MMWR: Morbidity and Mortality Weekly Report: Surveillance Summaries, September 22, 2017 [open pdf - 406KB]
Alternate Title: Rural and Urban Differences in Passenger-Vehicle-Occupant Deaths and Seat Belt Use Among Adults - United States, 2014
"Seat belt use decreases and age-adjusted passenger-vehicle-occupant death rates increase with increasing levels of rurality. Improving seat belt use remains a critical strategy to reduce crash-related deaths in the United States, especially in rural areas where seat belt use is lower and age-adjusted death rates are higher than in urban areas. States and communities can consider using evidence-based interventions to reduce rural-urban disparities in seat belt use and passenger-vehicle-occupant death rates."
Morbidity and Mortality Weekly Report: http://www.cdc.gov/mmwr/index.html/
MMWR: Morbidity and Mortality Weekly Report (September 22, 2017), v.66 no.17