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Arch Dis Child 1997;77:335-338 ( October )

Seat restraint use, previous driving history, and non-fatal injury: quantifying the risks

K M Venkat Narayan,a D Ruta,b T Beattiec

a Department of Public Health Medicine, Grampian Health Board, 2 Eday Road, Aberdeen, b Department of Public Health, University of Aberdeen, Aberdeen, c Accident and Emergency, Royal Aberdeen Children's Hospital, Aberdeen

Correspondence to: Dr Danny Ruta, Department of Epidemiology and Public Health, Ninewells Hospital and Medical School, Dundee DD1 9SY. email: D.Ruta{at}dundee.ac.uk


Accepted 8 July 1997

AIMS---To quantify the increased risk of non-fatal injury when children travel unrestrained in a car, and to identify other preventable risk factors.
METHODS---Case-control study of 78 children presenting to an accident and emergency (A&E) department having sustained an injury while travelling in a car, and 97 children attending an A&E outpatient clinic with conditions unrelated to road traffic accidents.
RESULTS---Seat restraint was associated with a 93% lower risk of child accident injury. A driver with points on the licence was over five times more likely to have had an accident resulting in child injury than a driver without points. Child accident injury was also associated with the driver's accident history.
CONCLUSIONS---These data allow the effect of achieving new target levels of seat restraint use to be estimated. Strategies aimed at reducing the risk of further accident among drivers with a history of accident may have a beneficial impact on childhood accident injuries.

Keywords: seat restraint; road traffic accident; injury

© 1997 by Archives of Disease in Childhood


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