Drivers with child passengers: distracted but cautious?

OBJECTIVE: A remarkable portion of children's traffic-related deaths occurred when travelling in as passengers in vehicles, but so far, few studies have focused on crash characteristics and crash risks of drivers with child passengers. It has been assumed that drivers with child passengers drive responsibly, but on the contrary, children in vehicles can distract drivers, increasing crash risks. In this study, we examined fatal crash characteristics and fatal crash risks of drivers with child passengers. METHODS: Fatal crash data from the U.S. Fatality Analysis Reporting System (FARS) for 1996-2015 were used. Only passenger-vehicle drivers aged 23-46 years old were included in the analysis because they represent the typical age of drivers with 0-9-year-old child passengers in the database. Prevalence of crash characteristics and the odds of being at fault were examined for drivers with only child passengers and compared to drivers with only adult passengers, with no passengers and with both adult and child passengers. Analyses were done separately for intersection crashes and non-junction crashes. RESULTS: Female drivers were involved in twice as many fatal crashes alone with child passengers compared to male drivers. Drivers with only child passengers were more often reported as being inattentive, but for them, risk-taking behaviours were less typical than for drivers without child passengers. Our results showed that these differences were more evident in non-junction crashes than in intersection crashes. When risk-taking behaviours were controlled, both male and female drivers with only child passengers had higher odds of being at fault than drivers with adult passengers (with or without children) in non-junction crashes, but these differences were not significant in intersection crashes. CONCLUSIONS: Drivers with child passengers represent a specific driver population. They have a higher tendency to engage in distractions while driving, but they have fewer risk-taking behaviour-related fatal crashes compared to drivers with no child passengers. Our results indicate that the effects of child-passenger-related distractions on fatal crash risks are more relevant outside intersections, presumably because drivers may try to self-regulate their interactions with child passengers and focus on driving in more demanding traffic situations.

Young females at risk while driving with a small child.

INTRODUCTION: Previous research suggests that young mothers with little driving experience are at risk when driving with a small child passenger. In this study we examined the prevalence, characteristics and risk of fatal motor vehicle crashes involving an infant passenger under the age of one among female drivers of different ages. METHODS: We used crash data from the US Fatality Analysis Reporting System for 1994-2013. The prevalence of fatal crashes involving infants was examined by age of female drivers and compared to the number of births among mothers of a similar age. The essential characteristics of the crashes were described, and the odds of being at fault were determined for young (16-24-year-olds) and older female drivers (25-39-year-olds) with an infant passenger or with no passengers. RESULTS: The prevalence of fatal crashes involving infant passengers was higher among young female drivers in relation to the number of births among mothers of a similar age than among older females. Young female drivers with an infant passenger were more often at fault than older drivers (aOR=1.83, 95%, CI=1.52, 2.20). Their vehicles were older and smaller and they used proper safety seats for infants less often than the older drivers. In addition, young female drivers with an infant passenger but with no adult passenger in the vehicle were more often at fault than young female drivers with no passengers (aOR=1.27, 95% CI=1.06, 1.51). Both young and older female drivers' crashes involving an infant passenger typically occurred in ordinary driving conditions, but these drivers with infant passengers were more often reported as having fallen asleep or inattentive than those with no passengers. The presence of an adult passenger in addition to an infant passenger lowered female drivers' odds of being at fault, regardless of the driver's age. CONCLUSIONS: Young females driving with an infant passenger, probably most often mothers, are at an elevated risk of a fatal crash, especially when they drive alone with an infant. The protective effect of an adult passenger suggests that another adult in the vehicle can assist the driver by taking care of the infant and enabling the driver to focus on driving.

Child passengers and driver culpability in fatal crashes by driver gender.

OBJECTIVE: Studies based on accident statistics generally suggest that the presence of a passenger reduces adult drivers' accident risk. However, passengers have been reported to be a source of distraction in a remarkable portion of distraction-related crashes. Although the effect of passengers on driving performance has been studied extensively, few studies have focused on how a child passenger affects the driver. A child in a car is a potential distractor for parents, especially for mothers of small children, who often suffer from sleep deficit. The aim of this study was to examine how the presence of child passengers of different ages is associated with a higher driver culpability, which was expected due to child-related distraction and fatigue. METHODS: The analysis was based on the comprehensive data of fatal crashes studied in-depth by multidisciplinary road accident investigation teams in Finland during 1988-2012. Teams determine the primary party who had the most crucial effect on the origin of the event. We define the primary party as culpable and the others involved as nonculpable drivers. The culpability rate was defined as the percentage of culpable drivers and rates were compared for drivers with a child/teen passenger aged 0-17 years (N = 348), with an adult passenger without children (N = 324), and when driving alone (N = 579), grouped by child age and driver gender. Drivers with specific risk-related behavior (substantial speeding, driving when intoxicated, unbelted, or without a license) were excluded from the analyses, in order to make the drivers with and without children comparable. Only drivers 26-47 years old were included, representing parents with children 0-9 years of age. RESULTS: Male drivers were less often culpable with 0- to 17-year-old passengers in the car than alone or with adults. This was not the case with female drivers. The gender difference in culpability was most marked with small children age 0-4 years. Female drivers' culpability rate with a 0- to 4-year-old child passenger was higher and male drivers' culpability rate was lower compared to drivers without passengers or with only adult passengers. CONCLUSION: The results indicate that female drivers are at higher risk of crashes than male drivers when driving with small children. Further research is needed to replicate this finding and to determine causal mechanisms.