Kedikoglou Simeon, Belechri Maria, Dedoukou Xanthi, Spyridopoulos Themis, Alexe Delia-Marina, Pappa Evanthia, Stamou Asimoula, Petridou Eleni
Department of Hygiene and Epidemiology, Athens University Medical School, Athens 115027, Greece.
Scand J Public Health. 2005;33(1):42-9. doi: 10.1080/14034940410028334.
The results of an infant car-restraint loan scheme and evaluate its cost-effectiveness are presented.
The intervention programme was initiated in 1996. Car-restraints, donated by manufacturers, were lent for a six-month period to eligible prospective parents for a modest fee. Specially trained health visitors performed in-person interviews with the participating parents. The data were collected and recorded on a pre-coded questionnaire. Cross-tabulations and multiple logistic regression were performed to analyse the data. Subsequent purchase of a next-stage car restraint, suitable for older children (up to four years of age) was considered as a proxy measure of the success of the programme. This information, along with the detailed operational and financial data collected during the implementation phase of the programme, was used to develop a model to assess the cost-effectiveness of a countrywide intervention.
During a two-year period 188 families participated in a survey. On return of the infant car restraint, 92% of the participants reported proper use of the device and 82% had already purchased the second-stage car restraint. Parental age, gender, or educational status was not predictive of positive parental road safety practices for the newly born, whereas history of parental seat-belt use--as a proxy of personal road safety behaviour--was positively correlated with the likelihood of purchasing a second-stage car-restraint device. The cost-effectiveness ratio varies between 418.00 euro and 3,225.00 euro per life-year saved, depending on whether the modest administrative fee is considered.
On the basis of plausible assumptions, a loan programme of infant car-restraints was shown to be particularly cost effective.
介绍一项婴儿汽车安全座椅租赁计划的结果并评估其成本效益。
干预计划于1996年启动。由制造商捐赠的汽车安全座椅以适度费用借给符合条件的准父母，为期六个月。经过专门培训的健康访视员对参与的父母进行面对面访谈。数据收集并记录在预先编码的问卷上。进行交叉表分析和多元逻辑回归以分析数据。后续购买适合较大儿童（至四岁）的下一阶段汽车安全座椅被视为该计划成功的替代指标。此信息以及在该计划实施阶段收集的详细运营和财务数据被用于建立一个模型，以评估全国性干预措施的成本效益。
在两年期间，188个家庭参与了调查。归还婴儿汽车安全座椅时，92%的参与者报告正确使用了该设备，82%的人已经购买了第二阶段的汽车安全座椅。父母的年龄、性别或教育状况并不能预测对新生儿的积极道路安全行为，而父母使用安全带的历史——作为个人道路安全行为的替代指标——与购买第二阶段汽车安全座椅设备的可能性呈正相关。根据是否考虑适度的管理费，每挽救一个生命年的成本效益比在418.00欧元至3225.00欧元之间。
基于合理假设，婴儿汽车安全座椅租赁计划显示出特别的成本效益。
