Factors Associated With Child Restraint Use in Motor Vehicle Crashes

Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the “booster-aged” population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4...

Full description

Saved in:
Bibliographic Details
Published in:Clinical pediatrics 2018-10, Vol.57 (12), p.1423-1431
Main Authors: Privette, Franklin, Nwosu, Ann, Pope, Caitlin N, Yang, Jingzhen, Pressley, Joyce C, Zhu, Motao
Format: Article
Language:English
Subjects:
Accidents, Traffic - statistics & numerical data
Age
Age Factors
Child
Child Restraint Systems - statistics & numerical data
Child restraints
Child, Preschool
Children
Continental Population Groups - statistics & numerical data
Ethnic Groups - statistics & numerical data
Female
Guideline Adherence - statistics & numerical data
Humans
Injury analysis
Male
Pediatrics
Risk communication
Risk Factors
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the “booster-aged” population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4 to 7 years old, using 2011 to 2015 data from the Fatality Analysis Reporting System. Of 929 MVC fatalities, 32% of fatally injured children were in an age-appropriate restraint. While age-appropriate CRS use was higher for 4-, 5-, and 6-year-olds relative to 7-year-olds (adjusted relative risk [aRR] = 2.57, 2.51, and 2.18, respectively; p < .01 for each comparison), black children (aRR = 0.62; p < .01) relative to white children, and drivers who had not used a lap-shoulder belt (aRR = 0.40; p < .01) relative to belted drivers were associated with lower levels of age-appropriate CRS use. Our findings underscore the continued importance of communicating best practice guidelines on CRSs to caregivers of young children.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922818786002