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The broad aim of this research project was to determine the nature and causes of non-use of seat belts among 8- to 15 year-olds, and to recommend interventions and strategic approaches to increase usage among this age group. This report summarizes findings from three phases of research: a literature review; 28 in-home family immersion interviews conducted in Illinois, Georgia, and Arizona; and detailed findings from qualitative testing of intervention concepts through 96 triads among "tweens" and teens 8 to 15 years old, six focus groups with parents in Pennsylvania, Iowa, Wisconsin, and California, and two focus groups with adult/teen influencers in Iowa and California. Interventions tested included those based on new products, community and school influence, communications, and key influencers (parents, older teens). Findings from the first and second phases of research suggested there are three segments or targets within the 8-to-15 age range with different attitudes and behaviors toward safety restraints. More specifically, 8- to 10-year-olds (younger tweens), 11- and 12-year-olds (older tweens), and 13- to 15-year-olds (young teens) seem to be motivated by different influencers and peer groups. There also appears to be a gap in messages on seat belt safety directed to parents of 8- to 15-year-olds. That is, after hearing about the importance of child safety restraints for infants, parents report almost no information on the continued importance of safety restraints and/or how to transition children to appropriate restraint systems from infant to toddler to pre-teen. Finally, in terms of messages and interventions, 8- to 15-year-olds say hearing about the consequences of not wearing seat belts from other children their age, or from slightly older youth, would make the consequences of not wearing a belt seem more real and alarming.
This report summarizes the activities and results of a community-wide demonstration project supported by a cooperative agreement from the National Highway Traffic Safety Administration (NHTSA). The demonstration project was designed to engage parents of pre-drivers in encouraging seat belt use among 13- to 15-year-olds. The program intervention site included the cities of Parma, Parma Heights and Seven Hills, Ohio. All three cities are part of the Parma City School District, the second largest district in Cuyahoga County, serving 13,000 students; more than 5,200 in the target age cohort. The demonstration project was evaluated by University of Michigan Transportation Research Institute (UMTRI) under a companion contract, to test the effectiveness of the campaign in engaging parents and increasing belt use by young teens.
During nine days in June 1977 and nine in June 1983, four major metropolitan areas of Virginia were surveyed to determine whether safety restraints were being used by urban travelers. Observers stationed at selected signalized intersections displayed to stopped motorists a clipboard bearing the question, Are you wearing seat belts? The observers then approached the vehicles to visually verify any response given, and recorded whether safety belts or child safety seats were being used. They also recorded the license numbers of the vehicles and the sex and approximate age of each occupant. One of the objectives of the 1983 survey was to determine the effects of the child safety seat legislation passed by the 1982 Virginia General Assembly. This survey showed that 64.6% of all infant occupants were restrained by state approved child seats as compared to 10.3% in 1977. The law also appeared to have had a positive effect on the use of safety restraints by the other vehicle occupants. Where an infant was in a child safety seat, there was an increased tendency for the other occupants to use safety restraints. The study also identified an association between the driver's use of the safety belt and use by the right front passenger (RFP). As driver use progressed from no use to lap only to lap/shoulder and as driver rate of use increased, so did belt use by RFPs. While there was a significant increase in the use of restraint systems to protect infant passengers and important increases in usage by pre-adults, there was no change in the overall percentage of drivers using safety belts. There was, however, a major shift in the type of belt system used by drivers. In 1983, of the 16.4% of the drivers who were using safety belts, 14.4% were using the lap/shoulder combination. In addition, there was an increase from 9.8% to 16.2% in belt use by RFPs with use of the lap/shoulder combination accounting for 12.1% of the total usage in 1983. Belt use by remaining passengers (RPs) was also greater during the latter survey, 23.6% vs. 3.4%. Most of the increase was the result of the very large increase in the use of child restraints by infant RPs.
Increasing seat belt use is one of the most effective and least costly ways of reducing the lives lost and injuries incurred on the nation's highways each year, yet about one in four drivers and front-seat passengers continues to ride unbuckled. The Transportation Research Board, in response to a congressional request for a study to examine the potential of in-vehicle technologies to increase belt use, formed a panel of 12 experts having expertise in the areas of automotive engineering, design, and regulation; traffic safety and injury prevention; human factors; survey research methods; economics; and technology education and consumer interest. This panel, named the Committee for the Safety Belt Technology Study, examined the potential benefits of technologies designed to increase belt use, determined how drivers view the acceptability of the technologies, and considered whether legislative or regulatory actions are necessary to enable their installation on passenger vehicles. The National Highway Traffic Safety Administration (NHTSA), the study sponsor, funded and conducted interviews and focus groups of samples of different belt user groups to learn more about the potential effectiveness and acceptability of technologies ranging from seat belt reminder systems to more aggressive interlock systems, and provided the information collected to the study committee. The committee also supplemented its expertise by holding its second meeting in Dearborn, Michigan, where it met in proprietary sessions with several of the major automobile manufacturers, a key supplier, and a small business inventor of a shifter interlock system to learn of planned new seat belt use technologies as well as about company data concerning their effectiveness and acceptability. The committee's findings and recommendations are presented in this five-chapter report.
It is well documented that seat belts prevent death and reduce serious injury. Today they save an estimated 13,000 lives each year. Because safety belts are highly effective, getting the "unbelted" to use the restraints could save another 7,000 people annually. The easy converts to restraints are already buckling up. Seat belt use in the United States is now approaching 80 percent, with statewide use rates ranging from a low of 55 percent in one northeastern state to 90 percent in some western states. Today's challenge is to increase restraint use among those who have not yet accepted educational or enforcement messages{133}and the reality that seat belts save lives. Data show that 58 percent of people who die in crashes are not belted. The single most effective strategy for improving occupant restraint use rates is enactment of seat belt use primary enforcement laws in all states. Seat belt use laws by themselves are not sufficient, nor are public education efforts without an enforcement component generally successful. Another significant challenge is assuring the proper use of child restraints. Although use rates exceed 90 percent, in 6 out of 10 cases the restraints are improperly secured to the vehicle or the child is improperly secured in the restraint. One study showed 85 percent misuse.
The purpose of this study was to conduct an independent evaluation to assess a demonstration seat belt program, Just Get It Across, which was developed by the Rainbow Babies and Children's Hospital in Cleveland, Ohio (Rainbow Babies) to increase seat belt use by 13- to 15-year-old teens through parental influence.