Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.

Motor vehicle accidents are the leading cause of death for young adults 18-29 years old worldwide, resulting in nearly 1 million years of life lost annually in the United States. Despite improvements in vehicle safety technologies, young women are at higher risk of dying in car crashes compared with...

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Main Authors: Mitchell Z Abrams, Cameron R Bass
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297211&type=printable
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author Mitchell Z Abrams
Cameron R Bass
author_facet Mitchell Z Abrams
Cameron R Bass
author_sort Mitchell Z Abrams
collection DOAJ
description Motor vehicle accidents are the leading cause of death for young adults 18-29 years old worldwide, resulting in nearly 1 million years of life lost annually in the United States. Despite improvements in vehicle safety technologies, young women are at higher risk of dying in car crashes compared with men in matched scenarios. Vehicle crash testing primarily revolves around test dummies representative of the 50th percentile adult male, potentially resulting in these differences in fatality risk for female occupants compared to males. Vehicle occupants involved in fatal car crashes were matched using seating location, vehicle type, airbag deployment, seatbelt usage, and age. The relative risk for fatality (R) between males and females was calculated using a Double Pair Comparison. Young women (20s-40s) are at approximately 20% higher risk of dying in car crashes compared with men of the same age in matched scenarios. In passenger cars, 25-year-old female occupants in passenger car crashes from 1975-2020 exhibit R = 1.201 (95% CI 1.160-1.250) compared to 25-year-old males, and R-1.117 (95% CI 1.040-1.207) for passenger car crashes from 2010-2020. This trend persists across vehicle type, airbag deployment, seatbelt use, and number of vehicles involved in a crash. Known sex-based differences do not explain this large risk differential, suggesting a need for expanded test methodologies and research strategies to address as-yet unexplored sex differences in crash fatalities. These differences should be further investigated to ensure equitable crash protection.
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spelling doaj.art-9b45d30825ed4a708008ab4b40abdb452024-02-17T05:32:41ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01192e029721110.1371/journal.pone.0297211Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.Mitchell Z AbramsCameron R BassMotor vehicle accidents are the leading cause of death for young adults 18-29 years old worldwide, resulting in nearly 1 million years of life lost annually in the United States. Despite improvements in vehicle safety technologies, young women are at higher risk of dying in car crashes compared with men in matched scenarios. Vehicle crash testing primarily revolves around test dummies representative of the 50th percentile adult male, potentially resulting in these differences in fatality risk for female occupants compared to males. Vehicle occupants involved in fatal car crashes were matched using seating location, vehicle type, airbag deployment, seatbelt usage, and age. The relative risk for fatality (R) between males and females was calculated using a Double Pair Comparison. Young women (20s-40s) are at approximately 20% higher risk of dying in car crashes compared with men of the same age in matched scenarios. In passenger cars, 25-year-old female occupants in passenger car crashes from 1975-2020 exhibit R = 1.201 (95% CI 1.160-1.250) compared to 25-year-old males, and R-1.117 (95% CI 1.040-1.207) for passenger car crashes from 2010-2020. This trend persists across vehicle type, airbag deployment, seatbelt use, and number of vehicles involved in a crash. Known sex-based differences do not explain this large risk differential, suggesting a need for expanded test methodologies and research strategies to address as-yet unexplored sex differences in crash fatalities. These differences should be further investigated to ensure equitable crash protection.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297211&type=printable
spellingShingle Mitchell Z Abrams
Cameron R Bass
Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.
PLoS ONE
title Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.
title_full Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.
title_fullStr Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.
title_full_unstemmed Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.
title_short Female vs. male relative fatality risk in fatal motor vehicle crashes in the US, 1975-2020.
title_sort female vs male relative fatality risk in fatal motor vehicle crashes in the us 1975 2020
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0297211&type=printable
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