Safety Effects of Drawstring Requirements for Children's Upper Outerwear Garments

Abstract

Objective: To evaluate the effectiveness of the requirements of the voluntary safety standard for drawstrings on children's upper outerwear garments in preventing child deaths resulting from drawstring entanglement. Design: An interrupted time series design. Annual estimates of drawstring-related child deaths were developed for the study period of January 1985 to December 2009. A Poisson regression model for rate data was used to evaluate the effectiveness of the drawstring requirements during the postintervention period. Setting: United States. Subjects: Children aged 14 years and younger. Intervention: The application of the drawstring requirements of the voluntary standard that were adopted in 1997. Main Outcome Measure: The estimated percentage reduction in the drawstring-related child mortality rate associated with the application of the drawstring requirements. Results: The drawstring requirements of the voluntary standard were associated with a 90.9% (95% CI, 83.8%-96.1%) reduction in the drawstring-related mortality rate. This suggests the prevention of about 50 child deaths from 1997, when the voluntary standard was adopted, through the end of our study period in 2009. Conclusions: The requirements of the voluntary safety standard for drawstrings have been highly effective in preventing deaths resulting from the entanglement of drawstrings in children's upper outerwear garments.

An analysis of children's clothing-related injuries cases reported by the media in mainland of China from 2003 to 2017

“…The drawstring requirements established in the voluntary standard were associated with a 90.9% (95% confidence interval, 83.8%–96.1%) reduction in drawstring-related mortality. [ 17 ] In Canada, Petruk et al [ 18 ] reported cases of deaths caused by strangulation involving entanglement of children's clothing. The authors of that study recommended the removal of all cords, straps, and knobs from children's clothing.…”

Seguridad pública en la frontera

“…Es importante mencionar que el uso de series de tiempo interrumpidas permite probar los cambios en nivel y tendencia asociados con una intervención mientras se controla por la tendencia global en la variable de interés (Penfold & Zhang, 2013). Las series de tiempo interrumpidas facilitan el identificar cuando ocurrió el cambio, que estaba pasando antes de la intervención, que sucedió inmediatamente después de la intervención y que sucedió en el periodo mas largo posterior a la intervención (Rodgers & Topping, 2012). En ese sentido, el uso de series de tiempo interrumpidas permite robustecer las conclusiones del análisis cualitativo de las series de tiempo construidas con las diferentes fuentes.…”