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Journal Article

Citation

Harper S. Epidemiology 2019; 30(3): 380-387.

Affiliation

From the Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, Qu├ębec, Canada.

Copyright

(Copyright © 2019, Lippincott Williams and Wilkins)

DOI

10.1097/EDE.0000000000000990

PMID

30964813

Abstract

BACKGROUND: For policy questions where substantial empirical background information exists, conventional frequentist policy analysis is hard to justify. Bayesian analysis quantitatively incorporates prior knowledge, but is not often used in applied policy analysis.

METHODS: We combined 2000-2016 data from the Fatal Analysis Reporting System with priors based on past empirical studies and policy documents to study the impact of mandatory seat belt laws on traffic fatalities. We used a Bayesian data augmentation approach to combine information from prior studies with difference-in-differences analyses of recent law changes to provide updated evidence on the impact that upgrading to primary enforcement of seat belt laws has on fatalities.

RESULTS: After incorporating the evidence from past studies, we find limited evidence to support the hypothesis that recent policy upgrades affect fatality rates. We estimate that upgrading to primary enforcement reduced fatality rates by 0.37 deaths per billion vehicle miles traveled (95% posterior interval -0.90, 0.16), or a rate ratio of 0.96 (95% posterior interval 0.91, 1.02), and increased the proportion of decedents reported as wearing seat belts by 7 percentage points (95% posterior interval 5, 8), or a risk ratio of 1.18 (95% posterior interval 1.13, 1.24).

CONCLUSIONS: Bayesian methods can provide credible estimates of future policy impacts, especially for policy questions that occur in dynamic environments, such as traffic safety.


Language: en

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