Albishi Alyaa M, Alshaikh Roaa A, Alsulami Aisha A, Bardisi Wedad M, Alqurashi Dhai A
Department of Family Medicine, Madain Alfahad, King Abdulaziz Hospital, Jeddah, Saudi Arabia.
Department of Family Medicine, Al-Majed Health Care Center, King Abdullah Medical Complex, Jeddah, Saudi Arabia.
J Family Med Prim Care. 2022 Feb;11(2):512-519. doi: 10.4103/jfmpc.jfmpc_1273_21. Epub 2022 Feb 16.
The systematic use of child restraint system (CRS) while driving has been promoted by the WHO to improve road safety.
To assess the levels of practice in CRS use for children aged ≤5 years among mothers attending the Well-baby clinics and to explore the associated factors and attitudes.
A cross-sectional study was conducted among mothers visiting the Well-baby clinics at five primary health care centers in Jeddah, Saudi Arabia, using a multistage stratified-cluster sampling. Practice in CRS was assessed by interviewing the participants regarding the availability of a CRS in their car, usage frequency for a child <5 years, and alternative child-sitting methods. Sociodemographic data, further road safety parameters, and attitudes were analyzed as independent factors of adequate practice using multivariate logistic regression.
Of the 192 included mothers, eight (4.2%) had a history of accident while driving with a child. Majority of the participants (62.5%) declared not having their cars equipped with a CRS and used inappropriate car-sitting methods. Of the 37.5% who had CRS in their cars, 27.1% declared using it always or frequently. Adequate practice in CRS was independently associated with mother's age (OR = 0.91, = 0.09), low (OR = 0.10, = 0.001) and moderate family income (OR = 0.23, = 0.012), and the belief that CRS is not essential while driving with children (0.32, = 0.023).
There is inadequate practice in child road safety among families attending the Well-baby clinics in Western Saudi Arabia, which is associated with several misconceptions and negative attitudes towards the utility of CRS.
世界卫生组织已提倡在驾车时系统使用儿童约束系统（CRS）以提高道路安全。
评估在母婴保健诊所就诊的母亲中，5岁及以下儿童使用CRS的实践水平，并探讨相关因素和态度。
在沙特阿拉伯吉达的五个初级卫生保健中心的母婴保健诊所对母亲开展了一项横断面研究，采用多阶段分层整群抽样。通过询问参与者其车内CRS的可用性、5岁以下儿童的使用频率以及替代儿童乘坐方式来评估CRS的实践情况。将社会人口统计学数据、进一步的道路安全参数和态度作为使用多变量逻辑回归进行充分实践的独立因素进行分析。
在纳入的192名母亲中，有8名（4.2%）在驾车带孩子时发生过事故。大多数参与者（62.5%）表示其车内未配备CRS，并采用了不适当的儿童乘车方式。在车内配备CRS的37.5%的母亲中，27.1%表示总是或经常使用。CRS的充分实践与母亲的年龄（比值比=0.91，P=0.09）、低（比值比=0.10，P=0.001）和中等家庭收入（比值比=0.23，P=0.012）以及认为驾车带孩子时CRS并非必不可少的观念（比值比=0.32，P=0.023）独立相关。
沙特阿拉伯西部母婴保健诊所就诊家庭的儿童道路安全实践不足，这与对CRS效用的一些误解和消极态度有关。
