Article Text

Download PDFPDF

Child passenger safety practice in China: attention and action
  1. Shuming Pan1,2,
  2. Wei Du3,4,5,
  3. Fan Jiang2,6,
  4. Lynne Bilston3,7,
  5. Julie Brown3,8,
  6. Xiaoming Shen2
  1. 1Emergency Department of Xinhua Hospital affiliated to Shanghai Jiao Tong University School of Medicine, China
  2. 2Shanghai Paediatric Research Institute, Shanghai Key Laboratory of Children's Environmental Health, China
  3. 3Neuroscience Research Australia, University of New South Wales, Australia
  4. 4Institute of Population Research, Peking University, China
  5. 5The George Institute for International Health, Faculty of Medicine, University of Sydney, Australia
  6. 6Department of Developmental and Behavioural Paediatrics, Shanghai Children's Medical Centre, China
  7. 7Prince of Wales Clinical School, University of New South Wales, Australia
  8. 8School of Medical Sciences, University of New South Wales, Australia


    Background China is undergoing rapid motorisation. Since little was known for child passenger safety practice in China.

    Aims This study aims to describe where child passengers are seated and whether restraints are used; and investigate the influence of children and/or parental attributes on seating position and restraint use.

    Methods Toll gate observation for child passengers aged ≤12 years was conducted in Shanghai during 2009. Another parent survey for kindergarten enrolled children aged 2–7 years was conducted during 2008–2009. The adjusted relative risks (RR) comparing rear with front seating position among child passengers were evaluated using multivariate binomial regression with robust variance estimation. The adjusted RR comparing any restraint use with no restraint use was also evaluated.

    Results Both observation and survey studies revealed common front seating practice and low restraint use among child car passengers. Younger age (≤4 years), single child in a car, and parental license status were associated with decreased likelihood of rear seating position; whereas tertiary education for mothers was associated with increased likelihood of rear seating selection for child passengers. Children travelling with drivers using no restraints were less likely to be restrained; whereas parents having drivers license were more likely to use restraints for their child passengers.

    Conclusion This study demonstrates common front seating and low restraint use as ignored safety concerns, and identified risk factors influencing restraint use and seating position for child passengers. These findings call for urgent attention and appropriate intervention targets to improve child passenger safety in China.

    Statistics from

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.