Rear-Facing Child Car Seats: Are Laws Requiring Them Effective?
Introduction: Motor vehicle crashes are a leading cause of death in children aged ≤ 2 years in the U.S. The American Academy of Pediatrics advised that children should remain in rear-facing child car seats to mitigate injury from the most common type of severe collision (frontal). Several states have passed laws following these recommendations. Methods: In 2013 publicly available statutes and comprehensive motor vehicle fatality data from the National Highway Traffic Safety Administration’s Fatality Analysis Reporting System database were used to investigate whether there is a relationship between motor vehicle crash fatality rates for children under 1 year of age and state laws regulating the direction of car seat placement. States with known rear-facing car seat laws in place were analyzed in a two-step approach in 2014. Simple fatality rates per 100 million vehicle miles were calculated with 95% Poisson CIs. A negative binomial count model for infant deaths was calculated, with state fixed effects, adjusted for the exposure of vehicle miles in each state by year. Results: Unadjusted models showed a protective mortality effect for rear-facing car seat laws, while adjusted models demonstrated no beneficial effect.Implications: This preliminary study suggests that state rear-facing child restraint laws may be having an impact on infant motor vehicle mortality; however the current model is unable to determine their relative contribution given the overall decline in traffic mortality.
- Record URL:
- © 2016 Eli Friedman et al.
- Friedman, Eli
- Carretta, Henry J
- Jordan, Joshua
- Beitsch, Leslie M
- Publication Date: 2015-3
- Media Type: Digital/other
- Features: References; Tables;
- Pagination: pp 14-21
- Frontiers in Public Health Services & Systems Research
- Volume: 4
- Issue Number: 1
- Serial URL: http://uknowledge.uky.edu/frontiersinphssr/
- TRT Terms: Child restraint systems; Crash injuries; Crash rates; Fatalities; Rear facing restraint systems; State laws; Traffic crashes; Traffic law enforcement
- Subject Areas: Highways; Law; Safety and Human Factors; Vehicles and Equipment;
- Accession Number: 01602129
- Record Type: Publication
- Files: TRIS
- Created Date: Jun 3 2016 9:28AM