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Phyllis Agran, MD, MPH; Dawn Castillo, MPH; Diane Winn, MPH

Am J Dis Child. 1990;144(6):653-662.

Abstract
• Motor vehicle occupant trauma is the major cause of mortality among the pediatric population. The mortality rate for adolescents is approximately 10 times that of the younger age groups. Despite enactment of child passenger safety laws in all states and mandatory seat belt use laws in two thirds of the states, mortality rates have not decreased to the extent expected. Additional interventions targeted at the adolescent driver, substance use and driving, and improved occupant protection for all children will be required to further decrease occupant trauma. Lack of comprehensive trauma data is a major roadblock to the calculation of morbidity and disability rates.

(AJDC. 1990;144:653-662)

Author Affiliations
From the Department of Pediatrics (Dr Agran) and the Public Policy Research Organization (Dr Agran, and Mss Castillo and Winn), University of California, Irvine.

Footnotes
Accepted for publication September 5, 1989.

Reprint requests to Public Policy Research Organization, University of California, Irvine, CA 92717 (Dr Agran).

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