Car seatbelt use during pregnancy in Japan: determinants and policy implications
Car seatbelt use during pregnancy in Japan: determinants and policy implications
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DOI：
10.1136/ip.9.2.169
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发表时间：
2003-06-01
影响因子：
3.7
通讯作者：
Wakai, S
中科院分区：
文献类型：
--
作者：
Ichikawa, M;Nakahara, S;Wakai, S
背景：尽管使用安全带对降低孕妇及其胎儿在车祸中死亡的风险至关重要，但日本目前的安全带立法对孕妇豁免。目的：检查可能影响怀孕期间使用安全带的因素。方法：一项横断面研究，数据来自日本郊区产科诊所通过匿名、自我管理的问卷收集的数据。共招募了880名2001年7月接受产前护理的孕妇。结果：近70%-80%的孕妇在孕前一直佩戴安全带，但在妊娠20周或更长时间时，安全带依从性降低了约一半。只有20%的人收到了关于母亲使用安全带的信息，三分之一的人报告说，在怀孕期间使用安全带是有益的。认为孕妇使用安全带有益的人倾向于继续使用安全带，但日常汽车使用者和知道自己不受安全带立法限制的人更有可能减少安全带的使用。结论：孕妇对安全带立法豁免的了解、对安全带益处的误解以及日常汽车使用是导致怀孕后安全带使用减少的原因。
Context: Pregnant women are exempted from the current seatbelt legislation in Japan despite the fact that seatbelt use is essential to reduce the risk of fatalities for these women and their fetuses in car crashes.Objective: To examine factors that might influence seatbelt use during pregnancy.Methods: A cross sectional study, with data collected via an anonymous, self administered questionnaire at obstetric clinics in suburban areas of Japan. Altogether 880 pregnant women receiving prenatal care in July 2001 were recruited. The relative effects of factors that might influence seatbelt use during pregnancy were estimated using logistic regression analysis.Results: Almost 70%-80% of pregnant women were consistent seatbelt wearers before pregnancy but seatbelt compliance was reduced by about half at 20 weeks or more gestation. Only 20% had received information on maternal seatbelt use, with one third reporting that seatbelt use is beneficial during pregnancy. Those who perceived that maternal seatbelt use is beneficial tended to maintain use, but daily car users and those who knew that they were exempted from seatbelt legislation were more likely to reduce use.Conclusions: Knowledge of the legislative exemption for pregnant women, misunderstanding of the benefits, and daily car use contributed to the reduction in seatbelt use after pregnancy.