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Rural–Urban Differences in Risk Factors for Motor Vehicle Fatalities

Henning-Smith C, Kozhimannil K,

Health Equity Published online September 25, 2018 doi:10.1089/heq.2018.0006 

Purpose: To examine rural–urban differences in motor vehicle fatality (MVF) risk factors.

Methods: We used 2017 County Health Rankings data to run stratified regression models to estimate county-level correlates of motor vehicle fatalities (MVFs) by rural and urban location.

Results: Rural counties have higher rates of MVFs than urban counties (22 vs. 14 per 100,000, p<0.001). Physical inactivity and uninsurance were associated with higher rates of MVFs, as was having a more racially or ethnically concentrated population and larger percentages of younger or older adults.

Conclusion: Interventions to reduce MVFs should take geographic location and population composition into account.

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