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Recent crash data was used to evaluate the safety performance of drivers who transport children. The age difference between drivers and children was found to be an important predictor of crash-related driving behavior and choices. Also, certain driver behaviors and choices when transporting children were identified as creating elevated risk. This study provides information that parents might use to reduce risk when their children are riding with other drivers. The results may also be of interest to professionals concerned with graduated licensing and the establishment and enforcement of laws relating to child endangerment such as drinking and driving with child passengers.

Frontal crashes (11-1 o'clock) were reviewed from the National Accident Severity Study file (NASS) for years 1980-87. Adult drivers and front right passengers, with lower extremity injuries of the pelvis, thigh, knee, leg or ankle/foot were reviewed. Analysis of age differences, injury contacts, and effectiveness of the 3-point restraint system were studied. Unrestrained drivers have a higher frequency of knee injuries than passengers, fewer leg injuries than passengers and both have the same frequency of ankle/foot injuries. Older unbelted drivers have more injuries to the pelvis, leg, and ankle/foot region than do young drivers. Passengers have more leg injuries. The instrument panel is the major contact for most of the lower extremity injuries. Lap/shoulder belts significantly reduce lower extremity injury frequency.