Ride-Share Use and Child Passenger Safety Behaviors: An Online Survey of Parents

Madeline F. Savage, Sadiqa Kendi, Michelle L. Macy*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations


Objective: Ride-share services are increasingly used for transportation, but little is known about ride-share use and passenger safety behaviors among parents of children for whom child restraint systems (CRS) are recommended. Our objectives were to characterize ride-share use with children and examine passenger restraint use in ride-share. Methods: A cross-sectional survey, distributed to the TurkPrime Parent Panel using Amazon Mechanical Turk (MTurk), was designed to assess ride-share and passenger safety behaviors. After screening, adult parents of minor children were invited to complete the full survey about transportation behaviors. Descriptive and chi-square statistics were calculated. Logistic regression was conducted to test for characteristics associated with suboptimal restraint use in ride-share. Results: Of 655 screened parents, 162 had no minor children, 43 had incomplete responses or failed an attention check question. Of 450 parents with minor children, 309 (68.7%) used ride-share in the past year and 73.1% of parents who use ride-share did so with their child(ren). Ride-share use with children was most common on vacation. Among parents of children age ≤8 years, 49% reported always using their child's CRS when traveling in ride-share. Suboptimal restraint use in rideshare was associated with child age (3–8 years compared with <3 years), larger family size, and attitudes and behaviors that tolerate suboptimal CRS use. Conclusions: This study identifies an opportunity to promote use of CRS in ride-share services. Child passenger safety messaging, education, policy, enforcement of legislation, and CRS design will need to be adapted as ride-share services become more widely adopted.

Original languageEnglish (US)
Pages (from-to)1363-1371
Number of pages9
JournalAcademic Pediatrics
Issue number8
StatePublished - Nov 1 2021


  • car seats
  • child passenger safety
  • injury prevention
  • ride-share

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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