a Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Nanshan Center for Chronic Disease Control , Shenzhen, Guangdong , China.
b Department of Chronic Non-communicable Disease Control and Prevention , Shenzhen Center for Chronic Disease Control , Shenzhen, Guangdong , China.
Traffic Inj Prev. 2018 Jan 2;19(1):42-48. doi: 10.1080/15389588.2017.1329534. Epub 2017 May 23.
A child safety restraint (CSR) is an effective measure to reduce the risk of child injury from traffic collisions. This study aims to explore knowledge, attitudes, and behaviors regarding CSRs in a Chinese population.
A cross-sectional survey regarding CSR use was conducted from April to May 2014 in Shenzhen municipality. Respondents were parents who had at least one child 0 to 6 years of age and owned a car. These parents provided a self-report of demographic characteristics as well as information about their knowledge, attitudes, and behaviors toward CSR use.
Most respondents had a fair level of knowledge about CSRs, with higher mean knowledge scores demonstrated among the respondents who were male, had an advanced degree, had a higher income, owned an expensive car, had an older child, drove frequently with children, and routinely drove greater distances with children. In addition, most respondents had a more positive attitude toward CSR use, with a higher mean attitude score among those who had an advanced degree, owned an expensive car, drove frequently with children, and routinely drove greater distances with children. However, some myths regarding CSR use also existed (e.g., parents can effectively protect their children in a car collision by holding them, they are not required to purchase the CSR for child safety if there is no mandatory provision by law, among others). Among 3,768 respondents who had at least one child and a car, 27.8% (1,047) had a CSR and 22.9% (864) used the CSR. A logistic regression model showed the likelihood of CSR ownership to be higher if respondents drove frequently or greater distances and was dependent on both the education level of the respondents and the age of the children. The frequency of CSR use increased as the age of children decreased (P = .0274). Respondents who owned a CSR and those who frequently used CSRs had higher mean knowledge and mean attitude scores.
This observational study found that although the majority of respondents had fair levels of knowledge and positive attitudes, they had lower rates of CSR ownership and use. Therefore, efforts at developing opportunities to expand public awareness of CSR use should be made to improve child passenger safety practices and eliminate child injury caused by traffic collisions.
儿童安全约束系统（CSR）是降低交通碰撞儿童受伤风险的有效措施。本研究旨在探索中国人群对 CSR 的知识、态度和行为。
2014 年 4 月至 5 月，在深圳市进行了一项关于 CSR 使用情况的横断面调查。受访者为至少有一名 0 至 6 岁儿童且拥有汽车的父母。这些父母提供了人口统计学特征以及他们对 CSR 使用的知识、态度和行为的自我报告。
大多数受访者对 CSR 有一定的了解，其中男性、学历较高、收入较高、拥有昂贵汽车、孩子较大、经常带孩子开车、经常带孩子开车距离较远的受访者知识得分较高。此外，大多数受访者对 CSR 使用持更积极的态度，其中学历较高、拥有昂贵汽车、经常带孩子开车、经常带孩子开车距离较远的受访者态度得分较高。然而，一些关于 CSR 使用的误解也存在（例如，父母在汽车碰撞中抱住孩子可以有效地保护孩子，在没有法律强制规定的情况下，不需要为孩子的安全购买 CSR 等）。在 3768 名至少有一名儿童和一辆汽车的受访者中，有 27.8%（1047 人）拥有 CSR，22.9%（864 人）使用 CSR。逻辑回归模型显示，如果受访者经常或远距离开车，拥有 CSR 的可能性更高，并且取决于受访者的教育水平和孩子的年龄。随着孩子年龄的降低，CSR 使用的频率增加（P =.0274）。拥有 CSR 的受访者和经常使用 CSR 的受访者的知识和态度得分均较高。
本观察性研究发现，尽管大多数受访者具有一定的知识水平和积极的态度，但他们拥有 CSR 的比例和使用 CSR 的比例较低。因此，应努力创造机会，提高公众对 CSR 使用的认识，以改善儿童乘客安全实践，消除交通碰撞造成的儿童伤害。
