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An observational survey of child car safety practices in private pre-primary and primary schools in two local government areas of Lagos State, Nigeria
  1. T F Olufunlayo1,2,
  2. K A Odeyemi1,2,
  3. B E Ogunnowo1,2,
  4. A T Onajole1,2,
  5. M A Oyediran1
  1. 1Department of Community Health and Primary Care, College of Medicine, Idi-Araba, Lagos State, Nigeria
  2. 2Department of Community Health, Lagos University Teaching Hospital, Idi-Araba, Lagos State, Nigeria
  1. Correspondence to Dr Tolulope F Olufunlayo, Department of Community Health and Primary Care, College of Medicine, Idi-Araba, P.M.B. 12003, Lagos, Nigeria; tosisanya{at}


Objective To describe child car safety practices among children aged 0–8 years. Eight schools from two local government areas (LGAs) were selected by simple random sampling. Passenger cars were observed for child seating position and restraint use at each selected school as children were being dropped off in the morning.

Results Observed child restraint use was very low, as was the rate of appropriate restraint for age (10.8% and 4.2%, respectively, in Eti-Osa, and 7.0% and 1.8% in Ikeja). Child restraint use decreased with increasing age group from 25% in those below 1 year, to 12% in those aged 1–3 years, and 7.4% in those aged 4–8 years. A large proportion of restrained passengers were inappropriately restrained in a seatbelt alone. Front seating among observed child passengers was not as high as in studies from similar environments (9.4% and 17.5% in Eti-Osa and Ikeja, respectively). Factors associated with child restraint use were number of child passengers in car, and whether or not the driver wore a seatbelt. Seating position of the child was significantly associated with the relationship of the driver to the child, and driver's gender.

Conclusion The level of child restraint use observed in this study is unacceptably low. The relatively low prevalence of front seating while riding in cars should however be further reduced. The study recommends the enactment of specific country legislation on the use of child restraints, accompanied by multifaceted intervention programmes to improve the availability and use of child car safety seats and booster seats.

  • Child car safety
  • child car safety seats
  • booster seats
  • child restraint use
  • motor vehicle occupant
  • restraints
  • booster seat
  • descriptive epidemiology
  • child
  • behaviour change
  • booster seat
  • epidemiology
  • health education
  • public health

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  • Correction notice This paper was modified since it was first published online. The name of the first author was corrected to read “Tolulope F Olufunlayo”.

  • Competing interests None.

  • Ethics approval Ethics approval was provided by the Health Research and Ethics Committee, Lagos University Teaching Hospital, Idi-Araba, Lagos, Nigeria.

  • Provenance and peer review Not commissioned; externally peer reviewed.