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.
陈博, 王熙慧, 裘凤黔, 喻彦, 高淑娜, 何丽华, 李为翊, 纪云芳, 陈玮华. 0~3岁儿童安全座椅配备及使用情况调查[J]. 预防医学, 2025, 37(1): 21-25.
CHEN Bo, WANG Xihui, QIU Fengqian, YU Yan, GAO Shuna, HE Lihua, LI Weiyi, JI Yunfang, CHEN Weihua. Availability and use of child safety seats among children aged 0-3 years. Preventive Medicine, 2025, 37(1): 21-25.
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