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Arch Pediatr Adolesc Med. 2007 Jan;161(1):65-8.

Effectiveness of child safety seats vs safety belts for children aged 2 to 3 years.

Author information

1
Pacific Institute for Research and Evaluation, 11710 Beltsville Drive, Calverton, MD 20705, USA.

Abstract

OBJECTIVE:

To compare the effectiveness of child safety seats and lap-shoulder belts in rear passenger vehicle seats for 2- to 3-year-old crash survivors.

DESIGN:

Cohort study.

SETTING:

The January 1, 1998, to December 31, 2004, US data on a nationally representative sample of crashes that resulted in at least 1 vehicle being towed away.

PARTICIPANTS:

Toddlers who were sitting in rear vehicle seats and using lap-shoulder belts or child seats when involved in highway crashes.

INTERVENTION:

Child safety seat vs safety belt.

OUTCOME MEASURE:

Presence of any injury after a crash.

RESULTS:

The adjusted odds of injury were 81.8% lower (95% confidence interval, 58.3%-92.1% lower) for toddlers in child seats than belted toddlers.

CONCLUSIONS:

Child safety seats seem to be more effective rear seat restraints than lap-shoulder safety belts for children aged 2 to 3 years. Laws requiring that children younger than 4 years travel in child safety seats have a sound basis and should remain in force.

PMID:
17199069
DOI:
10.1001/archpedi.161.1.65
[Indexed for MEDLINE]
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