Seat Belt Misuse by a Child Transported in Belt-Positioning Booster Seat With Deadly Consequences

O’Neil, Joseph; Rouse, Thomas M.; Hackworth, Jodi; Howard, Matthew S.; Daniels, Dawn

doi:10.1097/jtn.0b013e3182776e1a

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…For children too large for booster seats, the only restraint available is the adult seat belt system. For optimum crash protection from an adult seat belt, the sash part of the seat belt should be positioned over the mid-portion of the clavicle, and lap portion positioned under the superior iliac spines of the bony pelvis [4][5][6][7][8]. Variations from this belt geometry have been shown to impair crash performance or to irritate the occupant and lead to them choosing an alternate, improper belt routing [2,5,6,8,9].…”

Section: Introductionmentioning

confidence: 99%

Can Age or Height Define Appropriate Thresholds for Transition to Adult Seat Belts? An Analysis of Observed Seat Belt Fit in Children Aged 7–12 Years

Parab

Whyte

Albanese

et al. 2022

IJERPH

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This study aimed to investigate associations between demographic, anthropometric and vehicle factors and the fit of adult seat belts in children aged 7–12 years in passenger vehicles. Seat belt fit was assessed by inspection of 7–12-year-old children in their own cars. Logistic regressions examined associations between anthropometric and vehicle factors on achieving good seat belt fit. There were 40 participants included in the analysis, with 16 (40%) having good overall belt fit. The odds of achieving good overall seat belt fit increased by 15% (OR 1.15, 95% CI 1.04–1.27) with every centimeter increase in height and increased by 5% with every one-month increase in age (OR 1.045, 95% CI 1.001–1.10). Controlling for vehicle factors, neither age or height was significantly associated with overall good belt fit, and the discriminatory power of models including these metrics to predict good belt fit was 73% (AUC 0.73, 95% CI 0.55–0.91) and 74% (AUC 0.74, 95% CI 0.58–0.91). The results suggest that taller and older children have a better chance of achieving a good seat belt fit. However, with variations in seat geometry between vehicles, no single simple metric clearly defines an appropriate transition to the adult seat belt.

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