Skip to main content
Injury Prevention logoLink to Injury Prevention
. 2005 Aug;11(4):219–224. doi: 10.1136/ip.2004.006767

Trip characteristics of vehicle crashes involving child passengers

I Chen 1, D Durbin 1, M Elliott 1, M Kallan 1, F Winston 1
PMCID: PMC1730235  PMID: 16081750

Abstract

Objectives: To describe the trip characteristics of vehicle crashes involving children, and to examine the effect of situational factors on front row seating or inappropriate restraint for young children.

Methods: A cross sectional study was conducted on children <16 years in crashes of insured vehicles in 15 US states, with data collected using insurance claims records and a telephone interview. A descriptive analysis of the characteristics of vehicle crashes involving children was performed. Multivariate Poisson regression was used to identify situational factors associated with inappropriate restraint or front row seating.

Results: These data suggest that children were traveling in vehicles involved in crashes that occurred under usual driving circumstances—that is, closer to home (60%), on a local road (56%), during normal daytime hours (71%), within areas with relatively lower posted speed limits (76%). Compared with children involved in morning crashes, those in daytime crashes (RR = 1.65, 95% CI 1.13 to 2.49) or in night-time crashes (RR = 1.63, 95% CI 1.09 to 2.67) were more likely to be sitting in the front seat. Children involved in night-time crashes were more likely to be inappropriately restrained (RR = 1.12, 95% CI 1.01 to 1.22) than those in daytime crashes. Children riding with two or more additional passengers were more likely to be inappropriately restrained (RR = 1.12, 95% CI 1.02 to 1.27) than those with no other passengers.

Conclusions: Educational initiatives should aim to increase the perception that parents have about the potential crash risk of everyday trips. Some situational characteristics of trips were associated with inappropriate restraint and front row seating behaviors for young children.

Full Text

The Full Text of this article is available as a PDF (80.5 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Arbogast Kristy B., Durbin Dennis R., Cornejo Rebecca A., Kallan Michael J., Winston Flaura K. An evaluation of the effectiveness of forward facing child restraint systems. Accid Anal Prev. 2004 Jul;36(4):585–589. doi: 10.1016/S0001-4575(03)00065-4. [DOI] [PubMed] [Google Scholar]
  2. Baker D. R., Clarke S. R., Brandt E. N., Jr An analysis of factors associated with seat belt use: prevention opportunities for the medical community. J Okla State Med Assoc. 2000 Oct;93(10):496–500. [PubMed] [Google Scholar]
  3. Campbell H., Macdonald S., Richardson P. High levels of incorrect use of car seat belts and child restraints in Fife--an important and under-recognised road safety issue. Inj Prev. 1997 Mar;3(1):17–22. doi: 10.1136/ip.3.1.17. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Decina L. E., Knoebel K. Y. Child safety seat misuse patterns in four states. Accid Anal Prev. 1997 Jan;29(1):125–132. doi: 10.1016/s0001-4575(96)00051-6. [DOI] [PubMed] [Google Scholar]
  5. Durbin D. R., Bhatia E., Holmes J. H., Shaw K. N., Werner J. V., Sorenson W., Winston F. K. Partners for child passenger safety: a unique child-specific crash surveillance system. Accid Anal Prev. 2001 May;33(3):407–412. doi: 10.1016/s0001-4575(00)00054-3. [DOI] [PubMed] [Google Scholar]
  6. Durbin Dennis R., Elliott Michael R., Winston Flaura K. Belt-positioning booster seats and reduction in risk of injury among children in vehicle crashes. JAMA. 2003 Jun 4;289(21):2835–2840. doi: 10.1001/jama.289.21.2835. [DOI] [PubMed] [Google Scholar]
  7. Ebel Beth E., Koepsell Thomas D., Bennett Elizabeth E., Rivara Frederick P. Too small for a seatbelt: predictors of booster seat use by child passengers. Pediatrics. 2003 Apr;111(4 Pt 1):e323–e327. doi: 10.1542/peds.111.4.e323. [DOI] [PubMed] [Google Scholar]
  8. Eby D. W., Kostyniuk L. P. A statewide analysis of child safety seat use and misuse in Michigan. Accid Anal Prev. 1999 Sep;31(5):555–566. doi: 10.1016/s0001-4575(99)00012-3. [DOI] [PubMed] [Google Scholar]
  9. Edgerton Elizabeth A., Duan Naihua, Seidel James S., Asch Steven. Predictors of seat-belt use among school-aged children in two low-income Hispanic communities. Am J Prev Med. 2002 Feb;22(2):113–116. doi: 10.1016/s0749-3797(01)00412-3. [DOI] [PubMed] [Google Scholar]
  10. Fockler S. K., Cooper P. J. Situational characteristics of safety belt use. Accid Anal Prev. 1990 Apr;22(2):109–118. doi: 10.1016/0001-4575(90)90062-p. [DOI] [PubMed] [Google Scholar]
  11. Kim Sungyop, Kim Karl. Personal, temporal and spatial characteristics of seriously injured crash-involved seat belt non-users in Hawaii. Accid Anal Prev. 2003 Jan;35(1):121–130. doi: 10.1016/s0001-4575(01)00097-5. [DOI] [PubMed] [Google Scholar]
  12. Li L., Kim K., Nitz L. Predictors of safety belt use among crash-involved drivers and front seat passengers: adjusting for over-reporting. Accid Anal Prev. 1999 Nov;31(6):631–638. doi: 10.1016/s0001-4575(99)00022-6. [DOI] [PubMed] [Google Scholar]
  13. Maron D. J., Telch M. J., Killen J. D., Vranizan K. M., Saylor K. E., Robinson T. N. Correlates of seat-belt use by adolescents: implications for health promotion. Prev Med. 1986 Nov;15(6):614–623. doi: 10.1016/0091-7435(86)90066-6. [DOI] [PubMed] [Google Scholar]
  14. McCartt Anne T., Northrup Veronika Shabanova. Factors related to seat belt use among fatally injured teenage drivers. J Safety Res. 2004;35(1):29–38. doi: 10.1016/j.jsr.2003.09.016. [DOI] [PubMed] [Google Scholar]
  15. Morrongiello B. A., Dayler L. A community-based study of parents' knowledge, attitudes and beliefs related to childhood injuries. Can J Public Health. 1996 Nov-Dec;87(6):383–388. [PubMed] [Google Scholar]
  16. Mulligan-Smith D., Puranik S., Coffman S. Parental perception of injury prevention practices in a multicultural metropolitan area. Pediatr Emerg Care. 1998 Feb;14(1):10–14. doi: 10.1097/00006565-199802000-00003. [DOI] [PubMed] [Google Scholar]
  17. Parker D., Manstead A. S., Stradling S. G., Reason J. T. Determinants of intention to commit driving violations. Accid Anal Prev. 1992 Apr;24(2):117–131. doi: 10.1016/0001-4575(92)90028-h. [DOI] [PubMed] [Google Scholar]
  18. Peterson L., Farmer J., Kashani J. H. Parental injury prevention endeavors: a function of health beliefs? Health Psychol. 1990;9(2):177–191. doi: 10.1037//0278-6133.9.2.177. [DOI] [PubMed] [Google Scholar]
  19. Ramsey A., Simpson E., Rivara F. P. Booster seat use and reasons for nonuse. Pediatrics. 2000 Aug;106(2):E20–E20. doi: 10.1542/peds.106.2.e20. [DOI] [PubMed] [Google Scholar]
  20. Retting R. A., Ulmer R. G., Williams A. F. Prevalence and characteristics of red light running crashes in the United States. Accid Anal Prev. 1999 Nov;31(6):687–694. doi: 10.1016/s0001-4575(99)00029-9. [DOI] [PubMed] [Google Scholar]
  21. Simpson Edith M., Moll Elisa K., Kassam-Adams Nancy, Miller Gwenyth J., Winston Flaura K. Barriers to booster seat use and strategies to increase their use. Pediatrics. 2002 Oct;110(4):729–736. doi: 10.1542/peds.110.4.729. [DOI] [PubMed] [Google Scholar]
  22. Winston Flaura K., Chen Irene G., Elliott Michael R., Arbogast Kristy B., Durbin Dennis R. Recent trends in child restraint practices in the United States. Pediatrics. 2004 May;113(5):e458–e464. doi: 10.1542/peds.113.5.e458. [DOI] [PubMed] [Google Scholar]

Articles from Injury Prevention are provided here courtesy of BMJ Publishing Group

RESOURCES