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Backgrounds and Aims: Using Geographical Information System (GIS) can decreases the burden of road traffic injuries effectively by identification of hot spot to modification in hazardous areas. The aim of the study was determining geographical distribution of human risk factors associated with road traffic injuries by using Geographical Information System (GIS) in Iran. Materials and Methods: The national database of road traffic injuries registered by the Iranian traffic Police (Rahvar NAJA) was used. The human risk factors were investigated by recognition of the hazardous points and geographical distribution of associated risk factors. The Hot Spot Analysis and Map clustering approaches were employed to meet the objectives. Results: The mean age of injured subjects was 34 years and the most affected age group was 20-39 years. Death and injury occurrence within out of cities ways were 0.3 % and 28% respectively. Geographical distribution of risk factors also showed that roads of Northern provinces i.e. (Gilaan and Mazandaran) were the hazardous rising as well as Qazvin to Rasht and Qom to Tehran roads. Sistan and Balochestan Provinces and Tehran had the highest (4.8%) and the lowest (0.1%) rates of road traffic injuries leading to death in the country. Conclusions: Northern provinces and its leading axes by hazardous rising and Sistan and Balochestan province with fatal injuries need to identify the cause of injuries' and, if necessary, more tighten regulations and more controls by the traffic police must be applied. REFERENCESPeden M, Scurfield R, Sleet D, Mohan D Hyder A A, Jarawan E . (2004).World report on road traffic injury prevention: World Health Organization Geneva. 2004.Kopits E, Cropper M. Traffic fatalities and economic growth. Accid Anal Prev 2005;37(1): 169-78.Channa R, Jaffrani H A, Khan A J, Hasan T, Razzak J A. Transport time to trauma facilities in Karachi: an exploratory study. Int J Emerg Med 2008; 1(3): 201–4. Soori H, Hussain S, Razzak J. Road safety in the Eastern Mediterranean Region–findings from the Global Road Safety Status Report. East Mediterr Health J 2011;17(10):770-6.Soori H. Descriptive study (Chapter 8) in Basic applied epidemiology. Percian text book 2nd edition.Tehran: Arjmand publisher; 2008.Gesler W. The uses of spatial analysis in medical geography: a review. Social Science & Medicine 1986; 23(10): 963-73.Ameratunga S, Hijar M, Norton R. Road-traffic injuries: confronting disparities to address a global-health problem. The Lancet 2006;367(9521): 1533-40.Akbari M, Naghavi M, Soori H. Epidemiology of deaths from injuries in the Islamic Republic of Iran. East Mediterr health J 2006;12(3/4): 382-90.Rasouli M R, Nouri M, Zarei M R. Saadat S, Rahimi-Movaghar V. Comparison of road traffic fatalities and injuries in Iran with other countries. Chin J Traumatol 2008;11(3): 131-4.Ainy E, Soori H, Mahfozphoor S, Movahedinejad AA. Presenting a practical model for governmental political mapping on road traffic injuries in Iran in 2008: a qualitative study. J R Soc Med Sh Rep 2011; 2(10):79.Khorasani-Zavareh D, Mohammadi R., Khankeh H R, Laflamme L, Bikmoradi A, Haglund B J A. The requirements and challenges in preventing of road traffic injury in Iran. A qualitative study. BMC Public Health 2009; 23(9): 486-91.Nantulya V M, Reich M R. The neglected epidemic: road traffic injuries in developing countries. BMJ 2002; 324(7346): 1139-41. Elvik R. Road safety management by objectives: A critical analysis of the Norwegian approach. Accid Anal Prev 2008;40(3): 1115-22.Liang L Y, Mo'soem D, Hua L T. Traffic accident application using geographic information system. Journal of the Eastern Asia Society for Transportation Studies 2005;6(1): 3574–89.Braddock M, Lapidus G, Cromley E, Cromley R., Burke G, Banco L. Using a geographic information system to understand child pedestrian injury. Am J Public Health. 1994;84(7): 1158-61. Lascala E A, Gerbe D, Gruenewald P J. Demographic and environmental correlates of pedestrian injury collisions: a spatial analysis. Accid Anal Prev 2000;32(5): 651-8.Lightstone A, Dhillon P, Peek-Asa C, Kraus J. A geographic analysis of motor vehicle collisions with child pedestrians in Long Beach, California: comparing intersection and midblock incident locations. Inj Prev 2001;7(2): 155-60.Daum M L, Dorsch W R. Managing Land Use and Institutional Controls with GIS . Journal of Map & Geography Libraries: Advances in Geospatial Information, Collections & Archives2008 ;4(1): 163-73.Erdogan, S, Yilmaz I, Baybura T, Gullu, M. Geographical information systems aided traffic accident analysis system case study: city of Afyonkarahisar. Accid Anal Prev 1998; 40(1): 174-81.Al-Kharusi W. Update on Road Traffic Crashes. Clinical Orthopaedics and Related Research. 2008;466(10): 2457-64.Fars news. Saturday 5th October 2012.Mwatelah J. Application of Geographical Information Systems (GIS) to Analyze causes of Road traffic Accidents (RTAs)–case Study of Kenya. International Conference on Spatial Information for Sustainable Development Nairobi, Kenya. 2–5 October 2001.Cusimano MD, Chipman M., Glazier R. H, Rinner C, Marshall S P. Geomatics in injury prevention: the science, the potential and the limitations. Inj Prev 2007;13(1): 51-6.Rezaeian M, Dunn G, St Leger S, Appleby L. Geographical epidemiology, spatial analysis and geographical information systems: a multidisciplinary glossary. J Epidemiol Community Health 2005;61(2): 98-102.

Background and Aim: About one-third of Iranian children mortality is caused by injuries from which 36% occur due to road traffic injuries. Using child restraint embedded in vehicles can reduce road traffic fatalities by 71% for neonates and 54% for children. Based on its effectiveness in reduction of fatality and prevention of injury severity, child restraint usage mandatory law is a priority. Therefore, this study was conducted to assess opportunities and threats to mandatory law of child restraint usage in Iran. Materials and Methods: Initially, a mixed methods research is carried out by a phenomenological qualitative study, a discussion session by traffic injuries' stakeholders was performed to assess & discuss the opportunities and threats to mandatory law of child restraint usage in Iran, by brain storming method to find the themes in the related topic. A structured questionnaire is later prepared and completed by the stakeholders in the area of road traffic injuries. Assigned scores of 0-100 were considered for each response and analysis of results was performed according to target themes & the total score of the filled questionnaires.Results: Overall, 28 stakeholders participated in the study. According to the stakeholders, traffic police department obtained the highest score of 90 (from 0-100) as an organization to establish the mandatory law of child restraint usage, and acquired the score of 100 for future enforcement and monitoring. As threats and obstacle to the mandatory law of child restraint usage, lack of television and media campaigns and child restraint law and legislation, obtained the highest scores of 85 & 70 respectively. And family sensitivity to their children's health, officials' support and national facilities for broadcasting, and community awareness to use child restraints had the highest scores among existing opportunities and facilities in the country, by scores of 83, 69 and 68 respectively.Conclusion: Due to sensitivity of the family about their children's health & safety, and officials' support to safety establishment through media campaigns, implementation and applicability of child restraint usage laws and legislations, and subsequent enforcement and monitoring seem practical. ReferencesIsna.ir/fa, 13th May 2012.National Center for Statistics and Analysis. 2003, www.nhtsa.dot.gov.Global status report on road safety: time for action. Geneva, World Health Organization, 2009. (www.who.int/violence_injury_prevention/road_safety_status date of access 12 September 2012.Jacobs G, Aaron­Thomas A, Astrop A. Estimating global road fatalities. London: Transport Research Laboratory, (TRL Report 445), First Published 2000, ISSN 0968-4107. Nantulya VM, Reich MR. The neglected epidemic: road traffic injuries in developing countries. BMJ 2002; 324:1139.Ameratunga S, Hijar M, Norton R. Road traffic injuries: confronting disparities to address a global health problem. Lancet 2004; 367:1533-1540.Kopits E, Cropper M. Traffic fatalities and economic growth. Policy Research Working Paper No. 3035. Washington, DC: World Bank; 2003. Available at: http://www.ntl.bts.gov/Lib/24000/24400/24490/25935_wps3 035.pdf. Data of access June 2012.Montazeri A. Road-traffic-related mortality in Iran: A descriptive study. Public Health 2004; 118: 110- 3.Soori H, Masoudinegad M R. Azari R M. Analysis of opportunities and legal obstacle in control of road traffic injury in Iran. Final report. Safety Promotion and Injury Prevention research center of Shahid Beheshti University of Medical Sciences, 2008.Kahane, C. An Evaluation of Child Passenger Safety: The Effectiveness and Benefits of Safety Seats, Washington, DC: National Highway Traffic Safety Administration, U.S. Department of Transportation1986.World report on child injury prevention, World Health Organization 2008. Global Status Report on Road Safety. www.who.int/entity/violence safety./state of road_safety_en.pdf , access28 August.Phyllis F. AGRAN, PAuL F. WEHRL E. Injury Reduction by Mandatory Child Passenger Safety Laws. AJPH 1985; 75(2): 129.Najafi H. Research methodology in educational science and psychology, Tehran, Ahsan, 2007, first edition, page 62.Zaza S, Sleet D A, Thompson R S, Sosin DM , Bolen J C. Reviews of evidence regarding interventions to increase use of child safety seats. Am J Prev Med 2001; 21(4 Suppl), 31-47.Desapriya E B, Iwase N, Pike I, Brussoni M, Papsdorf M. Child motor vehicle occupant and pedestrian casualties before and after enactment of child restraint seats legislation in Japan. Inj Control Saf Promot 2004; 11(4): 225-230.Staunton C, Davidson S, Kegler S, DawsonL, Powell K, Dellinger A. Critical gaps in child passenger safety practices, surveillance, and legislation: Georgia, 2001. Pediatrics 2005; 115(2): 372-379.Cameron L, Segedin E, Nuthall G, Thompson J. Safe restraint of the child passenger. J Paediatr Child Health 2006; 42(12): 752-757.Bingham CR, Eby DW, Hockanson HM, Greenspan AI. Factors influencing the use of booster seats: a state-wide survey of parents. Accid Anal Prev. 2006; 38(5):1028-1037.Ehiri J, King W, Ejere H, Mouzon P. Effects of Interventions to Increase Use of Booster Seats in Motor Vehicles for 4-8 Year Olds. Washington, DC: AAA Foundation for Traffic Safety, 2006.GunnVL, Phillippi R M, Cooper WO. Improvement in Booster Seat Use in Tennessee. Pediatrics 2007; 119: 131-136.Winston FK, Kallan MJ, Elliott M R, Xie D, Durbin D R. Effect of Booster Seat Laws on Appropriate Restraint Use by Children 4 to 7 Years Old Involved in Crashes. Archives of Pediatric Adolescent Medicine 2007; 161:270-275.NHTSA. Preliminary Data Indicate That Booster Seat Laws Increase Child Safety Seat Use.Traffic Safety Facts. Traffic Tech, 331. Washington, DC: National Highway Traffic Safety Administration, 2007.Robertson L. Automobile seat belt use in selected countries, states and provinces with and without laws requiring belt use. Accid Anal and Prev 1978; 10:5-10.Stulginskas J V, Pless B. Effects of a seat belt law on child restraint use. Am J Dis Child 1983; 137:582-585. Wagenaar A C, Webster D W. Preventing Injuries to Children Through Compulsory Automobile Safety Seat Use, Pediatrics 1986; 78 (4) : 662-672.Decina LE, Lococo KH, Ashburn W, William B, Rose H J. Identifying Strategies to Improve the Effectiveness of Booster Seat Laws, Draft Final Report, May 2008, www.nhtsa.dot.gov.Connell P M M. An evaluation of the Virginia 2002, Child passenger safety law: determining if the law reduced motor vehicle crash injuries and fatality. Virginia Common wealth University Richmond April, 2009.Seat-belts and child restraints: a road safety manual for decision-makers and practitioners London, FIA Foundation for the Automobile and Society, 2009.Istre G R, Stowe M, McCoy M A, Moore B, Culica D, Womack K N, Anderson R J. Anna B. Preventing unintentional injuries in Indigenous children and youth in Canada .Paediatr Child Health 2012; 17(7):393.