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Parents’ knowledge, attitude, and use of child restraints in Shantou, China

Document Number:N2014-026
Document Type:Journal paper
Author(s):Xiaojun Chen
Jingzhen Yang
Corinne Peek-Asa
Daniel McGehee
Liping Li
Publication / Venue Name:American Journal of Preventative Medicine
Publication Date:2014-01-01
China has not adopted national policies for child safety restraints in cars, although children are increasingly traveling in cars.

To describe child restraint use, and parents’ knowledge of and attitude toward child restraint in Shantou, China.

An observational study and driver survey on child restraint use was conducted in the Southeast China city of Shantou in 2012. Observational sites included 22 middle schools, 31 primary schools, 24 kindergartens, and 4 hospitals. Drivers were asked about their knowledge of and attitude toward the use of child restraints. In September 2012, multivariate regression was used to evaluate the factors associated with increased child restraint use.

Of 3333 children observed in vehicles, only 22 (0.6%) children were secured in child safety seats or booster seats and 292 (8.7%) children were wearing seatbelts. More than half (n=508, 56.1%) of the infants or toddlers were riding on the laps of adults. Of 1069 drivers who responded to the survey, more than 62% thought it was necessary to use child restraint while traveling in a car. The drivers’ higher education status (OR=1.56, 95% CI=1.07, 2.27) and seatbelt use (OR=4.00, 95% CI=2.56, 6.25) were associated with increased child restraint use. Parents (OR=0.55, 95% CI=0.34, 0.88) and male drivers (OR=0.61, 95% CI=0.46, 0.81) had reduced odds of children properly rear-seated.

Child restraint use is very low in China, although the majority of drivers had positive attitudes about child restraint. These findings indicate that child restraint policies and educational approaches are urgently needed in China.
Body:No files listed
Copyright:American Journal of Preventive Medicine
Keywords:None listed

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