Empirical estimates of seat belt effectiveness in two-car collisions

Empirical estimates of seat belt effectiveness in two-car collisions

EMPIRICAL ESTIMATES OF SEAT BELT EFFECTIVENESS IN TWO-CAR COLLISIONS K. S. Wayne (Received State University, II March 1982: KRISHNAN Detroit. MI 4...

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EMPIRICAL ESTIMATES OF SEAT BELT EFFECTIVENESS IN TWO-CAR COLLISIONS K. S. Wayne (Received

State University,

II March 1982:

KRISHNAN Detroit.

MI 45202.

in revised form

U.2.A.

Ii September

1932)

Abstract-The objective of this research is to quantify occupant protection afforded by restraint systems in two-car head-on collisions. An accepted measure of occupant protection is “Restraint SyBtem Effectiveness” (RSE).This quantity is defined as the percent reduction in the probability of an occupant Injury due to the use of a restraint system. RSE estimates are calculated in the present paper using a previously developed mathematical model of occupant injuries in two-car collisions and obtaining parameter estimates from two data sets. The two sets of data used for estimating RSE are: New York police accident data and data collected by various multidisciplinary accident investigation teams. Both these data sets have been reported in the literature. The RSE estimates obtained from the two data sets range from 29 lo 40%. These estimates are shown to increase as the mass of the occupant’s vehicle increases, but decrease as the mass of the other colliding vehicle increases. On the average, the use of a restraint system can offset the decrease in occupant protection that would result from a 407.5 reduction in car weight. Consequently, the use of restraint systems 10 reduce occupant risk is estimated lo be even more important as the number of small vehicles in the U.S. vehicle fleet increases. INTRODUCTION

Restraint systems in automobiles are designed to protect occupants in case of automobile accidents. Because of the variety of ways in which automobile crashes can occur, the extent to which occupants are protected by a restraint system depends upon the type of accident (e.g. rollover, two-car collisions, etc.), where occupants are sittin g, seating posture and many other factors. Furthermore, a restraint system’s ability to protect occupants can be severely limited if the restraints are not properly used (for example, if seat belts are not worn snugly, as recommended by manufacturers). The objective of this research is to quantify restraint system effectiveness in two-car collisions. Such quantification would enable evaluation of the effectiveness of restraint system use relative to car size. Several studies reported in the literature have provided estimates of occupant protection for different restraint systems (e.g. seat belts and air cushion restraint systems) for a variety of accident types (e.g. rollover and two-car head-on collisions) [IIHS, 1976; Huelke et al., 1977; Mohan et al., 1976; Wilson et a!., 19731. Results of these studies are briefly summarized in Table 1. An accepted measure of occupant protection common to all of these studies is the percent reduction in the probability of an occupant injury where this reduction is attributable to the use of a restraint system at the time of an accident. Such a quantity is referred to in the literature as “Restraint System Effectiveness” (RSE) [IIHS, 1976; Kahane, 1975; Rininger et al., 1976; Robertson, 19761. Specifically, let p,, = the probability of an injury to an unrestrained in case of an automobile accident, and

occupant

pb = the probability of an injury to the sanle occupant had been restrained at the time of the accident. Restraint

System Effectiveness

is then expressed

if he

as

RSE = lfio X (pu - pb)/p, .

(1)

Note that p,, and pb denote probabilities of an injury to the same occupant with and without the use of a restraint system respectively, at the time of an accident. Since, at the time of an accident, an occupant is either restrained or unrestrained, but not both, estimating RSE theoretically requires the capability of reconstructing a given accident situation in order to estimate the values of pu and

I IC?~,l.

1

PE!GSYL7ISI.I /

La

CROSS

T.~auL.ATImI La

OCCWSZj DRIVE3

j :x , i ,

DRIVER

~:c..r\,a.c

La La+SH

LB+SH Ka+SH CROSS La TABULATIOS LBCSH

SOUTH CESTFUL TE.US USA

CROSS LBfSH TABULATION LB+SH LBfSH

OAKLAXD AXD

REGRESSION ON FRONTAL5 0h-I.Y REGRESSION ON ALL DIRECTIONS

42 -2 Ir 11

a ,i:

12” i AIS 2 FROYI i AIS 3 SEAT OCCLlP‘vcTsi FRONT pTy,,i;ig a

L

0.26 0.14 '0.13 0.061 ~.0043 0.9017 T 0.26 il.15 0.13 ,!).I52 3.0063'I).,30 I I '3.12 ;0.,:52 0.12 /0.3:8

t

%c 53 73 zi 60 00 io 61 T769 77

(FATAL) WASHTENAW COIJXTIES, XICHIGrLU

LB LB+SH LB

FRONT

AIS

2

KwcSl FRONT

AIS

2

LBfSH

SEAT occuP‘k%Ts FRONT SEAT OCCUPkVS FRONT

XORTH

CROSS

LB

AZRICA (USA + CASXIA)

TABULATION, FRONTALS ONLY

LBfSH La

t

-Gi 54 21 42

3 AIS

25 47 5

AIS

i

6

62 77

i

5 58

q.,:;

-

_L

ACRS

=

AIR CUSHIOS - RESTRAIXT SYSTEM (AIR BAG) La = LAP aELn ONLY

La+SH AIS

= LAP BELTS = &JaREVIATED

AND SHOULDER HARNESSES INJ!J~~ SCALE (COWITTEE

ON XDICAL

ASPECTS

OF AUTOFOTIVE SAFER,

K.A,a,C

= POLICE

CODES

FOR

INJURY

CLASSIFICATION

(SHEMAX

ET

AL.

,

1971).

1976)

ph simultaneously. An attempt to develop such a capability was made previously by developing a mathematical model of occupant injuries in two-car collisions [Krishnan et al., 1983; Krishnan, 19811. This model has been used in the present research to derive estimates of RSE. Some of the RSE estimates reported in the literature were based on a similar modeling approach [Dutt et al., 1977; Reinfurt et (11..19751. These studies used a linear regression model to statistically control variations in data. This research differs from the above studies in that the mathematical model used here was developed from consideration of principles of collision mechanics. Because of the causal nature of the model. it depicts the occurrence of occupant injuries far more accurately than regression models [Krishnan et al., 1983; Krishnan, 19811. Alternatively, RSE can be estimated by selecting random samples of unrestrained and restrained occupants from available automobile accident records and estimating pU and pb by the fractions of injured occupants in the two samples; substituting these estimates in eqn (1) yields an estimate of RSE. Errors associated with the RSE estimate so obtained can be statistically controlled to some extent by adopting suitable statistical sampling designs in the selection of unrestrained and restrained occupants. Many of the RSE estimates reported in the literature are based on such statistical sampling designs [Hochberg et al., 1975; Huelke et al., 1977; Rininger ef al., 19761. Since models of occupant injuries explicitly identify some of the sources of variations in data, RSE estimates derived from such models are likely to be more accurate than those based merely on sampling designs. A list of RSE estimates from ottier published studies is provided in Table 1. Since these RSE estimates vary considerably (from -2 to 100%). it raises a question as to what, exactly. is the “true” effectiveness of a given restraint system. Of course, no two types of restraint systems are alike in all respects. There are also likely to be differences in their relative effectiveness for different types of accidents. For example. some studies have shown that an air cushion restraint system is more effective than seat belts in preventing fatalities in head-on collisions, but less effective in rollover

Empirical

estimates

of

seat belt effectiveness

in two-car

collisions

219

crashes [IIHS. 1976; Mohan et al., 19761. The range of RSE estimates shown in Table I suggest that the variability in these estimates might have been caused by the differences in the following factors: data collection design, statistical techniques used in estimating RSE and the level of injury severity used in classifying whether an occupant was injured or not. As such, values of RSE obtained from different studies are not directly comparable. Furthermore, since occupant protection provided by restraint system use is such an important element in understanding accidents, it is necessary to investigate reasons for these variations in RSE estimates. This is addressed here. As mentioned earlier, estimates of RSE developed in this research are based on a mathematical model of an occupant injury, called the Injury Threshold Model (ITM). ITM was developed from consideration of the physics of two-car collisions and incorporates the notion of a threshold of human tolerance to impact forces. A brief description of ITM and some highlights of results obtained previously are provided in the next section.

INJURY

THRESHOLD

MODEL

An injury model was developed to predict the probability of an injury to an occupant of a vehicle involved in a two-car collision. The model incorporates principles of collision mechanics and a concept of a threshold of human tolerance to impact forces. The model was based on the idea that if the impact forces experienced by an occupant in a two-car collision exceed the threshold of the tolerance, an injury occurs; otherwise, no injury occurs. From the physics of the collision, the forces experienced by an occupant can be determined in terms of the deceleration of the center of gravity of the vehicle and the motion of the occupant relative to the center of gravity. The threshold of human tolerance to impact forces is modeled from experimental evidence with laboratory animals and other biological experiments. These data suggest the existence of a threshold of tolerance which can be considered to be a random variable with a logistic distribution. Taking this approach, from these results it ispossible to predict the probability of an occupant injury in a two-car collision, p, in terms of the mass of the occupant’s vehicle, m,, the ratio of the masses of the colliding vehicles, m,/mz, relative speed at impact, ]c, - ~~1,and the use of a restraint system. The mathematical equation which yielded the probability of an occupant injury is?

where I?, is a dichotomous variable which takes on value 1 (or 0) if the occupant whose injury probability is being modeled is unrestrained (or restrained). The Injury Threshold Model was subjected to rigorous statistical tests using available field accident data. In these tests, the injury criterion used was “severe” or “fatal” injuries. In police accident data, these injuries are coded as “A” and “K” respectively. However, in the MDA1 data the severity of injuries is coded on the Abbreviated Injury Scale; on this scale, injury levels of 3 or more were used. Statistical tests using available field accident data showed that ITM performed well with respect to a number of criteria that characterize a good model. For a discussion of the criteria and the statistical tests, see Krishnan et al. [ 19831. Two sets of field accident data were used to calibrate ITM: New York State police accident data and the Multidisciplinary Accident Investigation data. The New York State police accident data consist of all of the police-reported accidents in that state occurring in 1971 and 1972. These data were compiled by the New York State Department of Motor Vehicles, and contained such variables as seat belt use, vehicle weight, model year, driver age and vehicle impact area. Over 300,000 accidents are contained in this data base. The second data base results from in-depth accident investigations that have been made on a subset of police-reported accidents by special teams of trained investigators. The latter are known as Multidisciplinary Accident Investigation (MDAI) teams. For each selected accident case, information on over 800 variables is recorded by MDA1 teams on special forms known as Collision fThe mathematical derivation details are not provided here.

of the model

is given in Krishnan

et al.

] 19831.

For the sake of brevity.

the mathematical

Performance Injury Report (CPIR). Detailed information on these variables is given in Marsh [19781. Several thousand accidents are investigated each year by MDA1 teams. Unfortunately, neither of the two data sets contained adequate information on the closing speed. While the closing speed information was totally absent in the New York State police accident data, the information was missing for most of the cases in the MDA1 data. Even for the few cases for which the information was available, the closing speed was estimated subjectivley by investigators using photographic evidences of cars involved in accidents. Our preliminary analysis using the closing speed information showed that the information was extremely unreliable. So we decided to exclude closing speed from our analysis. Table 2 shows the estimates of the ITM parameters obtained for two car accidents using New York state police accident data and the accident data collected by multidisciplinary accident investigation (MDAI) teams. Because of the limitations of the data, these estimates were obtained using only driver injury information. As mentioned previously, the injury criterion used was severe or fatal injuries. The parameters were estimated using the multiple- linear regression technique after making necessary transformation of variables. All parameters were significant at 95% level of significance. The multiple correlation coefficient, R’, was 0.67 indicating statistically good fit of the model to the data. Using split samples, it was demonstrated that ITM predicted overall number of injuries far better than any of the conventional regression models reported in the literature. The next section presents an algebraic expression for RSE derived from ITM and a comparison of the influence of a restraint system use with that of car size on occupant protection. ANALYSIS Dericntion of RSE As shown in eqn (l), RSE can be expressed in terms of the probabilities unrestrained and restrained occupant, p,, and pb RSE = 100 x (P,, - PIJP,, Using ITM, the values of p,, and pb can be determined In(llp,-1)--n+

of injury to an

(1)

from eqns (3) and (4)

b,Inm,+bz[ln(l+m,/m~)-InIc,-~~(l-b,

In(l/ph-1)=a+b,Inm,+bZ[ln(l+m,/m2)-In/c,-vz]].

(3) (4)

Hence, In (l/p,, - 1) = In (I/p,, - I) + b!

(3

or

lnl-pb -.-_ l--P,

h-b, Pb

3

(6)

From eqn (I), we get pb = p,,( l - RSE/lOO).

(7)

Empirical

estimates

of seat belt effectiveness

in two-car

131

collisions

Substituting this expression for pb in eqn (6), and solving for RSE gives RSE = 100x (1 - p,)/(k - pJ

(8)

where k=[l-exp(-b,)]-‘.

(9)

Since the estimates of b, shown in Table 2 are all positive. the value of k is greater than one for both New York and MDA1 data sets. Hence for pUranging from 0 to 1, RSE is a decreasing function of p,,. This phenomenon is partially supported by Fig. 1which shows a declining relationship between reported estimates of RSE and the corresponding values of p(,, given in Table 1.

In case of a collision between a large car and a small car, occupants of the large car genernllv suffer fewer and/or less severe injuries than those of the small car [Scott, 19761.It is also known that restrained occupants generally suffer fewer and/or less severe injuries than unrestrained occupants [General Motors Corporation, 19761.Therefore, an occupant of a car can enhance his protection against possible injuries in case of an automobile accident either by using a larger car or by using the available restraint system. Thus, if an occupant does not use a restraint system he can still ensure the same level of protection (in a statistical sense) as a restrained occupant by selecting a sufficiently larger sized vehicle for his travels. In this section we wish to determine the increase in car size required to offset the loss in protection that would be caused by not using a restraint system.

r, 100

-1

90

80

.

.

.

70

. :

60' l

. .

53'

.

RSE

.

(%I .

40 .

.

.

.

. .

30.

. 20-

lO_

O_

.I

I 0

0.05

0.10

Fig.

I 0.15

I. RSE estimates

I

I

I

0.20

0.25

0.30

reported

in the literature

I 0.35

vs pu.

I O.&O

-,

P

u

231

K. S. KRISHNAZ

Suppose that an occupant who is restrained is involved in an automobile accident. in which his car of mass m, collides with another car of mass mZ. The probability that the restrained occupant would suffer an injury, pb, can be determined from eqn (4). Suppose that the occupant who was previously assumed to be restrained at the time of the crash is indeed unrestrained and that the mass of his car is m, + Am,. instead of m,. Let pU denote the probability of an injury to the same occupant who is unrestrained. Then pI, can be determined by substituting m, + Am, for m, in eqn (3). Note that Am, is the additional mass required to enhance the level of occupant protection to that of a restrained system usage. ln(li~,,-1)=a+b,In(m,+Am,)+b~[ln{l+(m,tAm,)/m~}-In~~,-c~~l-b~ Equating

the right-hand

(3a)

sides of eqns (4) and (3a) gives

a+b,lnm,+b~[ln(l+m,/mz)-ln~u,-uz~]=a+b,In(m,+Am,) t bJln{l Equation

t (m,+Am,)/m2}-InIu,

(10) can be rewritten

- uz]]- bJ.

(10)

as

b,In(l+Am,/m,)+

b~In(l+Am,)/(m,+mz)=

bl.

(11)

The value of Am, can be determined from eqn (1 I) by trial and error. The existence of a solution to eqn (11) when bJ > 0 is guaranteed by the fact that the left-hand side of eqn (11) is a continuous function which increases from 0 (when Am, = 0) to infinity (when Am, is increased indefinitely).t RESULTS

Table 3 provides estimates of p,,, p,, and RSE obtained for several values of m, and my. As mentioned previously, the values oep, and pb indicate theoretical estimates of the probability of injury to unbelted and belted drivers respectively in a two-car collision. The injury criterion used was severe or fatal driver injury. These injuries correspond to “A” and “K” injuries in the police accident data, and to a level of 3 or more on the Abbreviated Injury Scale. From the table, we observe that for a given m,,the RSE estimate decreases as the other car weight, m?, increases. In other words, the RSE estimate would be the lowest when m, is the largest and vice versa. Since p,, increases with m,,the results are consistent with the trend observed in Fig. 1 where the RSE estimates listed in Table 1 are plotted as function of pU. A consistent finding reported in the safety literature is that for a given data set, the estimates of RSE is higher for accidents where more severe occupant injury levels occur. For example, from Table 1, Rininger et al. report the RSE estimate to be 57% for injuries with AIS 2 2,69% for injuries with AIS b 3 and 77% for injuries with AIS 2 6. Similar trends of RSE estimates increasing with increasing injury severity have been reported in other countries [Bohlin, 1967; Grime, 19791. This finding is consistent with the results of this research. If the occupant injury criterion (AIS) is limited to only severe injuries (e.g. AIS 2 3), the value of pU would be relatively small. From Fig. 1, small values of p,, correspond to large RSE estimates. Table 4 yields values of Am, derived from eqn (11) using New York police data and the MDA1 data. From the table, we note that Am, increases with m,,but decreases with ml. For example, using the New York Police data, when m, equals 2000 lb, Am, increases from 866 lb when m2 equals 2000 to 1069 lb when m, equals 4500 lb. This implies that in the event of a two-car collision, a restrained driver of 2000 lb car enjoys the same level of protection as (1) an unrestrained driver of a 2866 lb car colliding with a 2000 lb car and (2) an unrestrained driver of a 3069 lb car colliding with a 4500 lb car. From the viewpoint of occupant protection, then, the use of a restraint system can be considered as being equivalent to an additional car mass of 866 lb when the weight of the other is 2000 lb. As m, increases to 4500 lb, the additional mass equivalence increases to 1069 lb. The ratio, Ani,/m,, shown in Table 3 expresses this additional mass equivalence as a ratio to the original mass of the car. For all two-car collisions shown in the table, this ratio decreases as m, increases and/or m2 decreases. iThe

parameters

b,.b: and bj are required

to be non-negative

[Krishnan

et al.. 19821

.

Emplrd

estimates of seat belt effectiveness in two-car collisions

Table 3. Restraint system effectiveness estimates from IThi VEHICLE XGS

9

m2

.?lDAI

vEY YORK POLICE DATA

PU

'b

-

DATA RSE(%)

RSE(X)

i

!OOO

2000

0.0791

0.0486

38.5

0.3621

0.2325

32.0

2000

2500

0.0890

0.0549

38.3

0.3706

0.2554

31.0

2000

3000

0.0969

0.0600

38.1

0.3920

0.2731

30.3

2000

3500

0.1034

0.0642

37.9

0.4087

0.2871

29.7

2000

4000

0.1088

0.0676

37.8

0.4220

0.2985

29.2

2000

4500

0.1133

0.0706

37.6

0.4329

5.3579

28.8

2500

2000

0.0589

0.0358

39.0

0.3015

0.2010

33.3

2500

2500

0.0673

0.0412

38.8

0.3316

0.2243

32.3

2500

3000

0.0743

0.0456

38.7

0.3547

0.2426

31.6

2500

3500

0.0801

0.0493

38.5

0.3731

0.2575

30.9

2500

4000

0.0851

0.0524

38.4

0.3879

0.2697

30.4

2500

4500

0.0893

0.0551

38.3

0.4003

0.2800

30.0

3000

2000

0.0455

0.0276

39.4

0.2684

0.1762

34.3

3000

2500

0.0528

0.0321

39.2

0.2991

0.1991

33.4

3000

3000

0.0589

0.0359

39.0

0.3232

0.2177

32.6

3000

3500

0.0642

0.0392

38.9

0.3426

0.2329

32.0

3000

4000

0.0686

0.0420

38.8

0.3585

0.2457

31.4

3000

4500

0.0725

0.044li

38.7

0.3719

0.2565

31.0

3500

2000

0.0363

0.0219

39.6

0.2410

0.1561

35.2

3500

2500

0.0426

0.0257

39.5

0.2716

0.1785

34.2

3500

3000

0.0479

0.029L

39.3

0.2961

0.1969

33.5

3500

3500

O.OS26

0.0320

39.2

0.3161

0.2122

32.8

3500

4000

0.0567

0.0345

39.1

0.3328

0.2252

32.3

3500

4500

0.0602

0.0367

39.0

0.3469

0.2364

31.8

4000

2000

0.0296

0.0178

39.8

0.2179

0.1397

35.8

4000

2500

0.0351

0.0211

39.6

0.2680

0.1612

34.9

4000

3000

0.0398

0.0241

39.5

0.2726

0.1792

34.2

0.0266

39.4

0.2930

0.1945

33.6

4000

3500

0.0440

4000

4000

0.0477

0.0289

39.3

0.3101

0.2076

33.0

4000

4SOO

0.0509

0.0309

39.2

0.3247

0.2189

32.5

4500

2000

0.0246

0.0148

39.9

0.1982

0.1259

36.4

4500

2500

0.0294

0.0177

39.8

0.2277

0.1466

35.6

4500

3000

0.0336

0.0203

-39.7

0.2521

0.1641

34.8

4360

1500

o.om

0.0225

39.6

0.2725

0.1792

34.2

I 4500

4000

0.0407

0.0246

39.5

0.2899

0.1922

33.7

4500

4500

0.0437

0.0264

39.4

0.3068

0.2035

33.2

-

-

Table 4. Rejtraint

system used 3s an equi~alencr

to inirsascd

car height. Am,

L

=1 2000

lrn

g2 2500 2500

/

1

Cll+:lD

1

-I

I

866

2866

o.a33il

16::

z,

*:m _ 1

I

‘.rnL”2,

T367:

3.8360

,

3.9165

916

2916

0.4580

1333

3000

960

2960

0.4aoo

1987

3987

2000

3500

1000

3000

0.5000

2136

4:36

2000

4000

1036

3036

0.5140

22ao

4230

1.1400

2000

4500

1069

3069

0.5345

2LL9

4419

1.2095

0.9935 /

0.9935

2500

2000

1029

3529

0.4116

192L

4424

0.7696

2500

2500

1083

3583

0.4332

2090

4590

0.8360

2252

4752

0.9008

2500

3000

1133

3633

0.4532

2500

3500

1178

367.3

0.4712

2500

4000

1220

3720

0.4880

2500

4500

1259

3759

0.5036

3000

2000

1187

4187

0.3957 0.4150

3000

2500

1245

4245

3000

3000

1299

4299

0.4330

3000

3500

1349

4349

0.4497

3000

4000

1396

4396

0.4653

3000

4500

1439

4439

0.4797

3500

2000

1343

4843

0.3837

3500

2500

1405

4905

0.4014

3500

3000

1462

4962

0.4177

3500

3500

1516

5016

0.4331

3500

4000

1566

5066

0.4474

3500

4500

1613

5113

0.4609

2000

1497

5497

0.3742

4300

2503

156:

5362

5.39Jj

4000

3000

1622

5622

0.4055

4000

3500

1679

5679

0.4197

4000

4000

1732

5732

0.4330

4000

4500

1783

5703

0.4457

4500

2000

1651

6152

0.3669

4000

L 2408

4908

0.9632

2559

5059

1.0236

2706

5206

1.0824

2171

5171

0.7237

2342

5342

0.7807

2508

5jOa

0.8860

2670

56;l)

0.8900

2827

55:;

0.9423

2981

0.9937

2415

5915

0.6900

2590

6090

0.7400

2760

6260

0.7886

2926

6426

0.8360

3088

6588

0.8823

3247

67P7

0.9277

2658

6658

0.6645

2636

0030

0.7oro

4009

7009

0.7522

3179

7179

0.7947

3344

7344

0.8360

3507

7507

0.8767

2900

7400

0.6444

3080

7580

0.6844

1

1

I

4500

2500

1717

6217

1

0.3816

i

4500

3000

1780

62.30

0.3956

3256

7756

0.7236

7?,P

3.7619

so97

Q500

31,IJ

la39

6339

I,. mn7

>1.,R

Lb33

4500

1895

$396

C.4213

3597

4500

4500

1949

6449

0.4331

I

8262

3762 i

I

1.7297 0.8360

Empirical

estimates

of seat belt effectiveness

in two-car

collisions

135

For the New York data, the ratio 1m,/m, varies between 0.3669 and 0.5345: for the MDA1 data, it varies between 0.644 and 1.2095. Taking their average values we conclude that, from the occupant safety’s point of view, using a restraint system is equivalent to increasing car size by approximately 107~ for the New York data and 85% for the MDA1 data. Since MDA1 data contain many more cases of severe accidents than the New York data, the results indicate that. in terms of car size equivalence. the use of restraint systems affords a relatively high level of occupant protection in case of a severe accident. DISCUSSION

Restraint system effectiveness (RSE) is commonly defined as the percent reduction in the probability of an occupant injury when an occupant chooses to use an available restraint system (e.g. a seat belt). Although the RSE estimates reported in the literature vary considerably, there can be no doubt that the use of a restraint system affords substantial protection to occupants in case of automobile crashes. The results of this research indicate that by and large, RSE estimates would be large when pu is small, that is, when occurrence of an occupant injury in an automobile crash is relatively rare. This conclusion is supported by Fig. 1which shows a declining relationship between reported RSE estimates and the corresponding estimates of pl, given in Table 1. Thus RSE estimates can be misleading when they are not accompanied by estimates of p,,; the value of RSE alone is insufficient for comparing the effectiveness of restraint systems. Increasing numbers of smaller cars are being sold in the market in order to meet fuel economy requirements of consumers. Since it is well known that occupants of smaller cars face somewhat higher risks of injury in the event of an automobile accident, one way of offsetting these higher risks is to persuade the occupants of smaller cars to use available restraint systems at all times during their travel. This research shows that-the use of a restraint system would decrease the probability of severe or fatal injuries in the event of a two-car accident by at least 28.9% (from 0.43 for unbelted drivers to 0.31 to belted drivers). Inveterate non-users of available restraints could still offset higher risks associated with small cars, if they decided to travel in a car slightly larger than the one used by restrained occupants. Table 3 shows the increase in car size required to compensate the non-use of restraint systems. Since the MDA1 data were obtained from a non-statistical sample of police reported accident data, they are likely to be statistically biased. On the other hand, police accident data are comprised of all accidents reported to the police. Consequently, barring the few unreported accidents, police data are likely to be representative of automobile accidents occurring nationally both in their relative frequency and severity. Thus, we conclude that the use of a restraint system affords approximately the same level of protection in a two-car collision as would a 40% increase in car size. REFERENCES Bohlin N. J.. A statistical analysis of 28.000 accident cases with emphasis on occupant restraint value, Proc. I I fh Strapp Car Crash Conf.. Society of .4utomotive Engineers, New York, 299-316, 1967. Committeeon Medical Aspects of .4utom&ve Safety. Rating the severity of tissue damage, JAM.4. 213(Z), 277-280. 1971. Cromack J. R. and Mason R. L.. Restraint system use and misuse. Proc. 20th Conf. of AAAM. Atlanta. 367-381, 1976. Dutt 4. and Reinfurt D. W.. Accident involvement and crash injury rates by make:mddel and year of the car, a follow-up. HSRC. Chapel Hill, 1977. General Motors Corporation. Response to proposal to amend MVSS 208-occupant crash protection (OST DKT. No. U: N. 76-S). USG IJ10 Part 111. 1976. Grime G.. The protection afforded by seat belts. Transport and Road Research Laboratory. Supplement report -U9. ISSN0305-1315. Criwthorne. U.K.. 1979. Hochberg Y. and Reinfurt D. W.. An investigation of seat belt usage and effectiveness, Interim report DOT-HU-00897 (SYOSS). HSRC.Chapel Hill, 1975 Insurance Institute for Highway Safely. How air-bags and seat belts complement each other. Stators Report ll(7). 6-8, 1976. Huelke D. F.. Lawson T. E.. Scott R. and ,Uarsh J. C. IV. The effectiveness of belt systems in frontal and roll over crashes, Paper presented at Inf. Automofice Engineering Congress and Exposifion. SAE. 1977. Kahane C. J., Lee S. N. and Smith R. A.. A program to evaluate active restraint effectiveness. Proc. 4fh Inr. Congress on Arrtomorice Sa/ery, 321-348. 1975. Kahane C. 1.. Usage and effectiveness of seat shoulder belts in rural Pennsylvania accidents. Technical note N43-31-5. DOT-HS-801 398. Office of Statistics and Analysis. NHTSA, 1974. Krishnan K. S.. Carnahan J. V. and Beckmann M. J.. An injury threshold model for two-carcollisions. TI&1S, forthcoming issue. 1983. Krishnan K. S.. Evaluation of an injury threshold model using field accident data. Faculty Working Paper Series. Wayne State University. I98 I.

236 Marsh

K. S. KRISHVAX J. C.. Review

of multidisciplinary accident investigation (MDXI) report on automation and ultilization progam. HIT .4nn Arbor. 19X. Mohan D.. Zador P.. O’Neill B. and Ginsburg X, Air bags and lap shoulder belts-a comparison of their effectiveness in real world. frontal crashes. Document I transmitted by letter to DOT. IIhs. LVashington. D.C.. 1976. O’Neill B.. Joksch H. and Haddon W.. Relationship between car size, car &eight and crash injuries in car-to-car crashes. Proc. 3rd ht. Congress on r\utomorice Safety. San Francisco, 197-t. Reihfurt 0. W.. Silva C. Z. and Hochberg Y.. .A statistical analysis of seat belt effectiveness in 1973-75 model cars involved in tow-away crashes, DOT-HS-S-01255. HSRC. Chapel Hill. l9?5. Rininger A. R. and Boak R. W.. Lap/Shoulder belt effectiveness. Proc. 20th Coni. .~.-\.-M Atlanta, 262-279. 1976. Robertson L. S.. Estimates of motor vehicle seat belt effectiveness and use: implications for occupant crash protection, AJPH 66(9). 859-864. 1976. Scott R. E.. Flora J. D. and Marsh J. C. IV. ;\n evaluation of the 1971 and 19’5 restraint systems. Special report, UM-HSRI-7Gl3. HSRI, Ann Arbor. 1976. Sherman H. W.. Murphy M. J. and Huelke D. F.. A reappraisal of the use of police injury codes in accident data analysis. 1976.

Lob Reports 3(6). HSRI.

Wilson R. .4. and Savage C. M.. Restraint system effectiveness-a Sale0 seminor. GM Training Center. Warren, 1973.

study of fatal accidents.

Paper presented

at Automotive