Abstract

BackgroundIran has one of the highest rates of road traffic crash death rates throughout the world and road traffic injuries are the leading cause of years of life lost in the country. Using child car safety seats is not mandatory by law in Iran. The purpose of this research was to determine the parental willingness to pay (WTP) for child restraints in Mashad, the second most populated city in Iran with one of the highest rates of road traffic-related deaths.MethodsWe surveyed 590 car-owner parents of kindergarten children who were willing to participate in the study in the year 2009. We asked them about the maximum amount of money they were willing to pay for car safety seats using contingent valuation method.ResultsThe mean age of children was 33.5 months. The median parental WTP for CSS was about $15. Considering the real price of CSSs in Iran, only 12 percent of responders could be categorized as being willing to pay for it. Family income level was the main predictor of being willing to pay.ConclusionsThe median parental WTP was much lower than the actual price of the safety seats, and those who were of lower socio-economic class were less willing to pay. Interventions to increase low-income families' access to child safety seats such as providing free of charge or subsidized seats, renting or health insurance coverage should be considered.

Highlights

  • Iran has one of the highest rates of road traffic crash death rates throughout the world and road traffic injuries are the leading cause of years of life lost in the country

  • The objective of this paper was to assess parental willingness to pay for child car safety seats in Mashad, Iran

  • For each child we interviewed only one parent, as no significant differences were observed between the reported willingness to pay (WTP) by the mother and father of each child in the pilot study

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Summary

Introduction

Iran has one of the highest rates of road traffic crash death rates throughout the world and road traffic injuries are the leading cause of years of life lost in the country. Using child car safety seats is not mandatory by law in Iran. Iran has one of the highest death rates of road traffic crashes (RTCs) throughout the world (44 per 100,000) [1,2]. RTC injury rate in Iran increased from 110 to 401 per 100,000 population during 1997-2005 due to rapid motorization and lack of strict car safety standards with a slight but significant decrease in 2006[5,1]. Child car safety seats (CSS) are effective in protecting children aged 0-4 years, if correctly used, and can reduce the risk of death by approximately 70% for infants and by half for toddlers [6,7].

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