Survey about pedestrian safety and attitudes toward automated traffic enforcement in Washington, D.C.

OBJECTIVE: Pedestrians represent more than one third of all traffic deaths in Washington, D.C. The District plans to expand its long-standing automated traffic enforcement program in 2013 from speed and red light cameras to cameras to enforce pedestrian right-of-way laws at crosswalks and stop sign laws. This study collected information on the opinions, behaviors, and knowledge of D.C. residents related to camera enforcement and pedestrian safety issues. METHODS: A telephone survey of 801 adult D.C. residents was conducted in November 2012 with approximately equal numbers of respondents in each of D.C.'s eight wards. Quotas were used to ensure that the sample was representative of the demographic characteristics of adults in each ward. For analyses combining responses across the wards, data were weighted to correspond with the demographic characteristics of adults in the city. RESULTS: Most respondents believed that drivers speeding, running red lights, running stop signs, and not stopping for pedestrians are serious threats to their safety. Respondents strongly supported the speed and red light camera programs, with 76 percent of respondents favoring speed cameras and 87 percent favoring red light cameras. Support was more limited for the camera enforcement that was not yet in place at the time of the survey, with 50 percent of respondents favoring stop sign cameras and 47 percent of respondents favoring crosswalk cameras. Twenty-four percent of respondents had not driven a car in D.C. in the past month, and higher proportions of these nondrivers favored speed cameras (90%), stop sign cameras (67%), and crosswalk cameras (59%) than respondents who drove in D.C. in the past month. Respondents who supported camera enforcement cited safety as their main reason. More than 9 in 10 respondents knew that D.C. law requires drivers to stop for pedestrians crossing the street in marked crosswalks at intersections without traffic signals and midblock, but only 54 percent knew that drivers must stop for pedestrians crossing the street at intersections without marked crosswalks. CONCLUSIONS: Most residents supported speed cameras and red light cameras, but support was lower for stop sign and crosswalk cameras. Emphasizing the safety benefits of stop sign and crosswalk cameras and documenting the extent of safety problems at stop signs and crosswalks may increase support for these new forms of camera enforcement. Communities considering automated enforcement should take into account the opinions of pedestrians, even though they are not subject to camera citations.

Vehicle LATCH system features associated with correct child restraint installations.

OBJECTIVE: Lower anchors and tethers for children (LATCH) was intended to standardize the attachment between child restraints and vehicle seats. However, LATCH implementations vary, resulting in differences in ease of attachment of child restraint connectors. Identifying vehicle characteristics associated with correct child restraint installations can provide guidance for designing vehicle LATCH systems that increase correct child restraint installations. METHODS: The LATCH system and other relevant vehicle characteristics were documented in 98 top-selling 2010-2011 vehicles. These features, together with proposed LATCH usability recommendations from the International Organization for Standardization and Society of Automotive Engineers, were used to select 12 vehicles for volunteer testing with a range of LATCH system characteristics. Thirty-six volunteers were assigned to 4 groups; each group tested 3 vehicles, 4 child restraints (infant, rear-facing convertible, forward-facing convertible, and combination seat), and 2 installation methods (lower anchors and seat belt) in a split-plot experimental design. Mixed-effects logistic regression models were used to identify predictors of tight installation and correct lower anchor use. RESULTS: Vehicle survey results indicated that most vehicle manufacturers provide the minimum number of LATCH hardware locations required by regulation. Among 21 vehicles with a third row, 4 had no tether anchors and 11 had no lower anchors in the third row. Study volunteers correctly used the lower anchors in 60 percent of LATCH installations and used the top tether in 48 percent of forward-facing installations. When the tether was used, use was correct in 46 percent of trials (22% of all forward-facing installations). Only 13 percent of all trials had completely correct child restraint installation (correct use of lower anchors or seat belt, correct tether anchor use, tight seat installation, and correct installation angle). Tight installation was 3.3 times as likely with correct lower anchor use compared to trials with incorrect use. Three lower anchor characteristics were associated with rates of correct lower anchor use above 50 percent: clearance angle around the lower anchors greater than 54°, attachment forces less than 178 N, and anchor depth within the seat bight of less than 2 cm. Vehicles meeting all 3 criteria were 19 times as likely to have lower anchors used correctly compared to vehicles meeting none of the criteria. No vehicle features predicted either use of tethers or correct use of tethers. CONCLUSIONS: Vehicle LATCH systems that improve lower anchor accessibility could increase the rate of correct lower anchor use, but more research is needed to understand factors associated with tether use and correct use.

Observed use of tethers in forward-facing child restraint systems.

BACKGROUND: Use of top tethers with forward-facing child restraints is a simple way for parents to keep their children safer when travelling in passenger vehicles, but tether use remains low. OBJECTIVES: To obtain an updated estimate of top tether use. METHODS: Data on forward-facing child restraints were collected through an observational survey in the Washington DC metropolitan area during July-August 2010. The study sample included all forward-facing restraints that were installed in parked passenger vehicles and visible such that tether use could be observed. For each restraint, certified child passenger safety technicians collected information on the vehicle, seat row, restraint position, and tether. RESULTS: A total of 1321 cars, minivans, pickups, and sport utility vehicles, with a total of 1543 forward-facing child restraints, were observed. Tethers were used with 43.0% of all forward-facing child restraints. Tether use was similar (42.7-45.4%) among cars, minivans, and sport utility vehicles but lower (17.2%) for pickups. Tether use was higher (47.5%) for 2001 and newer vehicles, but dropped to 43.0% when only taut installations were considered. CONCLUSIONS: Despite LATCH education campaigns and the increased availability of tether anchors, observed tether use was less than 50%. Tether use was even lower in older vehicles, yet many children continue to travel in these vehicles. If tether anchors are unavailable, parents should be encouraged to retrofit vehicle seating positions. Because many child restraints are still installed with vehicle seat belts, efforts to educate parents on the importance of tether use regardless of installation method may be warranted.

Attitudes toward in-vehicle advanced alcohol detection technology.

OBJECTIVES: Efforts are underway to develop advanced alcohol detection technologies suitable for use in all vehicles to prevent driving with an illegal blood alcohol concentration (BAC). Attitudes toward having this technology in all vehicles were assessed. METHODS: A nationally representative sample of people 18 and older was interviewed by telephone. RESULTS: Eighty-four percent of survey respondents supported requiring alcohol ignition interlocks in the vehicles of convicted driving while intoxicated (DWI) offenders. Sixty-four percent said having advanced alcohol detection technology in all vehicles is a good or a very good idea, assuming the technology is reliable; 30 percent said it is a bad idea. Most people in favor said that it would prevent alcohol-impaired driving, save lives, or prevent crashes. Among respondents who said it is a bad/very bad idea, one third cited concerns about privacy or government interference; 20 percent said not all drivers need screening. Support was highest among respondents who do not drink, but it also was favored by the majority of respondents who drink, respondents who have driven within 2 hours of consuming alcohol, and respondents who may have driven when they were above the legal limit for alcohol. Forty-two percent of respondents who drive said they would want an advanced alcohol detection device in their next vehicles if it were available as an option at a reasonable price. Of the 54 percent who said they would not want a device, 44 percent said they do not drink alcohol so it would not be useful. Most people said a price less than $500 would be reasonable. CONCLUSIONS: It appears that the majority of the U.S. population is receptive to the idea of having advanced alcohol detection devices in all vehicles to prevent people from driving with an illegal BAC, although less than half say they would purchase a device in their next vehicles.

Effect of enhanced seat belt reminders on driver fatality risk.

OBJECTIVE: Enhanced seat belt reminders in automobiles have been shown to increase belt use rates by approximately 3 percentage points. The objective of this study was to estimate the effect of enhanced seat belt reminders on driver fatality risk. METHOD: Data included all passenger vehicle driver deaths and vehicle registration counts in the United States for calendar years 2000-2007. Driver fatality rates per vehicle registration per year were compared for otherwise identical vehicle models with and without enhanced seat belt reminders. RESULTS: Driver fatality rates were 6% lower for vehicles with enhanced seat belt reminders compared with vehicles without enhanced belt reminders. After adjusting for vehicle age differences, the estimated effect of enhanced belt reminders on driver fatality risk ranged from a 9% reduction for General Motors vehicles to a 2% increase for Honda vehicles. Combining all manufacturers, enhanced belt reminders reduced fatality risk by approximately 2%. Although not statistically significant, the 2% reduction in fatality risk agrees with what should be expected from a 3 percentage point increase in seat belt use rates. CONCLUSIONS: Enhanced seat belt reminders have raised driver belt use rates and reduced fatality rates, but more aggressive systems may be needed for some drivers. It can be inferred that nonfatal injury rates also have been reduced. IMPACT ON INDUSTRY: Manufacturers should be encouraged to put enhanced seat belt reminders on all vehicles as soon as possible.

Effects of a college community campaign on drinking and driving with a strong enforcement component.

OBJECTIVES: A program of publicized intensive enforcement of minimum drinking age law and drinking and driving laws was implemented in a college community. The effects on driving at various blood alcohol concentrations (BACs) were evaluated, particularly for drivers ages 16-24 targeted by the program. METHODS: Objective measures of driver BACs were collected through nighttime roadside surveys before and during the program in the experimental college community and a comparison college community. Logistic regression models estimated the program's effects on the likelihood of driving at various BAC thresholds in the program community, after accounting for BAC patterns in the comparison community. RESULTS: Relative to the comparison community, consistent reductions in driving at various BAC levels (positive BAC and BAC at least 0.02, 0.05, or 0.08%) were achieved in the experimental community. Reductions were greatest for 16- to 20-year-olds (from 66% for positive BAC to 94% for BAC > or = 0.05%), followed by 21- to 24-year-olds (from 32% for positive BAC to 71% for BAC > or = 0.08%) and drivers 25 and older (from 23% for positive BAC to 53% for BAC > or = 0.08%). All reductions for 16- to 20-year-olds were significant (p < 0.05), and all except the reduction for BAC > or = 0.08 percent were significantly greater than the corresponding reductions for drivers 25 and older. Reductions for 21- to 24-year-olds were significant for BACs at least 0.02, 0.05, and 0.08 percent, but they were not significantly greater than the corresponding reductions for drivers 25 and older. Although large, reductions for drivers 25 and older were not significant, based on 95 percent confidence intervals. CONCLUSIONS: A college community program with a strong enforcement component produced substantial reductions in drinking and driving among teenagers and young adults and smaller reductions among older adults. It is hoped that this will encourage colleges and communities to incorporate enforcement into interventions directed at alcohol use among young people.

Relationship of dynamic seat ratings to real-world neck injury rates.

OBJECTIVES: The Insurance Institute for Highway Safety assigns consumer safety ratings to passenger vehicle seats based on laboratory sled tests that simulate rear-end collisions. The purpose of this research was to determine how well these ratings correlate to driver neck injury risk in real-world crashes. METHODS: Insurance claims for cars and SUVs struck in the rear by the front of another passenger vehicle were examined for evidence of driver neck injury. Logistic regression was used to compare neck injury rates for vehicles with different seat ratings while controlling for other important variables. RESULTS: Driver neck injury rates were 15% lower for vehicles with seats rated good compared with vehicles with seats rated poor. Rates of driver neck injuries lasting 3 months or more were 35% lower for vehicles with seats rated good compared with vehicles with seats rated poor. CONCLUSIONS: Seat/head restraints that perform better in dynamic sled tests have lower risk of neck injury than seats that rate poor, especially when considering long-term injuries. However, the relationship of dynamic seat ratings to neck injury rates is not linear. Further research is needed to determine whether the criteria for rating seats can be amended so as to be more uniformly predictive of real-world neck injury.

Effectiveness and driver acceptance of the Honda belt reminder system.

OBJECTIVE: Prior research suggests that vehicle-based seat belt reminder systems can produce moderate increases in belt use rates. However, these findings were based on a limited set of Ford vehicles in one geographic location. As more vehicles with reminder systems enter the market, it is important to determine their effectiveness as well as acceptance by consumers. The present study investigated the effectiveness of Honda's belt reminder system. METHODS: Driver belt use was observed unobtrusively as drivers brought their Honda vehicles to dealerships for service. Drivers also were asked to complete a mail-in survey designed to elicit their experience with the system. RESULTS: Belt use was significantly higher among drivers of vehicles with belt reminders compared with drivers of vehicles without reminders (90 vs. 84 percent). Use rates in vehicles with reminders were higher among both male and female drivers and in all vehicle types observed. Drivers of the Honda vehicles with belt reminders viewed the system very favorably, and nearly 90 percent said they would want one in their next vehicle. The reminder was perceived to be most effective by part-time belt users; 81 percent of part-time users said they now use belts more often, compared with 32 percent of respondents who said they always use belts and 18 percent who use belts occasionally. CONCLUSION: Belt reminders in Honda as well as Ford vehicles are increasing. Although the increase is moderate (5.6 percentage points), on a national level it could have prevented at least 736 driver deaths in 2004.

Encouraging compliance with graduated driver licensing restrictions.

PROBLEM: Although graduated driver licensing (GDL) programs have reduced the high crash rates for 16-and 17-year-old drivers, research suggests that some teenagers fail to comply with restrictions on nighttime driving and carrying passengers. METHOD: A program to encourage compliance with GDL restrictions and seat belt requirements was implemented in Guilford County, North Carolina. The program combined increased enforcement with a multi-faceted publicity campaign drawing attention to the enforcement activity. A comparison community was studied to assess whether changes over time could be reasonably attributed to the program. RESULTS: Several measures indicate that greater enforcement did occur in the intervention community and that teenagers perceived the increase. However, self-reported data and direct observations of young drivers in the intervention and comparison communities showed the program resulted in only modest changes in compliance with GDL restrictions. DISCUSSION: The program put in place the mechanisms known to produce changes in driver behavior, but these may have been insufficient to alter the behavior of the minority of teenagers (and parents) who were not already complying with restrictions. However, the modest changes in young driver behavior plus the clear changes in both actual and perceived enforcement suggest that high visibility enforcement programs merit further use and evaluation in other communities, particularly those where compliance with GDL provisions is lower than in Guilford County.

Sixteen-year-old drivers in fatal crashes, United States, 2003.

OBJECTIVE: Key features of graduated licensing were introduced in 46 states and the District of Columbia between 1993 and 2003. State evaluations consistently have reported positive overall effects and positive effects of nighttime and passenger restrictions. Sixteen year-olds are the main target of graduated licensing, and the present study investigated changes in their fatal crash involvement and crash characteristics that have taken place nationally during 1993-2003. By looking at 16 year-olds nationally, the study does not constitute a direct test of the effect of graduated licensing laws per se. METHODS: Data on fatal crashes were obtained from the Fatality Analysis Reporting System. Sixteen year-olds were compared with older drivers. RESULTS: During these years, the extent to which 16-year-old drivers were in fatal crashes decreased substantially compared with older age groups. The drop in the per capita crash rate for 16 year-olds was 26%. The major change was a reduction in crashes involving transporting young passengers, especially in jurisdictions with restrictions that target these crashes. There was no change in the proportion of fatal late-night crashes even in states restricting this activity. CONCLUSIONS: There has been some progress nationally in reducing the crash problem for 16 year-olds, but this still is a big problem. To achieve further progress, the gaps and weaknesses in present graduated licensing laws will need to be addressed.

Characteristics of vehicle-animal crashes in which vehicle occupants are killed.

During the past 10 years almost 1,500 people have been killed in motor vehicle collisions with animals. Police reports on 147 fatal vehicle-animal crashes during 2000-2002 were obtained from nine states. The goal was to determine common crash types, types of animals involved, and steps that could be taken to reduce the crashes and injuries. Seventy-seven percent of the struck animals were deer, but six other types of animals were involved including small ones such as dogs. Eighty percent of the crashes were single-vehicle events. In most of these cases a motorcycle struck an animal and the rider came off the vehicle, or a passenger vehicle struck an animal and then ran off the road; in a few cases the animal went through the windshield. Multiple-vehicle crashes included vehicles striking deer that went through the windshields of oncoming vehicles, vehicles striking animals and then colliding with other vehicles, and vehicles striking animals that subsequently were struck by other vehicles. Crashes occurred primarily in rural areas, on roads with 55 mph or higher speed limits, during evening or nighttime hours, and in darkness. Greater application of deer-vehicle collision countermeasures known to be effective is needed, but it is noteworthy that a majority of fatalities occurred from subsequent collisions with other vehicles or objects, not from animal contacts. Sixty-five percent of motorcyclists killed were not wearing helmets, and 60% of vehicle occupants killed were unbelted; many of these fatalities would not have occurred with proper protection.

The role of enforcement programs in increasing seat belt use.

Seat belt laws by themselves led to increased belt use in the United States and Canada, but initial effects were limited. Canadian provincial officials launched highly publicized enforcement campaigns in the early 1980s that resulted in substantially increased belt use. Canadian-style enforcement programs subsequently were adopted in the United States, and the use of such programs has grown in recent years. Lessons from these efforts include the importance of police leadership, focused publicity about enforcement, and sustained rather than single-shot efforts. What is needed in the United States to achieve a national belt use rate of 90% or greater is widespread, methodical, and sustained application of enforcement programs augmented by creative publicity. Enhanced penalties-in particular drivers license points-likely will be needed to reach hard-core nonusers.

Drivers' assessment of Ford's belt reminder system.

In recent model years, Ford vehicles have been equipped with a supplementary seat belt reminder system that flashes and chimes intermittently for up to 5 min if the driver is unbelted. Sound- and light-based belt reminder systems of various types are beginning to appear in the market place, and it is important to learn about their acceptance and ability to increase belt use. The present study was designed to ascertain consumer reaction and reported belt use regarding the Ford system. Personal interviews were conducted with 405 drivers of vehicles with the reminder system. Among the drivers, 67% said they had activated the belt reminder one or more times, 73% said that the last time this happened they fastened their belts, 46% said their belt use had increased since driving this vehicle, 78% said they liked the reminder system, and 79% said they wanted a reminder system like this in their next vehicle. Five percent had disabled the system. Part-time users were responsive to the reminder, for example, of those who said they currently used belts usually but not on some occasions, 70% said they fastened their seat belts the last time the reminder was activated and 76% said their belt use had increased. Five percent spontaneously mentioned the belt reminder as an especially disliked feature of their new vehicles, and 2% said their belt use had decreased since having it. The 7% of respondents who reported they used belts never or very occasionally were least responsive to the system. Overall, the Ford belt reminder system is being favorably received.

Effects of head restraint and seat redesign on neck injury risk in rear-end crashes.

Automobile insurance claims were examined to determine the rates of neck injuries in rear-end crashes for vehicles with and without redesigned head restraints, redesigned seats, or both. Results indicate that the improved geometric fit of head restraints observed in many newer vehicle models are reducing the risk of whiplash injury substantially among female drivers (about 37% in the Ford Taurus and Mercury Sable), but have very little effect among male drivers. New seat designs, such as active head restraints that move upward and closer to drivers' heads during a rear impact, give added benefit, producing about a 43% reduction in whiplash injury claims (55% reduction among female drivers). Estimated effects of Volvo's Whiplash Injury Prevention System and Toyota's Whiplash Injury Lessening design were based on smaller samples and were not statistically significant.

Pedestrian crashes in Washington, DC and Baltimore.

Police crash reports were obtained for pedestrian-motor vehicle crashes in Washington, DC (N = 852) and Baltimore (N = 1234) for the year 1998. Reports were coded using procedures developed and applied in these two cities during the 1970s, including the determination of pedestrian crash type, primary precipitating factor, and culpability. Results indicated substantial differences between crash patterns observed during the 1970s and those observed during 1998. Midblock dart-dash crashes, which typically involve a precipitating factor or critical error by a child pedestrian, decreased (from 37% to 15% in Washington). Across all crashes in both cities, the number of drivers who made a critical error leading to the crash was nearly equivalent to the number of pedestrians who made a critical error. Overall, pedestrians were slightly more likely to be judged culpable (50% vs. 39%). Turning vehicle crashes, which typically involve a driver's failure to grant a pedestrian the right of way at a signalized intersection, increased (from 9% to 25% in Washington). Countermeasures to reduce the number of pedestrians hit by turning vehicles are discussed.

Seat belt use among African Americans, Hispanics, and Whites.

OBJECTIVES: This study investigated seat belt use among White, Black, and Hispanic drivers, in cities in which standard enforcement of the belt use law is permitted (primary enforcement) and in cities in which a motorist has to be first cited for another offense (secondary enforcement). Socioeconomic and gender differences in belt use were also studied. METHODS: Belt use observations were obtained at gas stations in Boston, Chicago, Houston, and New York City. In short interviews with drivers, information on race/ethnicity and education was obtained. RESULTS: Belt use was higher in primary enforcement cities, among women, and among those with at least a college degree. In primary law cities there were no clear differences in belt use by race/ethnicity; in secondary cities African Americans were less likely than Whites or Hispanics to be belted, among populations both with and without college degrees. This is consistent with data from other studies indicating that African Americans are more sensitive than Whites to the enforcement of primary laws and are more likely to increase belt use when states shift from secondary to primary. There has been no evidence of enforcement bias against African Americans--increases in citations generally have been greater among Whites than African Americans once primary enforcement is implemented. CONCLUSIONS: More widespread application of primary laws--standard throughout the world but in only 17 US states and the District of Columbia--would increase belt use for all drivers, especially African Americans.