Alabama Observational Survey of Occupant and Child Restraint Use 21 Contact Information: Alabama Department of Public Health Bureau of Health Promotion & Chronic Disease Injury Prevention Branch RSA Tower, Suite 988 Montgomery, Alabama 3613-317 Phone: (334) 26-53 FAX: (334) 26-259 www.adph.org/injuryprevention
2 Alabama Observational Survey of Occupant and Child Restraint Use 21 Table of Contents Acknowledgements 3 Survey Design & Results 4-6 State Milestones 7 Seat Belt Usage: Restraint Usage, 1984-21 8 Survey 1 & Survey 2 Comparison 9 Driver Restraints by County & Gender 1 Observations of Vehicle Types 11 Seatbelt Use by Gender 12 Child Restraint Usage: Child Restraint Usage, 1981 21 13 Child Restraints by County 14 Percent Change by Year / Observations by Vehicle Type 15 Type of Vehicle & Placement 16
3 Alabama Observational Survey of Occupant and Child Restraint Use 21 Alabama Department of Public Health Donald E. Williamson, MD, State Health Officer Personal and Community Health Thomas M. Miller, MD, MPH, Assistant State Health Officer Bureau of Health Promotion & Chronic Disease Jim McVay, DrPA, Director Administration Division Carol F. Mysinger, MEd, MPA, Director Injury Prevention Branch Jamey Durham, MBA, Director Acknowledgments Alabama Department of Economic and Community Affairs Law Enforcement and Traffic Safety Division Robert H. Pruit, Division Director Randy Ray, Program Manager Surveyors Research Strategies, Inc. Epidemiologist Dagny Magill, MPH Statistician Jesse Pevear, III, MSPH Editor/Research Analyst Debra Hodges, PhD Informational materials in alternative formats will be made available upon request.
4 Survey Design The Injury Prevention Branch of the Bureau of Health Promotion and Chronic Disease, within the Alabama Department of Public Health, conducts an annual survey of vehicle safety belt usage and child restraint usage throughout Alabama. Year 21 marks the twenty-first time that the required National Highway Traffic Safety Administration (NHTSA) guidelines were followed for the surveillance procedure. The NHTSA sampling system incorporates a probability based multi-staged stratified sampling approach. This approach provides data for rural and urban roadways. This sampling system does not, however, overlook the larger counties, as all four metropolitan areas (Jefferson, Madison, Mobile, and Montgomery) are included in the survey. A total of 15 counties actually compose the entire survey area. In addition to the four metropolitan areas, 11 counties were randomly selected from a pool of the 37 largest counties. A majority of Alabama residents are in the sample pool, since 85% of the state s population lies within these 37 counties. The counties are Blount, Colbert, Escambia, Etowah, Houston, Jefferson, Lawrence, Lee, Madison, Marshall, Mobile, Montgomery, Shelby, Tuscaloosa, and Walker. Occupant Restraint Observational Survey For the safety belt usage survey, 23 sites in each of the 15 counties are randomly selected based on Average Daily Traffic (ADT) totals supplied by the Alabama Department of Transportation. In the surveys, ADTs are broken down into three categories: low (-4,999), medium (5,-1,499) and high (1,5-75,). At least one site from each category is surveyed in each county chosen. A total of 345 sites were selected and observed for one hour,
5 using the curbside lane as the reference position. At each site, surveillance was done to determine the number of people in the front outboard seats of the cars and the number of these occupants wearing safety belts. This year, Survey 1 was conducted during a two-week period during May 21 and Survey 2 took place during a two-week period in June 21. Child Restraint Observational Survey The child restraint survey took place at 1 randomly selected sites in each of the 15 counties. The counties and sites are the same as those in the Click-It-or-Ticket campaign. At least one site from each ADT category is surveyed in each county chosen. Each site required one hour of direct observation. The survey required a total of 15 hours of direct observation. All children who appeared to be age five and under were observed, in any position in the car. The survey sites selected proportionally reflect road travel in urban and rural areas and account for road volume. The survey results measure a proportional distribution which resembles the statewide population. The survey was conducted during July 21. Occupant Restraint Survey Results The survey team observed a total of 55,91 front seat occupants in 43,43 vehicles throughout the 15 selected counties. Alabama was estimated to have a weighted safety belt usage rate of 91%. Variance (V) and Standard Error (SE) were calculated and considered acceptable. Houston County had the highest usage rate of 95%, followed closely by Colbert County at 95%. Blount County s restraint rate was 82%, the lowest rate of the surveyed counties. The survey determined that the observed female occupants restraint usage rate of 96% was greater than males rate of 86%.
6 Child Restraint Survey Results The survey team observed a total of 3,54 children, approximately aged five and under, in any position in the vehicle, of those 2,844 were restrained. Alabama was estimated to have a child restraint usage rate of 93%. Etowah County had the highest rate of 96%. Walker County had the lowest rate of 77%. Observations of unrestrained children accounted for 6.88% of all observations and 58% of the unrestrained children were observed in the front seat of the vehicle.
7 State Milestones 1982 Car Seat Law - through age 3 Every person transporting a child under the age of three years in a motor vehicle shall provide for the protection of the child by properly using a child passenger restraint system meeting federal motor vehicle safety standards. 1989 Car Seat Law - under the age of 6 Changed the 1982 Car Seat Law by raising the age to children required to use a child passenger restraint system to 6 years. 1991 Secondary Seat Belt Law Each front seat occupant of a passenger car manufactured with safety belts in compliance with Federal Motor Vehicle Safety Standard No. 28 shall have a safety belt properly fastened about his body at all times when the vehicle is in motion. Failure to use safety belts is a secondary offense. 1999 Primary Seat Belt Law Changed the 1991 Seat Belt Law by making failure to use safety belts a primary offense. 26 Car Seat Law under the age of 15 Changed the 1989 Car Seat Law by requiring children up to age 15 to be in an appropriate restraint while riding in a vehicle. Provided specific criteria for car seat and seat belt use by children in motor vehicles in Alabama.
1984 13% 1985 17% 1986 29% 1987 21% 1988 1989 199 1991 19 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 24 29% 38% 44% 47% 58% 55% 55% 52% 54% 52% 52% 58% 71% 79% 79% 77% 8% 25 82% 26 27 28 29 21 83% 82% 86% 9% 91% 1% 95% 9% 85% 8% 75% 7% 65% 6% 55% 5% 45% 4% 35% 3% 25% 2% 15% 1% 5% % Alabama Occupant Restraint Usage, 1984 21 Percent Observed with Restraints
9 Blount Colbert Escambia Etowah Houston Jefferson Lawrence Lee Madison Marshall Mobile Montgomery Shelby Tuscaloosa Walker 79 82 95 86 91 93 95 94 91 83 94 89 93 93 93 91 91 94 81 83 93 94 93 94 Survey 1 & Survey 2 Comparison, 21 Survey 1 Survey 2 Survey 1-9% Survey 2-91% 5. 55. 6. 65. 7. 75. 8. 85. 9. 95. 1. Percent Observed with Restraints
1 Number of Drivers 55 5 45 4 35 3 25 2 15 1 5 5 Unrestrained Drivers by County and Gender, 21 Males Females 56 38 5 41 78 45 63 34 226 145 181 152 387 25 146 243 21 219 161 439 159 124 79 46 76 45 61 49 27 Blount Colbert Escambia Total Observed: 43,43 Total Unrestrained: 4,96 Etowah Houston Jefferson Lawrence Lee Madison Marshall Mobile Montgomery Shelby Tuscaloosa Walker 4 Restrained Drivers by County and Gender, 21 Males Females 35 Number of Drivers 3 25 2 15 1 5 7 1197 86 1234 121 1123 681 147 1565 1159 1283 1237 1263 1246 98 1846 1261 1647 1563 1186 1154 1482 2246 1479 1932 237 1315 1534 112 81 Blount Colbert Escambia Total Observed: 43,43 Total Restrained: 39,37 Etowah Houston Jefferson Lawrence Lee Madison Marshall Mobile Montgomery Shelby Tuscaloosa Walker
11 Vehicle Types Observed, 21 47% Total Observed: 43,43 19% Car 2,358 SUV 8,188 Truck 12,126 Van 2,731 6% 28% Vehicle Drivers' Seatbelt Use, 21 1 Percent Restrained 95 9 85 8 75 93 84 91 Car SUV Truck Van Total Restrained Drivers: 39,37
12 Seatbelt Use by Gender, 21 Restrained Unrestrained Number of Occupants 3 25 2 15 1 5 384 119 24941 2611 Male Female Percent Restrained 22 2 18 16 14 12 1 8 6 4 2 Observed Restraints by Vehicle & Gender, 21 7616 19174 Males 485 4824 Females 1477 1135 243 968 Car SUV Truck Van Percent Unrestrained Unrestrained Observations by Vehicle & Gender, 21 Males Females 22 2 18 16 14 12 1 8 6 4 2 1162 622 397 226 26 221 124 47 Car SUV Truck Van
1 9 8 7 6 5 4 3 2 1 7 Alabama Child Restraint Usage, 1981 21 15 2 23 35 29 31 41 52 58 59 64 58 56 52 61 57 6 6 77 89 87 83 88 88 95 93 13 Percentage of Restraint Use 1981 1982 1983 1984 1985 1986 1987 1988 1989 199 1991 19 1993 1994 1995 1996 1997 1998 1999 2 21 22 23 24 25 26 27 28 29 21 N/A
14 Blount Colbert Escambia Etowah Houston Jefferson Lawrence Lee Madison Marshall Mobile Montgomery Shelby Tuscaloosa Walker % 91% 9% 96% 93% 96% % 94% 96% 95% % 93% % 87% 77% Alabama Child Restraints by County, 21 93% State Average 5 55 6 65 7 75 8 85 9 95 1 Percent Observed Restrained
Restraints by Percentage 1 98 96 94 9 88 86 84 82 Child Restraint % Change by Year, 25 21 88 25 26 27 28 29 21 88 95 93 15 Number of Observations 12 11 1 9 8 7 6 5 4 3 2 1 Child Restraint by Vehicle Type, 21 118 287 82 132 33 29 3 56 Car SUV Truck Van Total Children Observed: 353 *2 vehicles missing restraint data seatbelt carseat 14 13 12 11 1 9 8 7 6 5 4 3 2 1 1272 123 Child Restraints by Vehicle Type, 21 Restrained 919 Unrestrained 319 333 33 41 13 Car SUV Truck Van Total Children Observed: 353 *2 vehicles missing restraint data
16 Number of Observations 7 6 5 4 3 2 1 Restrained Children by Vehicle Type and Placement, 21 17 319 257 678 5 513 12 28 22 268 6 23 2 15 Car SUV Truck Van Total: 2841 * 3 vehicles missing placement data 52 129 Front Car Seat Front Seat Belt Rear Car Seat Rear Seat Belt Number of Observations 8 6 4 2 6 48 7 3 19 3 1 Car SUV Truck Van Total: 1419 * 3 vehicles missing placement data Unrestrained Children by Vehicle Type and Placement, 21 62 8 36 1 3 2 8 3 Front Car Seat Front Seat Belt Rear Car Seat Rear Seat Belt