Community-based programs to promote car seat restraints in children 0–16 years – a systematic review

Turner, Catherine; McClure, Roderick John; Nixon, James W.; Spinks, Anneliese

doi:10.1016/j.aap.2003.12.004

Cited by 46 publications

(26 citation statements)

References 23 publications

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“…1,12,23 However, their use is not mandatory in many countries and use rates are very low in some of them. 20 Even in countries where this issue has been widely disseminated, most of the children killed in traffic accidents were not using any safety restraints. 14 There have recently been in the Brazilian literature review studies on CSRS use regulations, 15,21 book chapters, 9,22 and preliminary research studies.…”

Section: Introductionmentioning

confidence: 99%

Utilização de assentos de segurança por crianças matriculadas em creches

et al. 2009

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OBJECTIVE:To estimate the prevalence of child safety restraint use and factors associated. METHODS:Observational cross-sectional study using a stratified sampling conducted in the city of Maringá, Southern Brazil, between March and May 2007. Each day care center was visited at one day only. The outcome was use of child safety restraints by children under four. Vehicles (N=301) driving children under four were approached and information was collected using semistructured questionnaires. Variables regarding child and adult seat distribution, use of safety restraints by occupants and driver's gender were analyzed. Data analyses included Fisher's exact test, Mantel-Haenszel chi-square test, and logistic regression. RESULTS:Of the drivers approached, 51.8% were using seat belts (60.4% among women, 44.9% among men). Among children, 36.1% were using child safety seats, 45.4% were unrestrained during traveling, 16.0% were seated on an adult lap, and 2.7% were using seat belts. The logistic regression showed the following factors affecting child safety restraint use: child age under 15 months (OR = 3.76); seat belt use by the driver (OR = 2.45); and children from sociooccupational condition with higher income and education (OR = 1.37). CONCLUSIONS:Child safety restraint use was associated to child age, seat belt use by the driver, and socio-occupational condition of day care centers. The finding of low rates of child safety restraint use poses a challenge to preventive medicine in Brazil, requiring attention and action to promote its widespread use.

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Section: Introductionmentioning

confidence: 99%

Utilização de assentos de segurança por crianças matriculadas em creches

et al. 2009

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“…Six of the reviews required a control community or a historical control design , Turner et al 2004a, Turner et al 2005. Three reviews did not stipulate study design criteria (Gielen and Collins 1993, Towner and Dowswell 2002, Nilsen 2004).…”

Section: Characteristics Of the Systematic Reviewsmentioning

confidence: 98%

“…The other 11 reviews assessed programmes targeting specific types of injuries and/or age groups; nine of these dealt with programmes targeting injuries in children aged 0 -14, 0 -15, 0 -16 or 0 -19 years (Klassen et al 2000, Towner and Dowswell 2002, Turner et al 2004a,b, McClure et al 2005a, Turner et al 2005, one focused on injuries among the elderly ) and one concerned a broad range of programmes targeting different types of injuries (Gielen and Collins 1993).…”

Section: Characteristics Of the Systematic Reviewsmentioning

confidence: 99%

“…Three reviews (Gielen and Collins 1993, Klassen et al 2000, Towner and Dowswell 2002 included evaluations based on a number of outcome measures besides injury rates, including programme reach and participation, receipt and use of safety devices, safety knowledge, safety attitudes, safety behaviour, hazard prevalence and injury severity. Two of the reviews measured the use of safety devices along with injury rates , Turner et al 2005, while another review assessed safety behaviour in addition to injury rates (Turner et al 2004a). The remaining seven reviews included only injury rate measures.…”

Section: Measurement Of Effectivenessmentioning

confidence: 99%

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Uncovering evidence on community-based injury prevention: A review of programme effectiveness and factors influencing effectiveness

Nilsen

Yorkston

2007

International Journal of Injury Control and Safety Promotion

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This study examines systematic reviews of community-based injury prevention programmes to obtain an overview of the evidence base on the effectiveness of these programmes and to analyse how effectiveness is measured and the extent to which factors contributing to achieving programme effectiveness are examined in these reviews. Thirteen systematic reviews were found, encompassing a total of 121 programmes. The results reinforced the well-documented point that the evidence regarding the effectiveness of community-based injury prevention programmes is inconsistent. Some of the programmes targeting specific injury categories, e.g. specific injury types and/or age groups, were successful, whilst more broadly targeted programmes demonstrated less convincing results. Effectiveness was predominantly measured as injury rate reductions. Only one of the reviews identified contextual factors that could have impacted on programme effectiveness. To advance the field, researchers and systematic reviews need to include evidence on factors that may explain how the effects were achieved.

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“…Turner et al (2005) conducted a systematic review of eight community-based programs (e.g., changes in legislation, mass media education, or targeted education) designed to support safe use of car seat restraints for children aged 0-16 years. Of the studies reviewed, only three reported improvements in injury outcomes or increased use of car safety seats.…”

Section: Intervention Research To Enhance Child Safety In Vehiclesmentioning

confidence: 99%

A longitudinal study of the effectiveness of a multi-media intervention on parents’ knowledge and use of vehicle safety systems for children

Snowdon

Hussein

Purc-Stevenson

et al. 2009

Accident Analysis & Prevention

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Community-based programs to promote car seat restraints in children 0–16 years – a systematic review

Cited by 46 publications

References 23 publications

Utilização de assentos de segurança por crianças matriculadas em creches

Utilização de assentos de segurança por crianças matriculadas em creches

Uncovering evidence on community-based injury prevention: A review of programme effectiveness and factors influencing effectiveness

A longitudinal study of the effectiveness of a multi-media intervention on parents’ knowledge and use of vehicle safety systems for children

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