Vans, straight trucks, and pickups have the highest rollover rate. Eighty of the pickup crashes in rural areas involved an overturn or rollover. Another 108 crashes involved collision with a fixed object. However, studies conducted in 25 rural towns of Texas showed that only 36 percent of the 1,942 pickup truck occupants observed were buckling up. Unfortunately, other states show similar low usage rates.
Most states have seat belt laws that require pickup truck occupants to buckle up.
However, this should not be the issue. The key issue is that safety belts when worn correctly can save lives and prevent serious injuries. This is even true for drivers and passengers of the large pickups that are not required by law to buckle up. We must be personally responsible for buckling up whether it's the law or not.