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Published in: BMC Public Health 1/2014

Open Access 01-12-2014 | Research article

Parents’ experience with child safety restraint in China

Authors: Xiaojun Chen, Jingzhen Yang, Corinne Peek-Asa, Liping Li

Published in: BMC Public Health | Issue 1/2014

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Abstract

Background

Child safety restraints are effective measures in protecting children from an injury while traveling in a car. However, the rate of child restraint use is extremely low in Chinese cities. Parent drivers could play an important role in promoting child safety restraint use, but not all of them take active responsibility.

Methods

This study used a qualitative approach and included 14 in-depth interviews among parents with a child, under the age of 6, living in Shantou City (7 child safety restraint users and 7 non-users). Purposive sampling was used to recruit eligible parent drivers who participated in a previous observation study. Interview data were collected from March to April 2013. The audio taped and transcribed data were coded and analyzed to identify key themes.

Results

Four key themes on child safety restraint emerged from the in-depth interviews with parents. These included 1) Having a child safety restraint installed in the rear seat with an adult sitting next to the restrained child is ideal, and child safety restraint is seen as an alternative when adult accompaniment is not available; 2) Having effective parental education strategies could help make a difference in child safety restraint use; 3) Inadequate promotion and parents’ poor safety awareness contribute to the low rate of child safety restraint in China; 4) Mandatory legislation on child safety restraint use could be an effective approach.

Conclusion

Inadequate promotion and low awareness of safe traveling by parents were closely linked to low child safety seat usage under the circumstance of no mandatory legislation. Future intervention efforts need to focus on increasing parents’ safe travel awareness combined with CSS product promotion before the laws are enacted.
Literature
1.
go back to reference Kelli EW, Geller ES: Increasing the safety of children’s vehicle travel: From effective risk communication to behavior change. J Safety Res. 2004, 35: 263-274. 10.1016/j.jsr.2003.11.007.CrossRef Kelli EW, Geller ES: Increasing the safety of children’s vehicle travel: From effective risk communication to behavior change. J Safety Res. 2004, 35: 263-274. 10.1016/j.jsr.2003.11.007.CrossRef
2.
go back to reference Wang H, Smith GA, Stallones L, Xiang H: Injury-related childhood mortality in migrant households in a southern city of China. Inj Prev. 2010, 16 (3): 161-165. 10.1136/ip.2009.023069.CrossRefPubMed Wang H, Smith GA, Stallones L, Xiang H: Injury-related childhood mortality in migrant households in a southern city of China. Inj Prev. 2010, 16 (3): 161-165. 10.1136/ip.2009.023069.CrossRefPubMed
3.
go back to reference Zeng LF, Lin SF, Liu HY, Jiang L, Hu Y, Dong HP: Epidemiologic characteristic of unintentional injury in Children under 7 years old in Guangzhou. Chinese Journal of Child Health Care. 2010, 3: 246-248. Zeng LF, Lin SF, Liu HY, Jiang L, Hu Y, Dong HP: Epidemiologic characteristic of unintentional injury in Children under 7 years old in Guangzhou. Chinese Journal of Child Health Care. 2010, 3: 246-248.
4.
go back to reference Wang SY, Li YH, Chi GB, Xiao SY, Ozanne-Smith J, Stevenson M, Phillips MR: Injury-related fatalities in China: an under-recognized public-health problem. Lancet. 2008, 372: 1765-1773. 10.1016/S0140-6736(08)61367-7.CrossRefPubMed Wang SY, Li YH, Chi GB, Xiao SY, Ozanne-Smith J, Stevenson M, Phillips MR: Injury-related fatalities in China: an under-recognized public-health problem. Lancet. 2008, 372: 1765-1773. 10.1016/S0140-6736(08)61367-7.CrossRefPubMed
5.
go back to reference Zhang X, Xiang H, Jing R, Tu Z: Road traffic injuries in the People’s Republic of China, 1951–2008. Traffic Inj Prev. 2011, 12: 614-620. 10.1080/15389588.2011.609925.CrossRefPubMed Zhang X, Xiang H, Jing R, Tu Z: Road traffic injuries in the People’s Republic of China, 1951–2008. Traffic Inj Prev. 2011, 12: 614-620. 10.1080/15389588.2011.609925.CrossRefPubMed
6.
go back to reference Winston FK, Durbin DR, Kallan M: The danger of premature graduation to seat belts for younger children. Pediatrics. 2000, 105: 1179-1183. 10.1542/peds.105.6.1179.CrossRefPubMed Winston FK, Durbin DR, Kallan M: The danger of premature graduation to seat belts for younger children. Pediatrics. 2000, 105: 1179-1183. 10.1542/peds.105.6.1179.CrossRefPubMed
7.
go back to reference Pan S, Du W, Jiang F: Exploring child car passenger safety practices in China: experience from a parental survey in Shanghai. Inj Prev. 2012, 18: 133-137. 10.1136/injuryprev-2011-040049.CrossRefPubMed Pan S, Du W, Jiang F: Exploring child car passenger safety practices in China: experience from a parental survey in Shanghai. Inj Prev. 2012, 18: 133-137. 10.1136/injuryprev-2011-040049.CrossRefPubMed
8.
go back to reference Chen X, Yang J, Peek-Asa C, McGehee DV, Li L: Parents’ knowledge, attitude, and use of child restraints, Shantou. China Am J Prev Med. 2014, 46 (1): 85-88. 10.1016/j.amepre.2013.08.017.CrossRefPubMed Chen X, Yang J, Peek-Asa C, McGehee DV, Li L: Parents’ knowledge, attitude, and use of child restraints, Shantou. China Am J Prev Med. 2014, 46 (1): 85-88. 10.1016/j.amepre.2013.08.017.CrossRefPubMed
9.
go back to reference Rosenstock I: Historical Origins of the Health Belief Model. Health Education Behavior. 1974, 2 (4): 328-335.CrossRef Rosenstock I: Historical Origins of the Health Belief Model. Health Education Behavior. 1974, 2 (4): 328-335.CrossRef
10.
go back to reference Macy ML, Freed GL: Child passenger safety practices in the U.S.: disparities in light of updated recommendations. Am J Prev Med. 2012, 43: 272-281. 10.1016/j.amepre.2012.05.023.CrossRefPubMed Macy ML, Freed GL: Child passenger safety practices in the U.S.: disparities in light of updated recommendations. Am J Prev Med. 2012, 43: 272-281. 10.1016/j.amepre.2012.05.023.CrossRefPubMed
11.
go back to reference Durbin DR, Committee on Injury, Violence, and Poison Prevention: Child passenger safety. Pediatrics. 2011, 127: 788-793. 10.1542/peds.2011-0213.CrossRefPubMed Durbin DR, Committee on Injury, Violence, and Poison Prevention: Child passenger safety. Pediatrics. 2011, 127: 788-793. 10.1542/peds.2011-0213.CrossRefPubMed
12.
go back to reference Crabtree MF, Miller WL: Doing Qualitative Research. 1999, Thousand Oaks, CA: Sage, 2 Crabtree MF, Miller WL: Doing Qualitative Research. 1999, Thousand Oaks, CA: Sage, 2
13.
go back to reference Purc-Stephenson RJ, Ren J, Snowdon AW: An exploratory study of parents’ use and knowledge of car safety seats in Beijing, China. Int J Inj Contr Saf Promot. 2010, 17: 231-238. 10.1080/17457300.2010.487155.CrossRefPubMed Purc-Stephenson RJ, Ren J, Snowdon AW: An exploratory study of parents’ use and knowledge of car safety seats in Beijing, China. Int J Inj Contr Saf Promot. 2010, 17: 231-238. 10.1080/17457300.2010.487155.CrossRefPubMed
14.
go back to reference Atkinson T, Fras A, Telehowski P: The influence of occupant anthropometry and seat position on ejection risk in a rollover. Traffic Inj Prev. 2010, 11: 417-424. 10.1080/15389588.2010.485284.CrossRefPubMed Atkinson T, Fras A, Telehowski P: The influence of occupant anthropometry and seat position on ejection risk in a rollover. Traffic Inj Prev. 2010, 11: 417-424. 10.1080/15389588.2010.485284.CrossRefPubMed
15.
go back to reference Vick JW: Securing the safety of our most precious cargo: SAFE KIDS. MCN Am J Matern Child Nurs. 2010, 35: 52-57. 10.1097/01.NMC.0000366811.59832.ba.CrossRefPubMed Vick JW: Securing the safety of our most precious cargo: SAFE KIDS. MCN Am J Matern Child Nurs. 2010, 35: 52-57. 10.1097/01.NMC.0000366811.59832.ba.CrossRefPubMed
16.
go back to reference Simpson EM, Moll EK, Kassam-Adams N: Barriers to booster seat use and strategies to increase their use. Pediatrics. 2002, 110: 729-736. 10.1542/peds.110.4.729.CrossRefPubMed Simpson EM, Moll EK, Kassam-Adams N: Barriers to booster seat use and strategies to increase their use. Pediatrics. 2002, 110: 729-736. 10.1542/peds.110.4.729.CrossRefPubMed
17.
go back to reference Ehiri JE, Ejere HO, Hazen AE: Interventions to increase children’s booster seat use: a review. Am J Prev Med. 2006, 31: 185-192. 10.1016/j.amepre.2006.03.020.CrossRefPubMed Ehiri JE, Ejere HO, Hazen AE: Interventions to increase children’s booster seat use: a review. Am J Prev Med. 2006, 31: 185-192. 10.1016/j.amepre.2006.03.020.CrossRefPubMed
18.
go back to reference Williams AF: Views of US drivers about driving safety. J Safety Res. 2003, 34: 491-494. 10.1016/j.jsr.2003.05.002.CrossRefPubMed Williams AF: Views of US drivers about driving safety. J Safety Res. 2003, 34: 491-494. 10.1016/j.jsr.2003.05.002.CrossRefPubMed
19.
go back to reference Kelli EW: Child passenger safety and the immunity fallacy: Why what we are doing is not working. Accid Anal Prev. 2005, 37: 947-955. 10.1016/j.aap.2005.04.018.CrossRef Kelli EW: Child passenger safety and the immunity fallacy: Why what we are doing is not working. Accid Anal Prev. 2005, 37: 947-955. 10.1016/j.aap.2005.04.018.CrossRef
20.
go back to reference Stevenson M, Yu J, Hendrie D, Li LP, Ivers R, Zhou Y, Su S, Norton R: Reducing the burden of road traffic injury: translating high-income country interventions to middle-income and low-income countries. Inj Prev. 2008, 14: 284-289. 10.1136/ip.2008.018820.CrossRefPubMed Stevenson M, Yu J, Hendrie D, Li LP, Ivers R, Zhou Y, Su S, Norton R: Reducing the burden of road traffic injury: translating high-income country interventions to middle-income and low-income countries. Inj Prev. 2008, 14: 284-289. 10.1136/ip.2008.018820.CrossRefPubMed
21.
go back to reference Durbin DR, Chen I, Smith R, Elliott MR, Winston FK: Effects of seating position and appropriate restraint use on the risk of injury to children in motor vehicle crashes. Pediatrics. 2005, 115: e305-e309. 10.1542/peds.2004-1522.CrossRefPubMed Durbin DR, Chen I, Smith R, Elliott MR, Winston FK: Effects of seating position and appropriate restraint use on the risk of injury to children in motor vehicle crashes. Pediatrics. 2005, 115: e305-e309. 10.1542/peds.2004-1522.CrossRefPubMed
22.
go back to reference Durbin DR, Elliott MR, Winston FK: Belt-positioning booster seats and reduction in risk of injury among children in vehicle crashes. J Am Med Assoc. 2003, 289: 2835-2840. 10.1001/jama.289.21.2835.CrossRef Durbin DR, Elliott MR, Winston FK: Belt-positioning booster seats and reduction in risk of injury among children in vehicle crashes. J Am Med Assoc. 2003, 289: 2835-2840. 10.1001/jama.289.21.2835.CrossRef
23.
go back to reference Schaechter J, Uhlhorn SB: Restraint use law enforcement intervention in Latino communities. Trauma. 2011, 71 (5 Suppl 2): S517-S521.CrossRef Schaechter J, Uhlhorn SB: Restraint use law enforcement intervention in Latino communities. Trauma. 2011, 71 (5 Suppl 2): S517-S521.CrossRef
24.
go back to reference Agran PF, Anderson CL, Winn DG: Violators of a child passenger safety law. Pediatrics. 2004, 114: 109-115. 10.1542/peds.114.1.109.CrossRefPubMed Agran PF, Anderson CL, Winn DG: Violators of a child passenger safety law. Pediatrics. 2004, 114: 109-115. 10.1542/peds.114.1.109.CrossRefPubMed
25.
go back to reference Sleet DA, Schieber RA, Gilchrist J: Health promotion policy and politics: lessons from childhood injury prevention. Health Promotion Pract. 2003, 4: 103-108. 10.1177/1524839902250752.CrossRef Sleet DA, Schieber RA, Gilchrist J: Health promotion policy and politics: lessons from childhood injury prevention. Health Promotion Pract. 2003, 4: 103-108. 10.1177/1524839902250752.CrossRef
Metadata
Title
Parents’ experience with child safety restraint in China
Authors
Xiaojun Chen
Jingzhen Yang
Corinne Peek-Asa
Liping Li
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2014
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-14-318

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