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American Academy of Pediatrics
Article

Child Passenger Deaths Involving Alcohol-Impaired Drivers

Kyran Quinlan, Ruth A. Shults and Rose A. Rudd
Pediatrics June 2014, 133 (6) 966-972; DOI: https://doi.org/10.1542/peds.2013-2318
Kyran Quinlan
aDivision of Community-based Primary Care, Department of Pediatrics, Feinberg School of Medicine, Northwestern University and Erie Family Health Center, Chicago, Illinois; and
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Ruth A. Shults
bDivision of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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Rose A. Rudd
bDivision of Unintentional Injury Prevention, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, Georgia
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Abstract

BACKGROUND AND OBJECTIVE: Approximately 1 in 5 child passenger deaths in the United States involves an alcohol-impaired driver, most commonly the child’s own driver. The objective of this study was to document recent trends and state-specific rates of these deaths.

METHODS: A descriptive analysis of 2001–2010 Fatality Analysis Reporting System data for child passengers aged <15 years killed in alcohol-impaired driving crashes. Driver impairment was defined as a blood alcohol concentration of ≥0.08 g/dL.

RESULTS: During 2001–2010, 2344 children <15 years were killed in crashes involving at least 1 alcohol-impaired driver. Of these children, 1515 (65%) were riding with an impaired driver. Annual deaths among children riding with an alcohol-impaired driver decreased by 41% over the decade. Among the 37 states included in the state-level analysis, Texas (272) and California (135) had the most children killed while riding with an impaired driver and South Dakota (0.98) and New Mexico (0.86) had the highest annualized child passenger death rates (per 100 000 children). Most (61%) child passengers of impaired drivers were unrestrained at the time of the crash. One-third of the impaired drivers did not have a valid driver’s license.

CONCLUSIONS: Alcohol-impaired driving remains a substantial threat to the safety of child passengers in the United States, and typically involves children being driven by impaired drivers. This risk varies meaningfully among states. To make further progress, states and communities could consider increased use of effective interventions and efforts aimed specifically at protecting child passengers from impaired drivers.

  • motor vehicle accidents
  • accident prevention
  • child passenger safety
  • epidemiology-injury
  • injury prevention and control
  • Accepted March 4, 2014.
  • Copyright © 2014 by the American Academy of Pediatrics
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Pediatrics
Vol. 133, Issue 6
1 Jun 2014
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Child Passenger Deaths Involving Alcohol-Impaired Drivers
Kyran Quinlan, Ruth A. Shults, Rose A. Rudd
Pediatrics Jun 2014, 133 (6) 966-972; DOI: 10.1542/peds.2013-2318

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Child Passenger Deaths Involving Alcohol-Impaired Drivers
Kyran Quinlan, Ruth A. Shults, Rose A. Rudd
Pediatrics Jun 2014, 133 (6) 966-972; DOI: 10.1542/peds.2013-2318
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    • Injury, Violence & Poison Prevention
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