Liu Xiangxiang, Yang Jingzhen, Chen Xiaojun, Li Liping
Injury Prevention Research Center, Medical College of Shantou University, 22 Xin Ling Road, Shantou, 515041, China.
Injury Prevention Research and Police Center, The University of Iowa, Iowa City, Iowa, Columbus, Ohio, 43205, United States of America.
PLoS One. 2016 Jan 6;11(1):e0146121. doi: 10.1371/journal.pone.0146121. eCollection 2016.
To investigate the knowledge, attitudes, and intended behaviors about use of child safety seats among parents of newborns and explore expectant mothers' views and decisions regarding child safety seats use.
A cross-sectional survey and semi-structured interview were conducted in the maternity departments of two hospitals in China. Parents of newborns were recruited after delivery and surveyed on their knowledge, attitudes and behaviors regarding child safety seats use. Pregnant women were also interviewed to learn about their views and decisions regarding child safety seats use. Both quantitative and qualitative methods were used to analyze the data collected.
Of a total of 242 parents of newborns recruited in the quantitative survey, 202 (83.5%) parents had heard of child safety seats and 149 (61.6%) parents reported they would use child safety seats for their babies. Parents' knowledge, car ownership, occupation, and income were significantly associated with their decision regarding use of child safety seats. Three themes were identified from the qualitative interview of 30 pregnant women: (1) the pregnant women perceived child passenger safety as important; (2) the car ownership and price and quality of child safety seats were major influencing factors of their decisions on use of child safety seats; and (3) lack of awareness and lack of laws requiring use were perceived to contribute to low use of child safety seats in China.
Lack of knowledge and awareness on child passenger safety were found to be two most important factors associated with low use of child safety seats. Effective interventions are urgently needed to improve parents' knowledge before laws are enacted and implemented.
调查新生儿父母对儿童安全座椅使用的知识、态度和意向行为，并探讨准妈妈对儿童安全座椅使用的看法和决定。
在中国两家医院的产科进行了横断面调查和半结构化访谈。新生儿父母在产后被招募，并就其对儿童安全座椅使用的知识、态度和行为进行调查。还对孕妇进行了访谈，以了解她们对儿童安全座椅使用的看法和决定。采用定量和定性方法对收集到的数据进行分析。
在定量调查中招募的242名新生儿父母中，202名（83.5%）父母听说过儿童安全座椅，149名（61.6%）父母表示会为他们的宝宝使用儿童安全座椅。父母的知识、汽车拥有情况、职业和收入与他们对儿童安全座椅使用的决定显著相关。从对30名孕妇的定性访谈中确定了三个主题：（1）孕妇认为儿童乘车安全很重要；（2）汽车拥有情况以及儿童安全座椅的价格和质量是她们决定使用儿童安全座椅的主要影响因素；（3）缺乏意识以及缺乏使用儿童安全座椅的法律被认为是中国儿童安全座椅使用率低的原因。
发现对儿童乘车安全缺乏知识和意识是与儿童安全座椅低使用率相关的两个最重要因素。在法律颁布和实施之前，迫切需要采取有效干预措施来提高父母的知识水平。
