Abstract

BackgroundTraffic accidents are one of the leading causes of death and severe injury among child occupants of vehicles in most countries. This has led to the consideration of how to use restraint systems for students in school buses. The purpose of the present study was to determine the percentage of students’ use of restraint systems in school transportation services in 2020.MethodsIn the present cross-sectional observational study, seatbelt use was assessed in 400 students in school transport vehicles using a checklist. The observation team sat at their vehicle, at the nearest location on one of the three sides of the school’s entrance: they had by manually registering the variable in the checklist. They focused on exactly the first vehicle parked next to the school entrance. There were two other observers to validate the observations. Data were analyzed by SPSS software (version 21).ResultsThe rate of using restraint systems was 11.3%, use of restraint systems in the Sport Utility Vehicles (SUVs) was significantly higher (P < 0.03), in areas with medium income (P < 0.009) and low income (p < 0.012) as well as when the students were sitting in the rear seats, using the seatbelt were significantly lower (P < 0.001). Seatbelt use in students was less in services driven by drivers over the age of 40 (P < 0.01) and more in vehicles driven by female drivers (P < 0.003) and newer vehicles (p < 0.001).ConclusionSchool authorities must enforce traffic safety rules for school transportation services. These rules should be taught to drivers, families, and students. A restraint system must be mandatory for all students. School officials must equip their buses with seatbelts and employ school bus assistants to encourage wearing seatbelts and prevent students from standing.

Highlights

  • Traffic accidents are one of the leading causes of death and severe injury among child occupants of vehicles in most countries

  • In the present study, 400 students aged 7 to 15 years in primary and secondary school were observed in February 2017 in terms of using the restraint system

  • Driver Sex Male Female Type of car Sedan Sport Utility Vehicles (SUV) van/School bus Pickup Taxi/call taxi Type of seat Front seat Back seat School location High income income Medium income Low Student position Sitting on lap Standing Sitting

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Summary

Introduction

Traffic accidents are one of the leading causes of death and severe injury among child occupants of vehicles in most countries. This has led to the consideration of how to use restraint systems for students in school buses. In the United States, more than 180,000 occupants of children under the age of 12 were involved in traffic accidents [5]. In the UAE, child deaths from traffic accidents are increasing rapidly [6] and in Iran, on average, 2 children die or are seriously injured per day. It is believed that the death of many of these children can be prevented by the proper use of restraint systems in vehicles [7]

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