1
|
Lei H, Gao R, Yang J, Li L. Parent-Based Intervention to Improve Child Restraint Use Among Kindergarteners in China. Am J Public Health 2018; 108:1524-1526. [PMID: 30252521 PMCID: PMC6187795 DOI: 10.2105/ajph.2018.304650] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2018] [Indexed: 02/05/2023]
Abstract
OBJECTIVES To evaluate the effectiveness of parent-based child restraint system (CRS) education and hands-on CRS installation training. METHODS We conducted a randomized trial with cluster sampling from May 2016 to January 2017 in 6 selected kindergarten classes in Shantou and Chaozhou, China. Parents were randomly assigned to receive 1 of the 3 study conditions: CRS education only, CRS education plus hands-on CRS installation training, or control (child electricity safety). RESULTS Three months after the intervention, significantly higher CRS use was reported in the CRS education plus hands-on CRS installation training group than was reported in the control group (41.2% vs 18.5%; P = .011). However, no significant difference in CRS use was found between the CRS education only and the control groups (26.7% vs 18.5%; P = .33). The ratings on child passenger safety awareness increased significantly in both intervention groups but remained unchanged in the control group after the intervention. CONCLUSIONS The CRS education plus hands-on CRS installation training increased the use of child restraints, but the CRS education only condition did not. Both intervention methods helped to improve child passenger safety awareness.
Collapse
Affiliation(s)
- Huiqian Lei
- Huiqian Lei, Ran Gao, and Liping Li are with the Injury Prevention Research Center, Shantou University Medical College, Shantou, China. Jingzhen Yang is with the Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH
| | - Ran Gao
- Huiqian Lei, Ran Gao, and Liping Li are with the Injury Prevention Research Center, Shantou University Medical College, Shantou, China. Jingzhen Yang is with the Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH
| | - Jingzhen Yang
- Huiqian Lei, Ran Gao, and Liping Li are with the Injury Prevention Research Center, Shantou University Medical College, Shantou, China. Jingzhen Yang is with the Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH
| | - Liping Li
- Huiqian Lei, Ran Gao, and Liping Li are with the Injury Prevention Research Center, Shantou University Medical College, Shantou, China. Jingzhen Yang is with the Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, OH
| |
Collapse
|
2
|
Keay L, Hunter K, Ralph M, Porykali B, Lyford M, Clapham K, Lo W, Ivers R. Overcoming barriers to use of child car seats in an urban Aboriginal community-formative evaluation of a program for Aboriginal Community Controlled Health Services. Pilot Feasibility Stud 2018; 4:161. [PMID: 30377536 PMCID: PMC6195719 DOI: 10.1186/s40814-018-0351-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 10/02/2018] [Indexed: 11/10/2022] Open
Abstract
Background Little is known about the barriers to use of child car seats in Australian Aboriginal communities, or the acceptability of programs to increase appropriate car seat use. This formative evaluation sought to consult and partner with Aboriginal Community Controlled Health Services (ACCHS) to develop and evaluate the feasibility and acceptability of a program intended to improve optimal use of child car seats. Methods Focus groups were conducted with parents and carers of Aboriginal children to identify the barriers and facilitating factors for child car seat use, and staff of two ACCHS were interviewed to inform program development. Following the implementation of the resulting multi-faceted program, consisting of staff training, education, hands-on demonstrations and a subsidised car seat distribution scheme, interviews were conducted to assess process issues and acceptability with 13 staff members. Results Parents and carers in the focus groups reported a lack of awareness of child car seat use, confusion about the right car seats for different aged children but agreed about the importance of safety and community responsibility to keep children safe in cars. Interviews with service staff informed an approach to deliver relevant information. Information and resources were delivered to families, while the car seat distribution scheme supplied 33 families with child car seats. Following the conclusion of the program, staff reported that the program was relevant to their role. They also valued the car seat distribution scheme. Staff training in selection and installation of car seats increased confidence in staff knowledge. Conclusions We developed a program to promote child car seat use in ACCHS, which focused on developing capacity, made use of existing infrastructure and developed resources for use in this setting. The program shows promise as a means to promote child car seat use in Aboriginal communities; however, the impact on child car seat use will need to be evaluated in a larger scale prospective trial.
Collapse
Affiliation(s)
- Lisa Keay
- 1Injury Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia
| | - Kate Hunter
- 1Injury Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia.,2The Poche Centre for Indigenous Health, The University of Sydney, Room 224, Edward Ford Building (A27), Sydney, Australia
| | - Martyn Ralph
- 1Injury Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia
| | - Bobby Porykali
- 1Injury Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia
| | - Marilyn Lyford
- 3Cardiovascular Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia
| | - Kathleen Clapham
- 4Australian Health Services Research Institute, University of Wollongong, Building 234 (iC Enterprise 1) Innovation Campus, Wollongong, NSW 2522 Australia
| | - Winston Lo
- 5School of Public Health and Community Medicine, University of New South Wales, Sydney, Samuels Avenue, Kensington, Sydney, 2033 Australia
| | - Rebecca Ivers
- 1Injury Division, The George Institute for Global Health, University of New South Wales, Sydney, Level 5, 1 King Street Newtown, Sydney, 2042 Australia.,5School of Public Health and Community Medicine, University of New South Wales, Sydney, Samuels Avenue, Kensington, Sydney, 2033 Australia
| |
Collapse
|
3
|
Liu S, Zhou H, Ma J, Wang C, Chen Z, Chen S, Yang Y, Liu X, Peng J, Duan L, Deng X. Knowledge, attitudes, and behaviors related to child safety restraint in citizens of Shenzhen Municipality, China, and the associations between these factors. TRAFFIC INJURY PREVENTION 2018; 19:42-48. [PMID: 28534715 DOI: 10.1080/15389588.2017.1329534] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2016] [Accepted: 05/08/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVE A child safety restraint (CSR) is an effective measure to reduce the risk of child injury from traffic collisions. This study aims to explore knowledge, attitudes, and behaviors regarding CSRs in a Chinese population. METHODS A cross-sectional survey regarding CSR use was conducted from April to May 2014 in Shenzhen municipality. Respondents were parents who had at least one child 0 to 6 years of age and owned a car. These parents provided a self-report of demographic characteristics as well as information about their knowledge, attitudes, and behaviors toward CSR use. RESULTS Most respondents had a fair level of knowledge about CSRs, with higher mean knowledge scores demonstrated among the respondents who were male, had an advanced degree, had a higher income, owned an expensive car, had an older child, drove frequently with children, and routinely drove greater distances with children. In addition, most respondents had a more positive attitude toward CSR use, with a higher mean attitude score among those who had an advanced degree, owned an expensive car, drove frequently with children, and routinely drove greater distances with children. However, some myths regarding CSR use also existed (e.g., parents can effectively protect their children in a car collision by holding them, they are not required to purchase the CSR for child safety if there is no mandatory provision by law, among others). Among 3,768 respondents who had at least one child and a car, 27.8% (1,047) had a CSR and 22.9% (864) used the CSR. A logistic regression model showed the likelihood of CSR ownership to be higher if respondents drove frequently or greater distances and was dependent on both the education level of the respondents and the age of the children. The frequency of CSR use increased as the age of children decreased (P = .0274). Respondents who owned a CSR and those who frequently used CSRs had higher mean knowledge and mean attitude scores. CONCLUSIONS This observational study found that although the majority of respondents had fair levels of knowledge and positive attitudes, they had lower rates of CSR ownership and use. Therefore, efforts at developing opportunities to expand public awareness of CSR use should be made to improve child passenger safety practices and eliminate child injury caused by traffic collisions.
Collapse
Affiliation(s)
- Shengyuan Liu
- a Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Nanshan Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Haibin Zhou
- b Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Jianping Ma
- a Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Nanshan Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Changyi Wang
- a Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Nanshan Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Zhongwei Chen
- a Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Nanshan Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Sihan Chen
- a Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Nanshan Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Yingzhou Yang
- b Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Xiaoli Liu
- b Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Ji Peng
- b Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Center for Chronic Disease Control , Shenzhen, Guangdong , China
| | - Leilei Duan
- c National Center for Chronic Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention , Beijing , China
| | - Xiao Deng
- c National Center for Chronic Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention , Beijing , China
| |
Collapse
|
4
|
Rok Simon M, Korošec A, Bilban M. The influence of parental education and other socio-economic factors on child car seat use. Zdr Varst 2016; 56:55-64. [PMID: 28289464 PMCID: PMC5329786 DOI: 10.1515/sjph-2017-0008] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2015] [Accepted: 07/07/2016] [Indexed: 11/15/2022] Open
Abstract
INTRODUCTION The behaviour of parents in ensuring car passenger safety for their children is associated with socio-economic (SE) status of the family; however, the influence of parental education has rarely been researched and the findings are contradictory. The aim of the study was to clarify whether parental education influences the use of a child car seat during short rides. METHODS A cross-sectional survey was carried out in outpatient clinics for children's healthcare across Slovenia. 904 parents of 3-year-old children participated in the study; the response rate was 95.9%. A self-administered questionnaire was used. A binary multiple logistic regression was applied to assess the association between parental unsafe behaviour as dependent variable, and education and other SE factors as independent variables. RESULTS 14.6% of parents did not use a child car seat during short rides. Families where mother had low or college education had higher odds of the non-use of a child car seat than families where mother had a university education. Single-parent families and those who lived in areas with low or medium SE status also had higher odds of the non-use of a child car seat. CONCLUSIONS Low educational attainment influences parents' behaviour regarding the non-use of a child car seat. Low parental education is not the only risk factor since some highly educated parents also have high odds of unsafe behaviour. All parents should therefore be included in individually tailored safety counselling programmes. SE inequalities could be further reduced with provision of free child car seats for eligible families.
Collapse
Affiliation(s)
- Mateja Rok Simon
- National Institute of Public Health, Centre for Health Research and Development, Trubarjeva 2, 1000 Ljubljana, Slovenia
| | - Aleš Korošec
- National Institute of Public Health, Centre for Health Research and Development, Trubarjeva 2, 1000 Ljubljana, Slovenia
| | - Marjan Bilban
- Institute of Occupational Safety, Chengdujska c. 25, 1260 Ljubljana-Polje, Slovenia
| |
Collapse
|
5
|
Taubman-Ben-Ari O, Noy A. Does the transition to parenthood influence driving? ACCIDENT; ANALYSIS AND PREVENTION 2011; 43:1022-1035. [PMID: 21376897 DOI: 10.1016/j.aap.2010.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/05/2010] [Revised: 11/26/2010] [Accepted: 12/01/2010] [Indexed: 05/30/2023]
Abstract
Most parents remember the first time they drove with a newborn child in the car. Feeling the need to protect the infant, they avoided sharp turns and drove more slowly and carefully than normal. But how long do these behaviors persist? Do parents ultimately revert to their previous driving patterns, or does some of the early protectiveness and caution continue to characterize their driving as their infant grows into a toddler and preschooler? In an attempt to answer these questions, two studies were conducted on parents of young children: a qualitative study consisting of personal interviews (16 parents); and a quantitative study in the form of a national telephone survey (165 parents). The results show that the most dominant reported effect of the transition to parenthood on driving is increased apprehension of traffic crashes and a stronger sense of responsibility. However, these changes were found to influence the reported actual driving behavior of only a portion of the parents. Possible explanations of the findings are discussed.
Collapse
Affiliation(s)
- Orit Taubman-Ben-Ari
- The Louis and Gabi Weisfeld School of Social Work, Bar-Ilan University, Ramat Gan 52900, Israel.
| | | |
Collapse
|