2010 年加拿大有立法和无立法的省份中儿童约束装置的使用情况。

Child restraint use in Canadian provinces with and without legislation in 2010.

机构信息

a Child Health Evaluative Sciences, The Hospital for Sick Children , Toronto , Ontario , Canada.

出版信息

Traffic Inj Prev. 2014;15(7):734-9. doi: 10.1080/15389588.2013.867483.

DOI:10.1080/15389588.2013.867483

PMID:24279898

Abstract

OBJECTIVES

When used correctly, child safety seats reduce the risk of injury to a child passenger compared to seat belts. The objectives of this study are to (1) describe restraint use among Canadian children ages 4-8 years in 2010; (2) compare child safety seat use between provinces with new legislation (post-2006), old legislation (pre-2006), and without legislation; and (3) compare child safety seat use rates from 2006 to 2010.

METHODS

Roadside observational surveys of child restraint use were performed in 2006 and 2010 using a nationally representative stratified sample. Proportions of restraint use, correct use (i.e., child safety seats and booster seats) in 4- to 8-year-old children was examined between 3 groups: provinces with new legislation (i.e., child safety seat legislation that included implementation of specific legislation for booster seat use for child passengers ages 4-8 years), old legislation, and no legislation.

RESULTS

There were 4048 children observed as passengers in motor vehicles. In provinces with new legislation, 84 percent (95% confidence interval [CI], 72.2-90.8) of children were restrained compared to 94.9 percent (95% CI, 93.0-96.7) in provinces with old legislation, and 81.8 percent (95% CI, 77.3-86.3) in provinces without legislation. Correct use of child restraint was 54.1 percent (95% CI, 48.0-60.3) in provinces with new legislation, 29.5 percent (95% CI, 25.9-33.2) in provinces with old legislation, and 52.0 percent (43.0-61.0) in provinces without legislation in 2010.

CONCLUSION

The findings from this study suggest that child safety seat legislation has an impact on restraint use in Canada. Despite the increase in rates of child safety seat use in provinces with new legislation and stable rates in provinces with old legislation, use rates remain low. Injury prevention strategies including further surveillance, interventions, and enforcement of restraint use in children are important to decrease motor vehicle related injury and death.

摘要

目的

正确使用儿童安全座椅可降低儿童乘客受伤的风险。本研究的目的是：（1）描述 2010 年加拿大 4-8 岁儿童的约束装置使用情况；（2）比较新立法（2006 年后）、旧立法（2006 年前）和无立法的省份之间的儿童安全座椅使用情况；（3）比较 2006 年至 2010 年儿童安全座椅使用率。

方法

使用全国分层随机样本，在 2006 年和 2010 年进行了儿童约束装置使用的路边观察性调查。检查了 3 组 4 至 8 岁儿童的约束装置使用率和正确使用率（即儿童安全座椅和增高座椅）：新立法的省份（即包括针对 4-8 岁儿童使用增高座椅的特定立法实施的儿童安全座椅立法）、旧立法和无立法的省份。

结果

在观察到的 4048 名儿童乘客中，有 84%（95%置信区间 [CI]，72.2-90.8）的儿童使用了约束装置，而旧立法省份的这一比例为 94.9%（95%CI，93.0-96.7），无立法省份的比例为 81.8%（95%CI，77.3-86.3）。2010 年，新立法省份的儿童约束装置正确使用率为 54.1%（95%CI，48.0-60.3），旧立法省份为 29.5%（95%CI，25.9-33.2），无立法省份为 52.0%（43.0-61.0）。