     0.1173 ** (0.0456)
BA08 and PBL ([psi])      0.0166 (0.0506)
BINGE30                 -0.5055 *** (0.0626)
BA08 and BINGE30         -0.0154 (0.0228)
PBL and BINGE30           0.0003 (0.0299)
BA08 and PBL and        0.0569 ** (0.0280)
  BINGE30
  ([[psi].sub.4])
Observations                 1,061,224

Notes: All results are model coefficients and hypothesis
tests (not partial effects). The sample consists of BRFSS
waves in which respondents reported seatbelt use (1990-
1998, 2002, 2006, 2008, 2010). Each column represents a
separate regression. All models include controls for a
respondent's demographics, income, employment, and
indicators for year-month and state of residence. Robust
standard errors clustered by state of residence are in
parentheses.

*** p < 0.01; ** p < 0.05; * p< 0.1.

TABLE 5
Ordered Probit Partial Effects, BRFSS

                                               Ordered Seatbelt
Predicted Outcome                              Use (Ordered Probit)

                                      Never    Seldom    Sometimes

BA08 and PBL cross-partial, binge    -0.0053   -0.0039    -0.0054
  drinkers
BA08 and PBL cross-partial,          -0.0012   -0.0007    -0.0012
  nondrinkers
BA08 and PBL and binge drinker       -0.0052   -0.0027    -0.0041
  cross-partial

                                                  Ordered Seatbelt
Predicted Outcome                                 Use (Ordered Probit)

                                     Nearly Always   Always

BA08 and PBL cross-partial, binge       -0.0065      0.0211
  drinkers
BA08 and PBL cross-partial,             -0.0018      0.0049
  nondrinkers
BA08 and PBL and binge drinker          -0.0050      0.0170
  cross-partial

Notes: Results are cross-partial effects corresponding to
the double-and triple-interaction models presented for the
main BRFSS regression results. Hypothesis tests are not
conducted, as recommended by Greene (2010), due to
difficulties in their interpretation.

TABLE 6
Impact on State-level Fatal Accidents

                                   (1)                   (2)
                              Ln Accidents          Ln Accidents
                                Nighttime         Daytime/ Weekdays
                           (6 p.m. to 6 a.m.)    (6 a.m. to 6 p.m.)

BA08                        0.0417 * (0.0242)    0.0679 *** (0.0245)
PBL                          0.0229 (0.0374)      -0.00394 (0.0440)
BA08 and PBL ([psi])       -0.0740 ** (0.0342)    -0.0362 (0.0416)
State population in         0.0025 * (0.0013)      0.0020(0.0017)
  (100,000)
State beer tax              -0.530 ** (0.210)      -0.241 (0.148)
State unemployment rate     -0.0008 (0.0082)      -0.0102 (0.0071)
Observations                     12,101                11.912

Notes: Weighted least squares regressions include state and
period (year-month) fixed effects. Robust standard errors
clustered by state of residence are in parentheses. Sample
includes data from 1991 to 2010.

*** p<0.01; ** p<0.05; * p<0.1.
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