Disparities in Age-Appropriate Child Passenger Restraint Use Among Children Aged 1 to 12 Years
Disparities in Age-Appropriate Child Passenger Restraint Use Among Children Aged 1 to 12 Years
复制标题
DOI：
10.1542/peds.2013-1908
复制
发表时间：
2014-02-01
期刊：
影响因子：
8
通讯作者：
Freed, Gary L.
中科院分区：
文献类型：
--
作者：
Macy, Michelle L.;Cunningham, Rebecca M.;Freed, Gary L.
目的：在儿童安全座椅使用中观察到的种族差异并没有考虑到社会经济因素。我们假设，种族差异的年龄适当的约束使用将被修改的社会经济地位和儿童乘客safety information sources.METHODS：一个2网站，横断面平板电脑为基础的调查，父母寻求紧急护理为他们的1- 12岁的孩子在2011年10月和2012年5月之间进行。家长提供了儿童乘客安全实践、人口统计特征和信息来源的自我报告。在急诊科出院的一部分儿童中直接观察约束使用情况。适当的约束使用密歇根law.RESULTS定义：744个合格的父母，669同意参加，601提供了完整的关键变量的反应。与非白色父母相比，白色父母报告说，1至3岁儿童使用汽车安全座椅的比例更高，4至7岁儿童使用加高座椅的比例更高。不分种族，身高4英尺9英寸的8到12岁儿童中有30%使用了增高座椅。在控制了教育、收入、信息来源和地点的情况下，与非白色父母相比，白色父母报告年龄适当的约束使用的调整后比值（3.86，95%置信区间2.27-6.57）更高。有大量的协议（82.6%，k = 0.74）之间的父母报告，他们的孩子的通常约束和观察到的约束在急诊室discharge.CONCLUSIONS：努力应针对消除种族差异的年龄适当的儿童乘客约束使用的儿童，8岁。助推器座椅的使用，安全带的使用，和后座代表机会，以改善儿童乘客的安全做法，年龄较大的儿童。儿科2014; 133：262-271
OBJECTIVE: Observed racial disparities in child safety seat use have not accounted for socioeconomic factors. We hypothesized that racial differences in age-appropriate restraint use would be modified by socioeconomic status and child passenger safety information sources.METHODS: A 2-site, cross-sectional tablet-based survey of parents seeking emergency care for their 1- to 12-year-old child was conducted between October 2011 and May 2012. Parents provided self-report of child passenger safety practices, demographic characteristics, and information sources. Direct observation of restraint use was conducted in a subset of children at emergency department discharge. Age-appropriate restraint use was defined by Michigan law.RESULTS: Of the 744 eligible parents, 669 agreed to participate and 601 provided complete responses to key variables. White parents reported higher use of car seats for 1- to 3-year-olds and booster seats for 4-to 7-year-olds compared with nonwhite parents. Regardless of race,,30% of 8-to 12-year-old children who were # 4 feet, 9 inches tall used a booster seat. White parents had higher adjusted odds ( 3.86, 95% confidence interval 2.27-6.57) of reporting age- appropriate restraint use compared with nonwhite parents, controlling for education, income, information sources, and site. There was substantial agreement ( 82.6%, k = 0.74) between parent report of their child's usual restraint and the observed restraint at emergency department discharge.CONCLUSIONS: Efforts should be directed at eliminating racial disparities in age- appropriate child passenger restraint use for children,8 years. Booster seat use, seat belt use, and rear seating represent opportunities to improve child passenger safety practices among older children. Pediatrics 2014; 133: 262-271