Privette Franklin, Nwosu Ann, Pope Caitlin N, Yang Jingzhen, Pressley Joyce C, Zhu Motao
1 The Ohio State University, College of Medicine, Columbus, OH, USA.
2 Nationwide Children's Hospital, Columbus, OH, USA.
Clin Pediatr (Phila). 2018 Oct;57(12):1423-1431. doi: 10.1177/0009922818786002. Epub 2018 Jul 9.
Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the "booster-aged" population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4 to 7 years old, using 2011 to 2015 data from the Fatality Analysis Reporting System. Of 929 MVC fatalities, 32% of fatally injured children were in an age-appropriate restraint. While age-appropriate CRS use was higher for 4-, 5-, and 6-year-olds relative to 7-year-olds (adjusted relative risk [aRR] = 2.57, 2.51, and 2.18, respectively; p < .01 for each comparison), black children (aRR = 0.62; p < .01) relative to white children, and drivers who had not used a lap-shoulder belt (aRR = 0.40; p < .01) relative to belted drivers were associated with lower levels of age-appropriate CRS use. Our findings underscore the continued importance of communicating best practice guidelines on CRSs to caregivers of young children.
机动车碰撞事故（MVCs）是儿童死亡的主要原因之一。需要对“增高座椅适用年龄”人群中与年龄相适应的儿童约束系统（CRS）使用情况进行多变量分析。本研究利用2011年至2015年死亡分析报告系统的数据，确定了4至7岁儿童在致命MVCs中与年龄相适应的CRS使用相关的因素。在929起MVC死亡事故中，32%的受致命伤儿童使用了与年龄相适应的约束装置。相对于7岁儿童，4岁、5岁和6岁儿童使用与年龄相适应的CRS的比例更高（调整后的相对风险[aRR]分别为2.57、2.51和2.18；每次比较p <.01），黑人儿童（aRR = 0.62；p <.01）相对于白人儿童，以及未使用安全带的司机（aRR = 0.40；p <.01）相对于系安全带的司机，使用与年龄相适应的CRS的比例较低。我们的研究结果强调了向幼儿照顾者传达CRS最佳实践指南的持续重要性。
