Saudi parents’ knowledge, attitude, and behavior regarding child restraint systems during road trips

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Abstract
The proper use of child restraint systems (CRS) in cars can significantly reduce the risk of injury. This study aimed to assess Saudi parents' knowledge related to CRS use and examined the association between CRS adherence and travel distance. A cross-sectional study of Saudi parents with at least one child ageds0-10 years was conducted using a validated electronic questionnaire distributed at public venues throughout Riyadh, using a convenience sampling technique for recruitment. The survey evaluated demographics, knowledge of CRS, and road-safety measures, using a score system and driving patterns related to travel. A total of 385 Saudi parents participated in the study. The average age of participants was 37.69 years (SD ± 7.44), 82.6% were women, and 88.8% of participants were aware of the Saudi CRS policy. Booklets and user manuals as sources of CRS information and an increased number of CRS information sources were associated with significantly higher adherence to CRS while traveling in a vehicle (p = 0.040 and p = 0.037, respectively). Participants who always used their seat belts also consistently used CRS for their children (70.7%), significantly different from those parents who sometimes/never used a seat belts (p < 0.001). CRS knowledge was significantly higher for parents who always wore seat belts (p = 0.006). Driving speed was a significant factor associated with adherence to CRS and higher speed (> 100 km/h) associated with lower adherence (p = 0.024). Increasing parental awareness and providing detailed guidance on the correct installation and usage of CRS in vehicles could help ensure children's safety and well-being.
Funding Information
  • Ongoing Research Funding Program (ORF-2026-1885)
  • King Saud University, Riyadh, Saudi Arabia

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