Northwestern University Feinberg School of Medicine (MF Savage, ML Macy), Chicago, Ill.
Boston Medical Center, Division of Pediatric Emergency Medicine (S Kendi), Boston, Mass; Boston University School of Medicine, Department of Pediatrics (S Kendi), Boston, Mass.
Acad Pediatr. 2021 Nov-Dec;21(8):1363-1371. doi: 10.1016/j.acap.2021.03.018. Epub 2021 Mar 26.
Ride-share services are increasingly used for transportation, but little is known about ride-share use and passenger safety behaviors among parents of children for whom child restraint systems (CRS) are recommended. Our objectives were to characterize ride-share use with children and examine passenger restraint use in ride-share.
A cross-sectional survey, distributed to the TurkPrime Parent Panel using Amazon Mechanical Turk (MTurk), was designed to assess ride-share and passenger safety behaviors. After screening, adult parents of minor children were invited to complete the full survey about transportation behaviors. Descriptive and chi-square statistics were calculated. Logistic regression was conducted to test for characteristics associated with suboptimal restraint use in ride-share.
Of 655 screened parents, 162 had no minor children, 43 had incomplete responses or failed an attention check question. Of 450 parents with minor children, 309 (68.7%) used ride-share in the past year and 73.1% of parents who use ride-share did so with their child(ren). Ride-share use with children was most common on vacation. Among parents of children age ≤8 years, 49% reported always using their child's CRS when traveling in ride-share. Suboptimal restraint use in rideshare was associated with child age (3-8 years compared with <3 years), larger family size, and attitudes and behaviors that tolerate suboptimal CRS use.
This study identifies an opportunity to promote use of CRS in ride-share services. Child passenger safety messaging, education, policy, enforcement of legislation, and CRS design will need to be adapted as ride-share services become more widely adopted.
拼车服务越来越多地被用于交通出行，但对于推荐使用儿童约束系统（CRS）的儿童的父母使用拼车服务和乘客安全行为知之甚少。我们的目的是描述儿童拼车使用情况，并研究拼车中的乘客约束使用情况。
使用亚马逊 Mechanical Turk（MTurk）向 TurkPrime 父母小组进行横断面调查，旨在评估拼车和乘客安全行为。筛选后，邀请未成年子女的成年父母完成有关交通行为的完整调查。计算描述性和卡方统计数据。进行逻辑回归以检验与拼车中次优约束使用相关的特征。
在 655 名筛选出的父母中，有 162 名没有未成年子女，有 43 名父母的回答不完整或未通过注意力检查问题。在 450 名有未成年子女的父母中，有 309 名（68.7%）在过去一年中使用过拼车，其中 73.1%的拼车父母是与他们的孩子一起使用的。带孩子拼车最常见的是在度假期间。在 8 岁以下儿童的父母中，49%的人在乘坐拼车旅行时始终使用孩子的 CRS。拼车中次优约束使用与儿童年龄（3-8 岁与<3 岁）、家庭规模较大以及容忍次优 CRS 使用的态度和行为有关。
本研究确定了一个在拼车服务中推广使用 CRS 的机会。随着拼车服务的广泛采用，儿童乘客安全信息传递、教育、政策、法规执行以及 CRS 设计都需要进行调整。
