This project explores the relationship between structural level factors associated with community traffic safety culture toward alcohol and alcohol related fatal crashes in the United States from 1993 to 2015. Multilevel growth curve models were estimated to explore these relationships within longitudinal data. As hypothesized, increases in factors associated with anti-alcohol community norms, values, attitudes, and beliefs were related to decreases in alcohol related crashes at the county level. Conversely, measures associated with pro-alcohol factors were related to increased alcohol related crashes. These findings are consistent with traffic safety culture, social norms theory, and the Positive Community Framework (PCF).
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