Child occupants
As with adult drivers and passengers, the advent of seat belts was accompanied by calls for their use by child occupants, including legislation requiring such use. Generally, children using adult seat belts suffer significantly lower injury risk when compared to non-buckled children.
The UK extended compulsory seatbelt wearing to child passengers under the age of 14 in 1989. It was observed that this measure was accompanied by a 10% increase in fatalities and a 12% increase in injuries among the target population. In crashes, small children who wear adult seatbelts can suffer "seat-belt syndrome" injuries including severed intestines, ruptured diaphragms, and spinal damage. There is also research suggesting that children in inappropriate restraints are at significantly increased risk of head injury, one of the authors of this research said, "The early graduation of kids into adult lap and shoulder belts is a leading cause of child-occupant injuries and deaths."
As a result of such findings, many jurisdictions now advocate or require child passengers to use specially designed child restraints. Such systems include separate child-sized seats with their own restraints and booster cushions for children using adult restraints. In some jurisdictions, children below a certain size are forbidden to travel in front car seats."
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