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In 2019, seat belt use in the United States ranged from 70.7 percent in New Hampshire to 97.1 percent in Hawaii. Twenty-six States, the District of Columbia, Guam, and the Northern Mariana Islands achieved seat belt use rates of 90 percent or higher. These results are from probability-based observational surveys conducted by the 50 States, the District of Columbia, and U.S. Territories.