TY  - JOUR
PY  - 2015//
TI  - Rear-facing child car seats: are laws requiring them effective?
JO  - Frontiers in public health services and systems research
A1  - Friedman, Eli
A1  - Carretta, Henry
A1  - Jordan, Joshua
A1  - Beitsch, Leslie
SP  - 14
EP  - 21
VL  - 4
IS  - 1
N2  - INTRODUCTION: Motor vehicle crashes are a leading cause of death in children aged ≤ 2 years in the U.S. The American Academy of Pediatrics advised that children should remain in rear-facing child car seats to mitigate injury from the most common type of severe collision (frontal). Several states have passed laws following these recommendations.     Methods: In 2013 publicly available statutes and comprehensive motor vehicle fatality data from the National Highway Traffic Safety Administration's Fatality Analysis Reporting System database were used to investigate whether there is a relationship between motor vehicle crash fatality rates for children under 1 year of age and state laws regulating the direction of car seat placement. States with known rear-facing car seat laws in place were analyzed in a two-step approach in 2014. Simple fatality rates per 100 million vehicle miles were calculated with 95% Poisson CIs. A negative binomial count model for infant deaths was calculated, with state fixed effects, adjusted for the exposure of vehicle miles in each state by year.     Results: Unadjusted models showed a protective mortality effect for rear-facing car seat laws, while adjusted models demonstrated no beneficial effect.     Implications: This preliminary study suggests that state rear-facing child restraint laws may be having an impact on infant motor vehicle mortality; however the current model is unable to determine their relative contribution given the overall decline in traffic mortality.<p />  <p>Language: en</p>
LA  - en
SN  - 2169-1584
UR  - http://dx.doi.org/10.13023/FPHSSR.0401.03
ID  - ref1
ER  -