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Motor vehicle crashes associated with alcohol: child passenger injury and restraint use

Amy E Schlotthauer1, Clare E Guse, Suzanne Brixey

  • 1Department of Emergency Medicine, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226-0509, USA. aschlott@mcw.edu

American Journal of Preventive Medicine
|February 22, 2011
PubMed

Insights

Child passengers in alcohol-related crashes face double the injury risk and higher rates of improper restraint. These findings highlight the critical need for policies to protect children in impaired driving incidents.

Area of Science:

  • Pediatric injury prevention
  • Traffic safety research
  • Public health policy

Background:

  • Alcohol involvement in fatal crashes with children is known.
  • Non-fatal injury burden on child passengers from alcohol-related crashes is understudied.

Purpose of the Study:

  • To assess injury burden in child passengers (ages 1-15) in alcohol-related motor vehicle crashes.
  • To examine restraint use among these child passengers.

Main Methods:

  • Retrospective cohort study of Wisconsin crashes in 2007.
  • Included crashes with injuries or property damage >$1000 involving child passengers (ages 1-15).

Main Results:

  • 2.5% of 22,464 child passengers were in alcohol-related crashes.
  • Children in alcohol-related crashes had double the injury risk (RR=2.42).
  • Inappropriate restraint use was higher in alcohol-related vehicles (34.5% vs 17.1%).

Conclusions:

  • Alcohol-related driving significantly increases child passenger injuries.
  • Inappropriate child restraint use is linked to alcohol-related crashes.
  • Evidence-based policies are recommended to mitigate this public health issue.
Abstract

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