Hunter Kate, Keay Lisa, Clapham Kathleen, Brown Julie, Bilston Lynne E, Lyford Marilyn, Gilbert Celeste, Ivers Rebecca Q
The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia.
Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW 2522, Australia.
Int J Environ Res Public Health. 2017 Oct 10;14(10):1206. doi: 10.3390/ijerph14101206.
We explored the factors influencing the use of age-appropriate car seats in a community with a high proportion of Aboriginal families in regional New South Wales. We conducted a survey and three focus groups with parents of children aged 3-5 years enrolled at three early learning centres on the Australian south-east coast. Survey data were triangulated with qualitative data from focus groups and analysed using the PRECEDE-PROCEED conceptual framework. Of the 133 eligible families, 97 (73%) parents completed the survey including 31% of parents who reported their children were Aboriginal. Use of age-appropriate car seats was reported by 80 (83%) of the participants, and awareness of the child car seat legislation was high (91/97, 94%). Children aged 2-3 years were less likely reported to be restrained in an age-appropriate car seat than were older children aged 4-5 years (60% versus 95%: χ² = 19.14, < 0.001). Focus group participants highlighted how important their child's safety was to them, spoke of the influence grandparents had on their use of child car seats and voiced mixed views on the value of authorised child car seat fitters. Future programs should include access to affordable car seats and target community members as well as parents with clear, consistent messages highlighting the safety benefits of using age-appropriate car seats.
我们在新南威尔士州地区原住民家庭比例较高的一个社区，探究了影响使用适合儿童年龄的汽车安全座椅的因素。我们对澳大利亚东南海岸三个早教中心登记在册的3至5岁儿童的家长进行了一项调查，并组织了三场焦点小组讨论。调查数据与焦点小组的定性数据进行了三角互证，并使用“教育诊断与评价程序（PRECEDE）-教育评价与管理程序（PROCEED）”概念框架进行了分析。在133个符合条件的家庭中，97名（73%）家长完成了调查，其中31%的家长报告他们的孩子是原住民。80名（83%）参与者报告使用了适合儿童年龄的汽车安全座椅，对儿童汽车安全座椅立法的知晓率很高（91/97，94%）。据报告，2至3岁的儿童比4至5岁的大龄儿童更不太可能使用适合其年龄的汽车安全座椅（60%对95%：χ² = 19.14，<0.001）。焦点小组参与者强调了孩子的安全对他们有多重要，谈到了祖父母对他们使用儿童汽车安全座椅的影响，并对授权儿童汽车安全座椅安装人员的作用表达了不同看法。未来的项目应包括提供价格合理的汽车安全座椅，并针对社区成员以及家长，传达清晰、一致的信息，强调使用适合儿童年龄的汽车安全座椅的安全益处。
