Abstract:Abstract: OBJECTIVE To understand the equipment and use of child safety seats in western region, and parents’awareness of children’s riding safety. To provide a reference for popularizing the use of child safety seats and reducing children’s traffic injuries. METHODS From December 2021 to February 2022, a questionnaire survey was conducted among 4 455 parents of children aged 0 to 6 in a western city to understand their use and cognition of child safety seats. RESULTS Among the 4 455 respondents, 2 261 par⁃ ents (50.8%) equipped with child safety seats. The use rate of safety seats is 44.4% (1 977/4 455), but only 19.6% (874/4 455) fami⁃ lies always use safety seat when traveling. χ2 test results showed statistically significant differences when comparing the safety seat ownership rates with different parents’education level, age, place of residence, number of children, family income, travel frequency and travel distance (χ2 =207.487, 15.115, 5.766, 13.033, 111.760, 335.066, 278.038, P＜0.05). 85.2% parents mistakenly believe that car seat belts are effective in protecting children in the event of a crash. The main reason for not installing child safety seat is that parents think children have fewer opportunities to ride (25.7% ). CONCLUSION The ownership and utilization rates of safety seats for preschool children family are low in the western city. Parents have misunderstanding about the safe way for children to ride, the use of safety seats and seat belts. The traffic safety protection of minors urgently needs the attention and participation of the whole society.