This study was designed to compare pickup truck drivers who carried passengers in the back with those who did not, with respect to driving behaviors, sociodemographic features, and issues related to use of the pickup truck. A computerized assisted telephone survey was conducted in Riverside County, California. One thousand ten motor vehicle drivers were interviewed with respect to demographics, restraint use, driving behaviors, and variables related to vehicle use. Thirty-six percent (364) of the households and a pickup truck driver. Pickup drivers were grouped into those who stated that they had carried occupants in the back (n = 119) and those who had not (n = 245). A higher proportion of 16- to 24-year-old and 35- to 44-year-old pickup truck drivers carried passengers in the back of pickup trucks. Those who carried occupants in the back were significantly more likely to be Hispanic to be students, and to live in a household that included teenagers. They also had a larger mean household size. They were less likely to own the pickup and less likely to be the principal wage earners. They were more likely to report four high-risk driving behaviors. They also used the pickup truck for multiple purposes, i.e. recreation, work, school transportation, and daily transportation. In the multivariate analysis, the presence of teenagers in the household, three high-risk driving behaviors, and three indicators of pickup truck use were independently related to carrying passengers in the back of a pickup. Those who allowed passengers in the back were significantly less likely to agree with statements suggesting restriction of travel in the back. Finally, only 9% of the respondents who carried passengers in the back of a pickup reported that the pickup truck was the only vehicle available in the household.