|
|
|
| Availability and use of child safety seats among children aged 0-3 years |
| CHEN Bo1, WANG Xihui1, QIU Fengqian1, YU Yan2, GAO Shuna1, HE Lihua1, LI Weiyi1, JI Yunfang1, CHEN Weihua1
|
1. Huangpu District Center for Disease Control and Prevention (Huangpu District Health Supervision Institute), Shanghai 200023, China;
2. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China |
|
|
|
|
Abstract Objective To investigate the availability and use of child safety seats among children aged 0-3 years, so as to provide the basis for improving riding safety for children. Methods Parents of children aged 0-3 years in Huangpu District, Shanghai Municipality, were recruited using the stratified multistage random sampling method from May to July 2024. Demographic information, family travel patterns, the use of child safety seat and related health beliefs were collected using questionnaire surveys. Factors affecting the use of child safety seats were identified using a multivariable logistic regression model. Results Totally 514 valid questionnaires were recovered, with an effective rate of 96.98%. The respondents included 122 fathers (23.74%) and 392 mothers (76.26%), with a median age of 34.00 (interquartile range, 5.00) years. There were 446 families equipping with child safety seats, accounting for 86.77%; and 169 families using child safety seats, accounting for 32.88%. Multivariable logistic regression analysis showed that the parents who had children aged >1-2 years (OR=0.597, 95%CI: 0.366-0.973), travelled 2-4 times per month (OR=0.359, 95%CI: 0.213-0.607) or once per month or less (OR=0.384, 95%CI: 0.202-0.729), and scored high in perceived barrier (OR=0.634, 95%CI: 0.486-0.827) were less likely to use child safety seats; the parents who had children with local household registration (OR=2.506, 95%CI: 1.356-4.633), travelled 5-<10 km (OR=1.887, 95%CI: 1.148-3.101) or ≥10 km (OR=2.319, 95%CI: 1.355-3.967), always wore seat belts (OR=2.342, 95%CI: 1.212-4.524), scored high in perceived susceptibility (OR=1.392, 95%CI: 1.091-1.778) and self-efficacy (OR=1.413, 95%CI: 1.156-1.727) were more likely to use child safety seats. Conclusions Equipping family cars with child safety seats and using them can prevent and reduce traffic injuries among children aged 0-3 years. It is recommended to strengthen publicity to promote the use of child safety seats.
|
|
Received: 20 September 2024
Revised: 04 December 2024
Published: 14 January 2025
|
|
|
|
|
|
[1] GBD 2019 Diseases and Injuries Collaborators.Global burden of 369 diseases and injuries in 204 countries and territories,1990-2019:asystematic analysis for the Global Burden of Disease Study 2019[J].Lancet,2020,396(10258):1204-1222.
[2] 许璐璐,黄文,黄敏钢,等.绍兴市中学生通校道路交通伤害现况调查[J].预防医学,2024,36(10):838-841.
XU L L,HUANG W,HUANG M G,et al.Road traffic injuries among middle school students commuting to school in Shaoxing City[J].China Prev Med J,2024,36(10):838-841.(in Chinese)
[3] 中国疾病预防控制中心慢性非传染性疾病预防控制中心,国家卫生和计划生育委员会统计信息中心.中国死因监测数据集2017[M].北京:中国科学技术出版社,2018.
Chinese Center for Disease Control and Prevention Center for Chronic and Noncommunicable Disease Control and Prevention,Statistics and Information Center of the National Health and Family Planning Commission.China cause of death surveillance dataset 2017[M].Beijing:Science and Technology of China Press,2018.(in Chinese)
[4] SUN Y R,LIU T,RAN N,et al.Assessment of the effectiveness of parent-targeted interventions for the use of child restraint systems:a systematic review and meta-analysis[J].Transl Pediatr,2022,11(12):1939-1948.
[5] 中华人民共和国中央人民政府.中华人民共和国未成年人保护法[EB/OL].[2024-12-04].https://www.gov.cn/xinwen/2020-10/18/content_5552113.htm.
[6] ZHENG X G,LI R L,YANG H M,et al.The rate of child restraint system use among children aged under six years in China[J].Scand J Public Health,2022,50(8):1192-1198.
[7] 邓晓,金叶,段蕾蕾,等.中国3城市9 484例儿童安全座椅使用及认知状况[J].中国妇幼健康研究,2016,27(5):551-555.
DENG X,JIN Y,DUAN L L,et al.Survey on the awareness and use of child safety seat among 9 484 cases in three Chinese cities[J].Chin J Woman and Child Health Res,2016,27(5):551-555.(in Chinese)
[8] MORADI M,KHANJANI N,NABIPOUR A R.An observational study of child safety seat use in an international safe community:Tehran,Iran[J].Traffic Inj Prev,2017,18(1):88-94.
[9] 孙亚茹,尹磊,刘婷,等.0~6岁儿童父母风险感知与儿童安全座椅使用的相关性分析[J].中国儿童保健杂志,2023,31(1):27-31.
SUN Y R,YIN L,LIU T,et al.Correlation between the risk perception of parents of children aged 0-6 years and the use of child safety seats[J].Chin J Child Health Care,2023,31(1):27-31.(in Chinese)
[10] 万丽,文丹,任赟虹,等.西部地区某市幼儿家长儿童汽车安全座椅使用情况及认知现状调查[J].中国初级卫生保健,2023,37(9):23-26.
WAN L,WEN D,REN Y H,et al.Investigation on the use and cognition of child safety seats by parents of young children in a Western[J].Chin Prim Health Care,2023,37(9):23-26.(in Chinese)
[11] YAN S Z,DING K L,YANG J Z et al.Prevalence of child passenger restraint use in Shantou,China from 2012 to 2017[J].BMC Public Health,2020,20(1):807-812.
[12] 邸一花,赵丹,朱利清,等.深圳市儿童安全座椅立法前后知晓及使用变化趋势分析[J].伤害医学(电子版),2023,12(4):43-48.
DI Y H,ZHAO D,ZHU L Q,et al.Trend analysis of awareness and usage rate of child safety seats in Shenzhen City,China before and after legislation[J].Inj Med(Electron Ed),2023,12(4):43-48.(in Chinese)
[13] 喻彦,邓晓,金叶,等.上海市中心地区0~3岁儿童安全座椅使用状况分析[J].中国公共卫生,2021,37(4):668-673.
YU Y,DENG X,JIN Y,et al.Child safety seat use among 0-3 year old children in urban Shanghai:a cross-sectional study[J].Chin J Public Health,2021,37(4):668-673.(in Chinese)
[14] 贺晓春,王兰,肖桂华,等.社会生态视域下儿童安全座椅使用现状及其影响因素[J].中国儿童保健杂志,2024,32(5):522-526.
HE X C,WANG L,XIAO G H,et al.Status que and its influencing factors of the use of child safety seats from the perspective of social ecology[J].Chin J Child Health Care,2024,32(5):522-526.(in Chinese)
[15] 姚玉华,凌利民,喻彦,等.上海市虹口区0~3岁儿童安全座椅的使用及影响因素分析[J].伤害医学(电子版),2023,12(1):23-29.
YAO Y H,LING L M,YU Y,et al.Use and influencing factors of safety seats among children aged 0-3 years old in Hongkou District,Shanghai[J].Inj Med(Electron Ed),2023,12(1):23-29.(in Chinese)
[16] 苏慧佳,喻彦,彭娟娟,等.儿童安全座椅配备及使用影响因素的多层线性模型分析[J].上海预防医学,2018,30(11):930-936.
SU H J,YU Y,PENG J J,et al.Multilevel linear model analysis on influence factors for child safety seat possession and usage[J].Shanghai J Prev Med,2018,30(11):930-936.(in Chinese)
[17] 李为翊,喻彦,高淑娜,等.健康信念对儿童安全座椅使用的影响因素分析[J].环境与职业医学,2019,36(7):638-644.
LI W Y,YU Y,GAO S N,et al.Influence factors of health beliefs on car child safety seats use[J].J Environ Occup Med,2019,36(7):638-644.(in Chinese) |
|
|
|
