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This series of observational surveys, to determine child safety seat use in Virginia, began in 1993 at the request of DMV officials. During all 4 years (there was no survey in 1995), data in metropolitan areas were collected at the same locations, at the same time of day and day of week, and according to the same criteria for determining use. In 1997, data collection was added for safety restraint use by occupants 4 to 16 years of age at the request of officials of the Department of Health, which is now responsible for the state's child safety seat program. In addition, data were collected on whether any booster seats in use were being used properly. Seven sites were also added in communities with a population between 50,000 and 100,000 (mid-size cities). For the entire vehicle, the 1997 metropolitan area child safety seat correct use rate was 54.1 %, incorrect use was 17.4%, and non-use was 28.5%. Non-use was greater in the front seats (42.1 %) than in the rear seats (25.2%). The western area had the highest non-use rate (50.0%) and the lowest correct use rate (32.1 %). Non-use and correct use in Northern Virginia, Central Virginia, and Tidewater were similar, with correct use ranging from 53.1% to 58.7% and non-use ranging from 24.8% to 29.1 %. Child safety seat use in the three areas categorized as mid-size cities (Charlottesville, Danville, and Lynchburg) was lower than in the metropolitan areas: correct use was 43.2%, incorrect use was 14.8%, and non-use was 42.0%, with Danville having the highest non-use rate at 61.9%. Non-use was higher in the front seats (66.7%) than in the rear seats (37.7%). Safety restraint/seat belt use by occupants 4 to 16 years old riding in the rear seats was very low. In the metropolitan areas, correct use was 34.9%, incorrect use was 2.3%, and non-use was 62.9%, with the western area having the highest non-use rate (69.3%). In the mid-size cities, correct use was 26.2%, incorrect use was 1.5%, and non-use was 72.3%, rates considerably worse than in the metropolitan areas, with Danville having a non-use rate of 84.7%. There was a high correct use rate for booster seats: 83.1% for the entire vehicle, 84.0% for the rear seats, and 77.8% for the front seats. The recommendations include the initiation of research to determine why child safety seat use is so low, a public information and education effort geared specifically toward child safety seat use, a special education and enforcement effort aimed at occupants 4 to 16 years of age, and frequent and continuous education and enforcement efforts because of changes in the population of the targeted groups.
This series of observational surveys to determine child safety seat use in Virginia began in 1993 at the request of officials of Virginia's Department of Motor Vehicles. During all 5 years (there was no survey in 1995), data for metropolitan areas were collected at the same locations, at the same time of day and day of week, and in accordance with the same criteria for determining use. In 1997, data collection was added for safety restraint use by occupants 4 to 16 years of age at the request of officials of the Virginia Department of Health (VDH), which is now responsible for the state's child safety seat program. In addition, VDH requested that sites be added in communities with a population between 50,000 and 100,000 (mid-size cities), so 7 sites were added. The 1998 data show that the proportion of children riding in the front seats has shifted. For metropolitan area occupants under 4 years of age, the proportion of front seat occupants was 19.6% in 1997 and 7.3% in 1998 (p
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%.