IVP-16.2 Increase age-appropriate vehicle restraint system use in children aged 1 to 3 years

National Data Source
National Survey on the Use of Booster Seats (NSUBS); Department of Transportation, National Highway Traffic Safety Administration (DOT/NHTSA)
Changed Since the Healthy People 2020 Launch
Baseline (Year)
72 (2008)
Target-Setting Method
10 percent improvement
Number of children aged 1 to 3 years observed in front-facing child safety seats
Number of children aged 1 to 3 years
Data Collection Frequency
Comparable Healthy People 2010 Objective
Adapted from HP2010 objective


Methodology Notes

NSUBS uses observational data collected at a probability sample of gas stations, day care centers, recreation centers, and restaurants in five national fast-food chains across the United States. The choice of these types of data collection sites stems from the necessity of observing restraint use from a close range in a slow-moving or stopped vehicle (as is required in order to distinguish a seat belt being used in conjunction with a backless booster seat from a seat belt being used alone), combined with the desire to capture large numbers of children.

Caveats and Limitations
NHTSA recommends that when children outgrow their rear-facing seats (at a minimum age 1 and at least 20 pounds, but preferably not until they have reached the manufacturer’s height or weight limit) they should ride in forward-facing child safety seats, in the back seat, until they reach the upper weight or height limit of the particular seat (usually at around age 4 and 40 pounds). Due to the limited sample size of this study, restraint type use could not be analyzed simultaneously by the age and weight requirements.

References and More Information

  1. http://www-nrd.nhtsa.dot.gov/Pubs/811132.PDF
  2. U. S. Department of Transportation (DOT). National Highway Transportation Safety Administration (NHTSA) National Center for Statistics and Analysis. Child Restraint Use in 2008 – Use of Correct Restraint Types. Traffic Safety Facts. Research Note DOT HS 811 132. May 2009.