Sociodemographic disparities in child restraint selection and variation in child passenger safety information sources.

Autor: Sartin EB; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, United States. Electronic address: sartine@chop.edu., Metzger KB; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, United States., Curry AE; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, United States; Division of Emergency Medicine, Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, United States., O'Malley L; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, United States., Pfeiffer MR; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, United States., Mansfield JA; Injury Biomechanics Research Center, The Ohio State University, United States.
Jazyk: angličtina
Zdroj: Accident; analysis and prevention [Accid Anal Prev] 2023 Aug; Vol. 188, pp. 107094. Date of Electronic Publication: 2023 May 06.
DOI: 10.1016/j.aap.2023.107094
Abstrakt: Purpose: Marginalized and otherwise vulnerable groups remain at higher risk than their counterparts for not having all of their children appropriately restrained during vehicle trips. Little is known about potential sources of these disparities, however a commonly theorized factor has been where caregivers find or obtain information (i.e., their information sources). The objective of this study was to: (1) characterize caregivers' actual and preferred sources of information related to child passenger safety information, overall and within sociodemographic groups; and (2) determine if, and if so how, sources impact appropriate child restraint use (i.e., child/seat fit).
Methods: We conducted an online, cross-sectional survey of US caregivers. Caregivers answered questions about themselves, their child(ren), their child(ren)'s restraint use during trips, and their information sources to learn which seat their child should be using. We used Fisher's exact and Pearson chi-square tests to compare used and preferred sources of information across caregiver demographics (age, education, race/ethnicity), as well as to determine whether information sources were associated with caregivers' appropriate child restraint use.
Results: A total of 1,302 caregivers from 36 states with 2,092 children completed the survey. The majority (91%) of children were appropriately restrained. More caregivers from marginalized and otherwise vulnerable groups had children inappropriately restrained when compared with their counterparts. We identified multiple differences in both used and preferred information sources by caregivers' age, race/ethnicity, and education level. In addition, we found a trend that caregivers from populations with higher rates of inappropriate use seemingly used fewer information sources. Ultimately, information sources were not associated with appropriate restraint use; however, within vulnerable populations, almost all caregivers had all of their children appropriately restrained if they had used a Child Passenger Safety Technician (CPST)/Inspection Station or their Pediatrician.
Conclusion: Our findings reiterate calls for more tailored interventions and efforts to combat widening disparities in child restraint use and crash outcomes and suggest one promising method may be providing more access to child passenger safety experts. Future studies must untangle the likely complex relationship between information sources and appropriate/accurate child restraint use.
Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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