Car Seat Knowledge and Car Seat Use among Parents of Preschool Children in Bangkok, Thailand

Main Article Content

Dissajee Lumbiganon
Chattip Prueksapraopong


Background: Road traffic accident is one of the leading causes of death in children. Appropriate car seat use can reduce the severity of injuries.

Objective: The aims of this study were to collect information on car seat use and to compare the knowledge of parents of preschoolers in Bangkok regarding road traffic safety for children including car seat use before and after receiving car seat brochure by using pretest and posttest questionnaires.

Methods: The pretest questionnaires were sent out to parents of preschoolers in 3 randomly selected schools and were collected 3 days later. Thereafter, the car seat brochures and the posttest questionnaires were sent to the parents and the questionnaires was collected back after 2 weeks.

Results: Of the 309 parents, 254 (82.2%) completed the pretests and 135 (43.7%) of them also completed the posttest questionnaires. Among 254 parents, most of them were female. All of them knew about car seat, mostly from the internet (73.2%) and relatives (40.6%). Among 233 parents who used car to take their children to school, 82.0% had ever used car seat but only 21.5% of them always used it. The most important reason for not using car seat was children’s refusal. The overall score of knowledge about car seat increased after receiving car seat brochure.

Conclusions: This study demonstrated that very few parents used car seat for every ride of their young children. Car seat brochure may increase knowledge but more strategies are needed to improve car seat use for child passenger safety.


Download data is not yet available.

Article Details

Original Articles


Kyu HH, Stein CE, Boschi Pinto C, Rakovac I, Weber MW, Dannemann Purnat T, et al. Causes of death among children aged 5-14 years in the WHO European Region: a systematic analysis for the Global Burden of Disease Study 2016. Lancet Child Adolesc Health 2018;5:321-37.

Bureau of Epidemiology of Thailand. Severe injury in children under 15 years old. Annual Epidemiological Surveillance Report 2015 [Internet]. 2015 [cited 2016 Nov 14]. Available from

World Health Organization. Improving the comprehensiveness of laws relating to specific risk factors: Child restraints. Strengthening road safety legislation [Internet]. 2015 [cited 2016 Nov 14]. Available from

American Academy of Pediatrics. AAP updates recommendations on car seats [Internet]. 2011 [cited 2016 Nov 14]. Available from

American Academy of Pediatrics. Car seats: information for families [Internet]. 2011 [cited 2016 Nov 14]. Available from:

National Highway Traffic Safety Administration. Car seat recommendations for children [Internet]. 2011 [cited 2016 Nov 14]. Available from:

American Academy of Pediatrics. New child passenger safety seat guidance advises kids to ride rear-facing as long as possible; drops age criterion [Internet]. 2018 [cited 2019 Nov 8]. Available from

Deng X, Jin Y, Peng J, Xia Q, Ma J, Wang L, et al. Analysis on influencing factors for child restraint system use in Shanghai and Shenzhen, China. Zhonghua Liu Xing Bing Xue Za Zhi 2016;1:10-5.

Sevketglu E, Hatipoglu S, Esin G, Oztora S. Knowledge and attitude of Turkish parents regarding car safety seats for children. Ulus Travma Acil Cerrahi Derg 2009;5:482-6.

Souza BG, Melo TE, Lisboa TP, Miranda MB, Souza TG, Oliveira VM. Parental awareness and perception for correct use of child restraint systems and airbags in Brazil. Traffic Inj Prev 2017;2:171-4.

A Situation Study Report: Car Seat in Thailand. Report No: 296-2015-16. [Internet]. 2015 [cited 2018 Jan 7]. Available from

Plitapolkarnpim A. Safety Promotion and Injury Prevention. In: Noipayak P, Piyasil W, Ningsanon W, Ungthavorn P, editors. Guideline in Child Health Supervision. Bangkok: Sappasarn Publishing; 2014. p. 101-26.

American Academy of Pediatrics. Child passenger safety [Internet]. 2018 [cited 2019 Nov 8]. Available from

Centers for Disease Control and Prevention. What works: strategies to increase car seat and booster seat use. [Internet]. 2015 [cited 2016 Nov 14 ]: Available from