Children | 2010

Child deaths in motor vehicle crashes have declined since 1975, but crashes still cause about 1 of every 4 injury deaths among children younger than 13, and remain a leading cause of death. National Center for Injury Prevention and Control. 2012. Web-based Injury Statistics Query and Reporting System (WISQARS), 2010 fatal injury data. Atlanta, GA: Centers for Disease Control and Prevention. Available: http://www.cdc.gov/injury/wisqars/index.html.  Most crash deaths occur among children traveling as passenger vehicle occupants, and proper restraint use can reduce these fatalities. Placing children 12 and younger in rear seats instead of front seats reduces fatal injury risk by about a third. Braver, E.R.; Whitfield, R.A.; and Ferguson, S.A. 1998. Seating positions and children's risk of dying in motor vehicle crashes. Injury Prevention 4:181-87.

All 50 states and the District of Columbia have child safety seat laws on the books. However, even though more children now ride restrained because of these laws, many children, particularly those 4 and older, still ride unrestrained. National Highway Traffic Safety Administration. 2010. The 2009 national survey of the use of booster seats. Report no. DOT HS-811-377. Washington, DC: US Department of Transportation. Seventeen states have laws requiring children to sit in the rear, but there is considerable variation among the laws based on the child's age, height, weight and if the vehicle has rear seats or frontal airbags.

The following facts are based on analysis of data from the U.S. Department of Transportation's Fatality Analysis Reporting System (FARS).

Trends

Sixty-eight percent of child motor vehicle crash deaths in 2010 were passenger vehicle occupants, 22 percent were pedestrians, and 4 percent were bicyclists. Child pedestrian and bicyclist deaths declined by 87 and 92 percent, respectively, since 1975. Passenger vehicle child occupant deaths in 2010 were 53 percent lower than in 1975.

Motor vehicle deaths among children younger than 13 by type, 1975-2010

Motor vehicle crash deaths among children younger than 13 by type, 1975-2010
YearPassenger vehicle occupantsPedestrians Bicyclists Total*
Number%Number%Number%Number%
1975 1,384 38 1,632 45 446 12 3,643 100
1976 1,343 39 1,522 44 394 12 3,424 100
1977 1,405 42 1,390 42 395 12 3,347 100
1978 1,395 41 1,419 42 387 11 3,367 100
1979 1,331 42 1,291 41 362 11 3,171 100
1980 1,331 44 1,183 39 346 11 3,048 100
1981 1,189 44 1,064 39 332 12 2,733 100
1982 1,158 45 986 38 265 10 2,573 100
1983 1,134 45 944 37 298 12 2,518 100
1984 1,081 45 935 39 253 10 2,422 100
1985 1,131 46 925 37 278 11 2,469 100
1986 1,188 47 913 36 293 12 2,537 100
1987 1,312 49 898 34 297 11 2,654 100
1988 1,354 50 905 34 284 11 2,701 100
1989 1,469 55 786 30 276 10 2,658 100
1990 1,268 54 768 33 185 8 2,332 100
1991 1,234 55 695 31 226 10 2,257 100
1992 1,233 57 635 29 215 10 2,165 100
1993 1,221 56 644 30 203 9 2,164 100
1994 1,344 58 659 29 205 9 2,301 100
1995 1,339 61 597 27 197 9 2,201 100
1996 1,346 62 570 26 164 8 2,186 100
1997 1,330 63 513 24 172 8 2,108 100
1998 1,333 66 464 23 152 7 2,032 100
1999 1,311 66 449 22 141 7 1,997 100
2000 1,264 67 403 21 136 7 1,888 100
2001 1,179 67 363 21 98 6 1,751 100
2002 1,131 70 317 20 92 6 1,617 100
2003 1,114 68 327 20 93 6 1,643 100
2004 1,173 71 293 18 82 5 1,645 100
2005 1,077 70 274 18 79 5 1,529 100
2006 1,013 71 267 19 76 5 1,430 100
2007 905 71 243 19 57 4 1,269 100
2008 699 67 215 21 57 5 1,047 100
2009 756 71 201 19 52 5 1,066 100
2010 655 68 209 22 36 4 962 100

The rate of motor vehicle crash deaths per million children younger than 13 has decreased 77 percent overall since 1975. The death rate for passenger vehicle child occupants decreased 59 percent, while the death rates for child pedestrians and bicyclists declined by 89 and 93 percent, respectively.

Motor vehicle crash deaths per million children younger than 13 by type, 1975-2010
YearPopulationPassenger vehicle occupantsPedestrians Bicyclists Total*
DeathsRateDeathsRateDeathsRateDeathsRate
1975 45,851,304 1,384 30.2 1,632 35.6 446 9.7 3,643 79.5
1976 45,000,704 1,343 29.8 1,522 33.8 394 8.8 3,424 76.1
1977 44,337,332 1,405 31.7 1,390 31.4 395 8.9 3,347 75.5
1978 43,907,467 1,395 31.8 1,419 32.3 387 8.8 3,367 76.7
1979 43,778,959 1,331 30.4 1,291 29.5 362 8.3 3,171 72.4
1980 43,914,342 1,331 30.3 1,183 26.9 346 7.9 3,048 69.4
1981 44,049,940 1,189 27.0 1,064 24.2 332 7.5 2,733 62.0
1982 44,131,596 1,158 26.2 986 22.3 265 6.0 2,573 58.3
1983 44,119,297 1,134 25.7 944 21.4 298 6.8 2,518 57.1
1984 43,978,044 1,081 24.6 935 21.3 253 5.8 2,422 55.1
1985 44,260,136 1,131 25.6 925 20.9 278 6.3 2,469 55.8
1986 44,755,454 1,188 26.5 913 20.4 293 6.5 2,537 56.7
1987 45,348,247 1,312 28.9 898 19.8 297 6.5 2,654 58.5
1988 45,942,966 1,354 29.5 905 19.7 284 6.2 2,701 58.8
1989 46,690,604 1,469 31.5 786 16.8 276 5.9 2,658 56.9
1990 47,472,527 1,268 26.7 768 16.2 185 3.9 2,332 49.1
1991 48,240,747 1,234 25.6 695 14.4 226 4.7 2,257 46.8
1992 48,903,668 1,233 25.2 635 13.0 215 4.4 2,165 44.3
1993 49,335,864 1,221 24.7 644 13.1 203 4.1 2,164 43.9
1994 49,692,462 1,344 27.0 659 13.3 205 4.1 2,301 46.3
1995 49,920,484 1,339 26.8 597 12.0 197 3.9 2,201 44.1
1996 50,085,188 1,346 26.9 570 11.4 164 3.3 2,186 43.6
1997 50,364,983 1,330 26.4 513 10.2 172 3.4 2,108 41.9
1998 50,527,476 1,333 26.4 464 9.2 152 3.0 2,032 40.2
1999 50,667,139 1,311 25.9 449 8.9 141 2.8 1,997 39.4
2000 52,219,423 1,264 24.2 403 7.7 136 2.6 1,888 36.2
2001 52,341,395 1,179 22.5 363 6.9 98 1.9 1,751 33.5
2002 52,332,306 1,131 21.6 317 6.1 92 1.8 1,617 30.9
2003 52,187,602 1,114 21.3 327 6.3 93 1.8 1,643 31.5
2004 52,151,406 1,173 22.5 293 5.6 82 1.6 1,645 31.5
2005 52,149,395 1,077 20.7 274 5.3 79 1.5 1,529 29.3
2006 52,306,908 1,013 19.4 267 5.1 76 1.5 1,430 27.3
2007 52,585,809 905 17.2 243 4.6 57 1.1 1,269 24.1
2008 52,929,779 699 13.2 215 4.1 57 1.1 1,047 19.8
2009 53,753,412 756 14.1 201 3.7 52 1.0 1,066 19.8
2010 52,943,218 655 12.4 209 3.9 36 <1 962 18.2

It is recommended that children 12 and younger ride in vehicle rear seats. Seventeen percent of the passenger vehicle child occupant deaths in 2010 occurred in front seats, down from 46 percent in 1975. Seventy-five percent were in the rear, and the rest occurred in cargo or unknown areas.

Passenger vehicle occupant deaths among children younger than 13 by seating position, 1975-2010
YearFront seat Rear seat Cargo/unknown areaTotal
Number%Number%Number%Number%
1975 634 46 367 27 383 28 1,384 100
1976 563 42 423 31 357 27 1,343 100
1977 654 47 383 27 368 26 1,405 100
1978 676 48 394 28 325 23 1,395 100
1979 635 48 394 30 302 23 1,331 100
1980 661 50 374 28 296 22 1,331 100
1981 547 46 406 34 236 20 1,189 100
1982 570 49 421 36 167 14 1,158 100
1983 548 48 420 37 166 15 1,134 100
1984 523 48 394 36 164 15 1,081 100
1985 515 46 428 38 188 17 1,131 100
1986 550 46 486 41 152 13 1,188 100
1987 582 44 571 44 159 12 1,312 100
1988 604 45 575 42 175 13 1,354 100
1989 637 43 655 45 177 12 1,469 100
1990 542 43 548 43 178 14 1,268 100
1991 538 44 558 45 138 11 1,234 100
1992 514 42 602 49 117 9 1,233 100
1993 509 42 613 50 99 8 1,221 100
1994 543 40 631 47 170 13 1,344 100
1995 558 42 627 47 154 12 1,339 100
1996 558 41 654 49 134 10 1,346 100
1997 493 37 692 52 145 11 1,330 100
1998 463 35 729 55 141 11 1,333 100
1999 438 33 744 57 129 10 1,311 100
2000 382 30 752 59 130 10 1,264 100
2001 368 31 707 60 104 9 1,179 100
2002 326 29 693 61 112 10 1,131 100
2003 300 27 716 64 98 9 1,114 100
2004 292 25 793 68 88 8 1,173 100
2005 272 25 710 66 95 9 1,077 100
2006 214 21 731 72 68 7 1,013 100
2007 171 19 673 74 61 7 905 100
2008 131 19 512 73 56 8 699 100
2009 138 18 546 72 72 10 756 100
2010 111 17 494 75 50 8 655 100

Children younger than 13 represented 17 percent of the US population in 2010 and 3 percent of motor vehicle crash deaths.

Population and motor vehicle crash deaths by age, 2010
AgePopulationMotor vehicle crash deaths
Number%Number%
<13 52,943,218 17 962 3
All others 255,802,320 83 31,923 97
Total 308,745,538 100 32,885 100

Age and gender

In 1975 infants (under 1 year) had a much higher passenger vehicle occupant fatality rate per capita than children of other ages, but by 2010 the age gap had narrowed considerably. Since 1975 fatality rates dropped 75 percent for infants, 66 percent for children ages 1-3, 50 percent for children ages 4-8, and 56 percent for children ages 9-12.

Passenger vehicle child occupant deaths per million children by age, 1975-2010

Passenger vehicle child occupant deaths per million children by age, 1975-2010
Year<1 years oldages 1-3ages 4-8ages 9-12
PopulationDeathsRatePopulationDeathsRatePopulationDeathsRatePopulationDeathsRate
1975 3,152,345 190 60.3 9,333,943 395 42.3 17,579,867 451 25.7 15,785,149 348 22.0
1976 3,115,391 173 55.5 9,166,175 393 42.9 17,444,438 436 25.0 15,274,700 341 22.3
1977 3,278,804 188 57.3 9,129,735 412 45.1 17,194,329 459 26.7 14,734,464 346 23.5
1978 3,326,388 192 57.7 9,317,815 406 43.6 16,838,903 455 27.0 14,424,361 342 23.7
1979 3,426,309 171 49.9 9,461,992 384 40.6 16,465,482 473 28.7 14,425,176 303 21.0
1980 3,559,861 190 53.4 9,763,803 396 40.6 15,994,363 403 25.2 14,596,315 342 23.4
1981 3,607,455 172 47.7 10,011,438 332 33.2 15,894,690 401 25.2 14,536,357 284 19.5
1982 3,643,586 164 45.0 10,287,129 352 34.2 15,997,832 365 22.8 14,203,049 277 19.5
1983 3,649,198 157 43.0 10,499,379 353 33.6 16,268,975 372 22.9 13,701,745 252 18.4
1984 3,571,921 132 37.0 10,605,208 301 28.4 16,592,564 377 22.7 13,208,351 271 20.5
1985 3,678,657 130 35.3 10,594,540 326 30.8 17,015,987 385 22.6 12,970,952 290 22.4
1986 3,699,568 130 35.1 10,653,722 360 33.8 17,338,168 409 23.6 13,063,996 289 22.1
1987 3,703,294 160 43.2 10,725,924 387 36.1 17,651,459 467 26.5 13,267,570 298 22.5
1988 3,756,541 183 48.7 10,882,631 385 35.4 17,801,235 484 27.2 13,502,559 302 22.4
1989 3,858,435 183 47.4 10,981,085 402 36.6 17,938,226 526 29.3 13,912,858 358 25.7
1990 3,987,662 162 40.6 11,168,053 343 30.7 18,082,010 447 24.7 14,234,802 316 22.2
1991 4,009,515 143 35.7 11,468,844 339 29.6 18,154,546 442 24.3 14,607,842 310 21.2
1992 3,982,857 127 31.9 11,739,325 349 29.7 18,296,744 442 24.2 14,884,742 315 21.2
1993 3,908,335 152 38.9 11,898,416 361 30.3 18,612,278 431 23.2 14,916,835 277 18.6
1994 3,854,882 160 41.5 11,821,298 379 32.1 18,958,858 486 25.6 15,057,424 319 21.2
1995 3,813,169 153 40.1 11,668,778 346 29.7 19,309,487 484 25.1 15,129,050 356 23.5
1996 3,769,544 178 47.2 11,499,426 346 30.1 19,610,009 486 24.8 15,206,209 336 22.1
1997 3,779,543 133 35.2 11,371,094 327 28.8 19,788,553 502 25.4 15,425,793 368 23.9
1998 3,790,645 138 36.4 11,301,476 304 26.9 19,814,280 512 25.8 15,621,075 379 24.3
1999 3,819,903 142 37.2 11,269,665 310 27.5 19,629,729 497 25.3 15,947,842 362 22.7
2000 3,867,754 131 33.9 11,425,866 311 27.2 20,146,324 458 22.7 16,779,479 364 21.7
2001 4,025,873 106 26.3 11,497,211 290 25.2 19,875,164 450 22.6 16,943,147 333 19.7
2002 3,984,989 107 26.9 11,733,679 272 23.2 19,662,203 405 20.6 16,951,435 347 20.5
2003 4,033,482 120 29.8 11,922,039 265 22.2 19,522,343 401 20.5 16,709,738 328 19.6
2004 4,077,188 121 29.7 12,086,916 301 24.9 19,473,829 406 20.8 16,513,473 345 20.9
2005 4,106,627 119 29.0 12,135,517 247 20.4 19,614,024 417 21.3 16,293,227 294 18.0
2006 4,130,153 115 27.8 12,265,881 247 20.1 19,809,458 375 18.9 16,101,416 276 17.1
2007 4,257,020 96 22.6 12,403,983 225 18.1 20,011,375 335 16.7 15,913,431 249 15.6
2008 4,313,132 78 18.1 12,568,765 163 13.0 20,289,522 269 13.3 15,758,360 189 12.0
2009 4,261,494 69 16.2 12,857,476 180 14.0 20,780,673 288 13.9 15,853,769 219 13.8
2010 3,944,153 59 15.0 12,194,039 176 14.4 20,263,474 259 12.8 16,541,552 161 9.7

In 2010, passenger vehicle occupants accounted for the majority of motor vehicle crash deaths for all age groups of children. Pedestrian fatalities accounted for 5 percent of crash deaths for children younger than 1, 28 percent for ages 1 to 3, 20 percent for ages 4 to 8, and 22 percent for ages 9 to 12. Older children, ages 9 to 12, had the largest relative percentage of bicycle and all-terrain vehicle fatalities, with 9 percent and 4 percent, respectively.

Child motor vehicle crash deaths by type and age, 2010
AgePassenger vehicle occupantsMotorcyclists Pedestrians Bicyclists All-terrain vehicle riders Other Total motor vehicle deaths*
Number%Number%Number%Number%Number%Number%Number%
<1 59 92 00 3 5 00 00 2 3 64 100
1-3 176 68 00 72 28 00 1 0 10 4 259 100
4-8 259 71 2 1 75 20 11 3 3 1 17 5 367 100
9-12 161 59 4 1 59 22 25 9 12 4 11 4 272 100
Total* 655 68 6 1 209 22 36 4 16 2 40 4 962 100

The rate of motor vehicle crash deaths per million children in 2010 was 32 percent higher for males than for females.

Motor vehicle crash deaths per million children younger than 13 by gender, 2010
GenderNumber of childrenDeathsRate
Male 27,048,470 557 20.6
Female 25,894,748 405 15.6
Total* 52,943,218 962 18.2

Fifty-eight percent of children younger than 13 who were killed in motor vehicle crashes in 2010 were male. The gender difference in fatalities was greater among child bicyclists (69 percent males, 31 percent females) than among child pedestrians (62 percent males, 38 percent females). The smallest gender difference in fatalities was among child occupants of passenger vehicles (55 percent males, 45 percent females).

Motor vehicle crash deaths among children younger than 13 by type and gender, 2010
Male Female Total*
Number%Number%Number%
Passenger vehicle occupants 359 55 296 45 655 100
Pedestrians 130 62 79 38 209 100
Bicyclists 25 69 11 31 36 100
Total* 557 58 405 42 962 100

Restraint use

The proportion of fatally injured children who are restrained has risen greatly during the past 25 years, from 15 percent in 1985 to 59 percent in 2010. 

Restraint use among fatally injured children in passenger vehicles by age, 1985
AgeUnrestrained Seat belt Child safety seat Total restrained Unknown Total
Number%Number%Number%Number%Number%Number%
<1 year old 85 65 2 2 29 22 31 24 14 11 130 100
Ages 1-3 230 71 18 6 55 17 73 22 23 7 326 100
Ages 4-8 267 69 41 11 7 2 48 12 70 18 385 100
Ages 9-12 223 77 21 700 21 7 46 16 290 100
Total 805 71 82 7 91 8 173 15 153 14 1,131 100
Restraint use among fatally injured children in passenger vehicles by age, 2010
AgeUnrestrained Seat belt Child safety seat Total restrained Unknown Total
Number%Number%Number%Number%Number%Number%
<1 year old 7 1200 48 81 48 81 4 7 59 100
Ages 1-3 51 29 9 5 105 60 114 65 11 6 176 100
Ages 4-8 99 38 81 31 59 23 140 54 20 8 259 100
Ages 9-12 63 39 82 5100 82 51 16 10 161 100
Total 220 34 172 26 212 32 384 59 51 8 655 100

When they died

The proportion of children killed in motor vehicle crashes in 2010 was larger on Friday, Saturday, and Sunday, compared with other days of the week.

Motor vehicle crash deaths among children younger than 13 by day of week, 2010
Day of weekDeaths%
Sunday 169 18
Monday 107 11
Tuesday 117 12
Wednesday 110 11
Thursday 119 12
Friday 175 18
Saturday 165 17
Total 962 100

Twenty-six percent of the deaths of children in motor vehicle crashes in 2010 occurred during 3 p.m.-6 p.m.

Motor vehicle crash deaths among children younger than 1 by day of week, 2010
Time of dayNumber%
Midnight - 3 a.m. 38 4
3 a.m. - 6 a.m. 35 4
6 a.m. - 9 a.m. 91 9
9 a.m. - noon 96 10
Noon - 3 p.m. 158 16
3 p.m. - 6 p.m. 252 26
6 p.m. - 9 p.m. 214 22
9 p.m. - Midnight 76 8
Total* 962 100

The proportion of children killed in motor vehicle crashes in 2010 was greatest during the months of August and September.

Motor vehicle crash deaths among children younger than 13 by month, 2010
MonthNumber%
January 65 7
February 65 7
March 67 7
April 84 9
May 84 9
June 90 9
July 79 8
August 97 10
September 92 10
October 77 8
November 81 8
December 81 8
Total 962 100

References