2024 SafeTREC Traffic Safety Facts: Occupant Protection and Child Passenger Safety

Occupant Protection

Introduction 

Restraint devices such as seat belts are a key element of motor vehicle occupant protection systems.  Analyses presented in the occupant protection program area include fatal and serious injuries where a driver or passenger in a passenger vehicle was unrestrained.  Occupant protection crashes in this web page are defined as crashes where one or more occupants in a passenger vehicle was unrestrained  Under this program area, there are additional analyses that address child passenger safety.

Each year, the National Highway Traffic Safety Administration (NHTSA) conducts the National Occupant Protection Use Survey (NOPUS) that measures, among many variables, the daytime use of seat belts by occupants aged eight and older.

Seat Belt Use Rates Among Front-Seat Passengers Nationwide from 2022 to 2023

Bar chart detailing seat belt use rates among front passengers in the U.S. in 2022 and 2023. For more information see the following summary.

Data Source: National Center for Statistics and Analysis. (2024, February). Seat belt use in 2023 – overall results (Traffic Safety Facts Research Note. Report No. DOT HS 813 543). NHTSA. figure 1, page 1

Summary 

  • According to the 2023 NOPUS Survey, Seat Belt Use Among Front-Seat Passengers rose 0.3 percent from 2021 to 2022, going from 91.6 percent to 91.9 percent. 

Summary 

  • Seat Belt use rose in several circumstances when traveling including on expressways and in not clear weather conditions.

Seat Belt Use Rates According to Traveling Circumstances

Infographic detailing seat belt use rates according to different travel circumstances. For more information see the following summary.

Note: Not clear weather conditions include sites where light precipitation or fog is present. 

Data Source: National Center for Statistics and Analysis. (2024, February). Seat belt use in 2023 – overall results (Traffic Safety Facts Research Note. Report No. DOT HS 813 543). NHTSA. table 1, page 2

Nationwide Summary

Breakdown of Fatalities by Restraint Use Nationwide in 2022

Infographic detailing unrestrained fatal crashes in crashes with known restraint use nationwide in 2022. For more information, go to the following summary.

Data Source:  i) National Center for Statistics and Analysis. (2024, June, Revised). Overview of motor vehicle traffic crashes in 2022. DOT HS 813 560. NHTSA. table 9, page 10 ii) National Center for Statistics and Analysis. (2024, February). Seat belt use in 2023 – overall results (Traffic Safety Facts Research Note. Report No. DOT HS 813 543). NHTSA. table 1, page 2

Summary 

  • Nationwide, 45 percent (or 11410) unrestrained passenger vehicle occupants were killed in motor vehicle crashes in 2022. For comparison, the estimated front-seat belt use for adults is 91.6 percent.

Proper use of seat belts and other occupant safety devices is an important component of the Safe Vehicles and Safe Road Users layers of protection of the United States Department of Transportation’s Safe System Approach.

Unrestrained Occupant Fatality Trends Nationwide and in California from 2018 to 2022

Trend-line chart detailing unrestrained occupant fatalities nationally and in California from 2018 to 2022. For more information, go to the following summary.

Data source: Fatality Analysis Reporting System (FARS) 2018 – 2021 Final File & 2022 ARF

Summary 

  • Nationally, 11302 unrestrained passenger vehicle occupants were killed in motor vehicle crashes in 2022.

  • In California, there were 919 unrestrained passenger vehicle occupants killed in motor vehicle traffic crashes in 2022.

  • Unrestrained passenger vehicle occupants fatalities decreased nationally by 4.8 percent between 2021 and 2022.

  • Unrestrained passenger vehicle occupants fatalities decreased in California by 8.4 percent between 2021 and 2022.

Daytime and Nighttime Crash Frequency Nationwide in Unrestrained Fatal Crashes in 2022

Infographic detailing crash daytime and nighttime crash frequency in unrestrained fatal crashes nationwide in 2022. For more information, see the following summary.

Data Source:  National Center for Statistics and Analysis. (2024, June, Revised). Overview of motor vehicle traffic crashes in 2022. DOT HS 813 560. NHTSA. table 9, page 10 

Summary

  • In 2022, daytime restraint use was higher than nighttime restraint use.

  • In 2022, 49.9 percent  of passenger vehicle occupants killed during daytime crashes were unrestrained while 39.0 percent of passenger vehicle occupants killed during nighttime crashes were unrestrained .

California Summary 

The figures in this section refer to crashes in which one or more occupants in a passenger vehicle was unrestrained, and was fatally or seriously injured in California in 2022.   

California’s front seat belt use rate for those aged 5 and older has been greater than 95.0 percent from 2015 to 2022, apart from 2020 when no survey was conducted.

California Front Seat Belt Use Rate in 2022

Map visual of California detailing that California has the highest front seat belt use rate nationwide in 2022. For more information, see the following summary.

Data Source: National Center for Statistics and Analysis. (2023, July). Seat belt use in 2022 — Use rates in the states and territories (Traffic Safety Facts Crash•Stats. Report No. DOT HS 813 487). NHTSA.

Summary 

  • In 2022, California had the third highest front seat belt use nationwide with 95.3 percent.

Primary Crash Factors of Unrestrained Occupant Fatal and Serious Injury (FSI) Crashes

Top Five Primary Crash Factors of Unrestrained Occupant Fatal and Serious Injury Crashes In California (2022)

Bar chart detailing the top five most common primary crash factors in unrestrained occupant fatal and serious injury crashes in California in 2022. For more information, go to the following summary.

Note: For more information on the different Crash Types, please see the Transportation Injury Mapping System (TIMS) Help FAQ page, in the Codebook - Crash Level Section

Data source: Provisional Statewide Integrated Traffic Records System (SWITRS) 2022

Summary

  • Driving and bicycling under the influence of alcohol or drugs was the most common primary crash factor in unrestrained occupant FSI crashes in 2022 making up 35.2 percent, followed by improper turning  and unsafe speed accounting for 28.6 and 15.0 percent respectively. 

  • Traffic signals and signs  followed by automobile right of way made up the fourth and fifth most common primary crash factor in unrestrained occupant FSI crashes in 2022 accounting for 5.8  and 4.8 percent respectively. 

Data definitions expressed as queries are available in the data dictionary on google sheets.


References

  1. National Center for Statistics and Analysis. (2024, February). Seat belt use in 2023 – overall results (Traffic Safety Facts Research Note. Report No. DOT HS 813 543). NHTSA. 

  2. National Center for Statistics and Analysis. (2023, July). Seat belt use in 2022 — Use rates in the states and territories (Traffic Safety Facts Crash•Stats. Report No. DOT HS 813 487). NHTSA.

  3. National Center for Statistics and Analysis. (2023, July). Seat belt use in 2022 — Use rates in the states and territories (Traffic Safety Facts Crash•Stats. Report No. DOT HS 813 487). NHTSA.

  4. State Traffic Safety Information (STSI). Traffic Safety Performance (Core Outcome) Measures For California. Washington, DC: National Highway Traffic Safety Administration.https://cdan.nhtsa.gov/STSI.htm

  5. Boyle, L. L. (2022, August). Occupant restraint use in 2021: Results from the NOPUS Controlled Intersection Study (Report No. DOT HS 813 344). National Highway Traffic Safety Administration.

  6. Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Division of Population Health. BRFSS Prevalence & Trends Data [online]. 2015. [Accessed April 18, 2023]. URL: https://www.cdc.gov/brfss/brfssprevalence/.

Break in the document signaling the beginning of the child passenger safety section.

Child Passenger Safety  

Introduction

As of January 2017, children under age two must be rear facing in a car seat unless they weigh at least 40 pounds or are at least 40 inches tall (California Vehicle Code § 27360). Children under age eight must be buckled into a car seat or booster seat in the back seat.  Children over age eight, or 4’9” or taller, may use the vehicle seat belt system if it fits properly (California Vehicle Code § 27363)

On average, more than three children aged 14 and under were killed daily in traffic crashes in the United States in 2022. Across the age spectrum, child motor vehicle fatalities have decreased over the past decade, with the highest decrease in fatalities among the one to three year-old age group. These fatality trends are in part due to child safety seats and lap/shoulder seat belt use.  

Child Fatalities (Ages 1-3) in Motor Vehicle Crashes over Time from 2013 to 2022

Bar Chart detailing child fatality trends (aged 1 to 3) from 2013 to 2022.  For more information, go to the following summary.

Data Source: National Center for Statistics and Analysis. (2024, June). Children: 2022 data (Traffic Safety Facts. Report No. DOT HS 813 575). National Highway Traffic Safety Administration. table 1, page 5

Summary 

  • Between 2013 and 2022,  child fatalities (Ages 1 to 3) decreased 13.8 percent going from 245 fatalities in 2013 to 211 in 2022.

Child Passengers Survival Rates in Fatal Crashes by Restraint Use (aged 14 and younger) in 2022

Breakdown of survival rates in fatal crashes by restrain use (aged 14 and younger) in 2022. For more information, go to the following summary.

Note: Totals only include child passengers in fatal crashes with known restraint use.

Data Source:

National Center for Statistics and Analysis. (2024, June). Children: 2022 data (Traffic Safety Facts. Report No. DOT HS 813 575). National Highway Traffic Safety Administration. table 1, page 4

Summary 

  • In 2022, 89 percent of child passengers who survived in a fatal crash were restrained, compared to 39 percent of child passengers who were killed in fatal crashes were unrestrained

*Note: these percentages are for known restraint use only. 

Unrestrained Child Passenger Fatality Trends Nationwide and in California from 2018 to 2022

Trend-line chart detailing unrestrained child passenger-related fatalities nationally and in California from 2018 to 2022.  For more information, go to the following summary.

Data source: Fatality Analysis Reporting System (FARS) 2017 – 2021 Final File & 2022 ARF 


Summary 

  • Nationally, 266 children (aged 14 and under) were killed in unrestrained crashes in 2022.

  • In California, there were 23 children killed in unrestrained crashes in 2022.

  • Unrestrained child  fatalities decreased nationally by 18.8 percent between 2021 and 2022.

  • Unrestrained child fatalities increased in California by 4.5  percent between 2021 and 2022. It is important to note that the number of fatalities is relatively small and subject to variability. 

Nationwide Summary 

Nationwide Child Fatalities (14 and Under) and Unrestrained Child Fatalities between 2021 and 2022

Bar chart detailing child fatalities and unrestrained child fatalities nationally and in California from 2021 to 2022. For more information, go to the following summary.

Data Source: Fatality Analysis Reporting System (FARS)  2021 Final File & 2022 ARF 

Summary 

  • There were 1,129 fatalities among children aged 14 and under nationally in 2022, an decrease of 5.9 percent from 1,200 in 2021.

  • There were 266 unrestrained children aged 14 and under killed nationally in 2022, an decrease of 15.8 percent from 316 unrestrained child fatalities in 2021.

California Summary

Unrestrained Child Fatalities and Serious injuries Over Time in California between 2021 and 2022

Bar chart detailing unrestrained child fatalities and serious injuries in California from 2021 to 2022.

Data Source: i) Fatality Analysis Reporting System (FARS) 2021 Final File & 2022 ARF ; ii) Statewide Integrated Traffic Records System (SWITRS) 2021 & Provisional 2022

Summary 

  • There were 110 serious injuries among unrestrained children aged 14 and under in 2022, an decrease of 12 percent from 125 in 2021.

  • There were 22 unrestrained child fatalities (aged 14 and under) in 2022, a decrease of 4.5 percent from 23 in 2021. It is important to note that the number of fatalities is relatively small and subject to variability. 

Primary Crash Factors and Crash Types for Unrestrained Child Fatal and Serious Injury (FSI) Crashes

Top Five Primary Crash Factors of Unrestrained Child Fatal and Serious Injury Crashes in California (2022)

Bar chart detailing the top five most common primary crash factors in unrestrained child fatal and serious injury crashes in California in 2022. For more information, go to the following summary.

Note: For more information on the different Crash Types, please see the Transportation Injury Mapping System (TIMS) Help FAQ page, in the Codebook - Crash Level Section

Data source: Provisional Statewide Integrated Traffic Records System (SWITRS) 2022

Summary 

  • Driving or bicycling under the influence of alcohol or drugs was the most common primary crash factor in unrestrained child fatal and serious injury FSI crashes in 2022 making up 30.1 percent, followed by improper turning (23.9 percent) and unsafe speed (13.3 percent.) 

  • Traffic signals and signs followed by automobile right of way made up the fourth and fifth most common primary crash factor in unrestrained child FSI crashes in 2022 both accounting for 9.7 percent.