Xiaojun Chen1, Jingzhen Yang2, Corinne Peek-Asa2, Daniel V McGehee2, Liping Li3. 1. First Affiliated Hospital, China; Injury Prevention Research Center, Shantou University Medical College, China. 2. University of Iowa Injury Prevention Research Center, Iowa City, Iowa. 3. Injury Prevention Research Center, Shantou University Medical College, China. Electronic address: lpli@stu.edu.cn.
Abstract
BACKGROUND: China has not adopted national policies for child safety restraints in cars, although children are increasingly traveling in cars. OBJECTIVE: To describe child restraint use, and parents' knowledge of and attitude toward child restraint in Shantou, China. METHODS: An observational study and driver survey on child restraint use was conducted in the Southeast China city of Shantou in 2012. Observational sites included 22 middle schools, 31 primary schools, 24 kindergartens, and 4 hospitals. Drivers were asked about their knowledge of and attitude toward the use of child restraints. In September 2012, multivariate regression was used to evaluate the factors associated with increased child restraint use. RESULTS: Of 3333 children observed in vehicles, only 22 (0.6%) children were secured in child safety seats or booster seats and 292 (8.7%) children were wearing seatbelts. More than half (n=508, 56.1%) of the infants or toddlers were riding on the laps of adults. Of 1069 drivers who responded to the survey, more than 62% thought it was necessary to use child restraint while traveling in a car. The drivers' higher education status (OR=1.56, 95% CI=1.07, 2.27) and seatbelt use (OR=4.00, 95% CI=2.56, 6.25) were associated with increased child restraint use. Parents (OR=0.55, 95% CI=0.34, 0.88) and male drivers (OR=0.61, 95% CI=0.46, 0.81) had reduced odds of children properly rear-seated. CONCLUSIONS: Child restraint use is very low in China, although the majority of drivers had positive attitudes about child restraint. These findings indicate that child restraint policies and educational approaches are urgently needed in China.
BACKGROUND: China has not adopted national policies for child safety restraints in cars, although children are increasingly traveling in cars. OBJECTIVE: To describe child restraint use, and parents' knowledge of and attitude toward child restraint in Shantou, China. METHODS: An observational study and driver survey on child restraint use was conducted in the Southeast China city of Shantou in 2012. Observational sites included 22 middle schools, 31 primary schools, 24 kindergartens, and 4 hospitals. Drivers were asked about their knowledge of and attitude toward the use of child restraints. In September 2012, multivariate regression was used to evaluate the factors associated with increased child restraint use. RESULTS: Of 3333 children observed in vehicles, only 22 (0.6%) children were secured in child safety seats or booster seats and 292 (8.7%) children were wearing seatbelts. More than half (n=508, 56.1%) of the infants or toddlers were riding on the laps of adults. Of 1069 drivers who responded to the survey, more than 62% thought it was necessary to use child restraint while traveling in a car. The drivers' higher education status (OR=1.56, 95% CI=1.07, 2.27) and seatbelt use (OR=4.00, 95% CI=2.56, 6.25) were associated with increased child restraint use. Parents (OR=0.55, 95% CI=0.34, 0.88) and male drivers (OR=0.61, 95% CI=0.46, 0.81) had reduced odds of children properly rear-seated. CONCLUSIONS:Child restraint use is very low in China, although the majority of drivers had positive attitudes about child restraint. These findings indicate that child restraint policies and educational approaches are urgently needed in China.
Authors: Li Li; Robert Scherpbier; Jing Wu; Xu Zhu; Wei Zhang; Lin Zhang; Xin Gao; Jiesi Luo; Guoqing Hu Journal: Bull World Health Organ Date: 2015-01-30 Impact factor: 9.408
Authors: Huiqian Lei; Jingzhen Yang; Xiangxiang Liu; Xiaojun Chen; Liping Li Journal: Int J Environ Res Public Health Date: 2016-09-28 Impact factor: 3.390