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In 2004, Virginia's child restraint use survey was conducted in four metropolitan areas of the state (northern, eastern, central, and western) and in four mid-size cities (Charlottesville, Danville, Lynchburg, and Harrisonburg) at the same sites, on the same day of the week, and at the same hour of the day as in previous surveys. The principal goal of the survey is to monitor (1) safety and booster seat use by infants under 4 and preschoolers 4 and 5 years of age, and (2) safety belt use by older children 6 to 16. Each survey estimates compliance with the child restraint law in place at the time. The surveys have been conducted every year since 1983. Changes were made in the 2002 child restraint survey methodology to reflect the changes in the child restraint law. The age categories previously used were changed to (1) infants under 4, (2) preschoolers 4 and 5, and (3) older children 6 to 16. These categories will allow investigators to continue to analyze the longitudinal restraint use data using the previous age categories (infants under 4 and children 4 to 16) and to evaluate the impact of the legislative changes made in 2002. In this survey, safety belt and child safety seat use were divided into three categories: correct use, incorrect use, and nonuse. The definitions of correct use and incorrect use for child safety seats were changed in 2003 to measures that could be consistently determined from outside the vehicle. Incorrect use for children under 6 was defined to include safety seat or lap belt use by a child either too large or too small for that form of restraint. For children 6 to 16, the definition of incorrect use was not changed and included wearing the shoulder belt either behind the back or under the arm. Total use rates defined as correct plus incorrect use are also presented in the report to represent a rate not biased by any remaining variability in the incorrect use category. A total of 2,596 children were observed during the 2004 survey: 375 infants under 4 and 2,221 children 4 to 16. In 2004, total child restraint use for infants in metropolitan areas and in mid-size cities combined was 98.1% and correct use was 92.8%. Total seat belt use among 4 to 16 year olds in metropolitan areas and in mid-size cities combined was 76.0%, and correct use was 65.4%.
The principal goal of this child restraint survey has always been to estimate compliance with the relevant statutes in place at the time. Each summer, data were collected in the four metropolitan areas of Virginia (northern, eastern, central, and western) at the same sites, on the same day of the week, and at the same hour of the day. In 1997, sites in three mid-size cities with a population between 50,000 and 100,000 were added, as was data collection on safety belt use by occupants under 16 years of age. In 2002, additional sites in the existing mid-size cities were added to increase the sample size and a new mid-size city, Harrisonburg, was added. In addition, in 2002, the age categories used in the survey were changed to (1) infants and toddlers 0 through 3 years old, (2) preschoolers 4 through 5 years old, and (3) children 6 through 15 years old. These categories allowed the investigators to continue to analyze the longitudinal restraint use data and to evaluate the impact of the legislative changes made in 2002. A total of 2,823 children were observed during the 2002 summer survey of child restraint and safety belt use among persons under 16 years of age: 594 children under age 4 and 2,229 children aged 4 to 16. In 2002, total child safety seat use for metropolitan areas and mid-size cities combined was 93.2% and correct use was 70.8%. Total seat belt use among 4 to 16 year olds in metropolitan areas and mid-size cities combined was 65.6%, and correct use was 55.4%.
The original child restraint law passed in Virginia in 1982 required that children under 4 years of age use a child safety seat, except for those who weighed at least 40 pounds or were at least 40 inches tall, who could use a standard safety belt. In 1997, Sections 46.2-1094 and 46.2-1095 of the Code of Virginia were changed to require that all children under age 16 use safety restraints. In 2002, the legislature amended Section 46.2-1095 so that "Any person who drives on the highways of Virginia any motor vehicle manufactured after January 1, 1968, shall ensure that any child, through age five, whom he transports therein is provided with and properly secured in a child restraint device of a type which meets the standards adopted by the United States Department of Transportation" [emphasis added]. In addition, Section 46.2-1100 stipulated that "The use of a seat belt . . . shall not violate this article if (i) the affected child is at least four years old but less than six years old and (ii) the weight and size of the child is such as to make the use of such seat belt practical and the use of an approved child restraint impractical." Safety restraint use among children has been monitored in Virginia using roadside surveys since the early 1980s. Changes were made in the 2002 survey methodology to allow the survey to reflect the changes in the child restraint law. The age categories previously used in the survey were changed to (1) infants and toddlers 0 through 3 years, (2) preschoolers 4 and 5 years old, and (3) children 6 through 15 years old. These categories will allow the investigators to continue to analyze the longitudinal restraint use data using the previous age categories (0 through 3 years and 4 through 15 years) as well as to evaluate the impact of the legislative changes made in 2002 using the new age categories (0 through 5 years and 6 through 15 years) when sufficient data are available. A total of 2,452 children were observed during the 2003 survey: 353 children under age 4 and 2,099 children 4 through 15 years of age. In 2003, total child restraint use for metropolitan areas and mid-size cities combined was 91.1% and correct use was 89.3%. Total seat belt use among 4 through 15 year olds in metropolitan areas and mid-size cities combined was 65.1%, and correct use was 53.5%.