Evaluating child restraint system (CRS) adoption and policy interventions worldwide: a review

IF 3.3 Q3 TRANSPORTATION

IATSS Research Pub Date : 2025-09-12 DOI:10.1016/j.iatssr.2025.09.003

Mohamed Ahmed Al-Awad , Mohamed Kharbeche , Faris Tarlochan

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引用次数: 0

Abstract

The global disparity in Child Restraint System (CRS) adoption contributes directly to variations in road traffic mortality and morbidity among children. Despite the proven effectiveness of CRS in reducing harm, its adoption remains inconsistent across regions due to socio-economic, legislative, and cultural factors. This review evaluates global CRS adoption rates, identifies barriers to effective utilization, and explores interventions to enhance usage and legislative compliance, ultimately proposing strategies to improve child passenger safety.

A total of 93 articles published between 2013 and 2024 were reviewed, with a focus on CRS usage and intervention patterns, the effectiveness of interventions, and legislative impact across high, middle, and low-income countries.

The review highlights a significant gap in CRS usage between high-income and low to middle-income countries, with affordability, lack of awareness, and inadequate legislation as primary barriers. High-income regions showed better adherence but struggled with proper installation and misuse. Intervention strategies, including legislation, public education, and economic incentives, showed varying success in improving CRS adoption.

Enhancing global CRS usage requires stringent legislation, comprehensive campaigns, economic support, and innovative technological solutions. Tailored strategies that account for regional socio-economic and cultural norms are essential to achieve widespread adoption and proper CRS use, ultimately reducing child passenger fatalities and injuries.

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评估儿童约束系统（CRS）的采用和全球政策干预：综述

儿童约束系统采用率的全球差异直接导致儿童道路交通死亡率和发病率的差异。尽管CRS在减少伤害方面已被证明有效，但由于社会经济、立法和文化因素，其采用在各地区仍然不一致。本综述评估了全球CRS的采用率，确定了有效利用CRS的障碍，并探讨了提高CRS使用率和法律合规性的干预措施，最终提出了改善儿童乘客安全的策略。本研究共审查了2013年至2024年间发表的93篇文章，重点关注CRS的使用和干预模式、干预措施的有效性以及高、中、低收入国家的立法影响。该审查强调，高收入国家和中低收入国家在CRS使用方面存在巨大差距，主要障碍是可负担性、缺乏认识和立法不足。高收入地区表现出更好的依从性，但在正确安装和滥用方面存在困难。包括立法、公共教育和经济激励在内的干预策略在改善CRS采用方面取得了不同程度的成功。加强全球CRS的使用需要严格的立法、全面的运动、经济支持和创新的技术解决方案。考虑到区域社会经济和文化规范的量身定制战略对于实现广泛采用和适当使用CRS，最终减少儿童乘客伤亡至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

IATSS Research TRANSPORTATION-

CiteScore

6.40

自引率

6.20%

发文量

审稿时长

42 weeks

期刊介绍： First published in 1977 as an international journal sponsored by the International Association of Traffic and Safety Sciences, IATSS Research has contributed to the dissemination of interdisciplinary wisdom on ideal mobility, particularly in Asia. IATSS Research is an international refereed journal providing a platform for the exchange of scientific findings on transportation and safety across a wide range of academic fields, with particular emphasis on the links between scientific findings and practice in society and cultural contexts. IATSS Research welcomes submission of original research articles and reviews that satisfy the following conditions: 1.Relevant to transportation and safety, and the multiple impacts of transportation systems on security, human health, and the environment. 2.Contains important policy and practical implications based on scientific evidence in the applicable academic field. In addition to welcoming general submissions, IATSS Research occasionally plans and publishes special feature sections and special issues composed of invited articles addressing specific topics.