Jin Ye, Ye Pengpeng, Tian Maoyi, Peden Margie, Ivers Rebecca, Zhang Li, Xiong Shangzhi, Cai Weicong, Duan Leilei, Brown Julie
The George Institute for Global Health, University of New South Wales, Australia.
The National Center for Non-communicable and Chronic Disease Control and Prevention, China Center for Disease Control and Prevention, China.
Lancet Reg Health West Pac. 2024 May 4;46:101079. doi: 10.1016/j.lanwpc.2024.101079. eCollection 2024 May.
There has been limited examination of child road injury policies. This study aims to systematically characterize national policies relevant to child road safety in China over the past two decades and identify potential gaps based on the WHO child road safety framework. As a scoping review, this study searched for national policies for child road safety on the websites of government agencies. A total of 22,487 policies were searched, of which 103 policies issued by 37 institutions, were included in the analysis, including 12 policies jointly developed by multiple agencies. Mapping identified policies to strategies in the WHO framework, most WHO strategies requiring legislation were found to be in place in China and to fully meet the intent of the WHO recommendation. The single exception was in the area of child restraints which was deemed to not be fully covered due to a lack of eligible policies on enforcement of child restraint use laws. Two strategies requiring standards were fully covered; eight strategies requiring policy support were partially or not covered, mainly related to equipping emergency vehicles with child-appropriate medical equipment. Enhancing school bus safety was identified as a policy focus area in China beyond those recommended by the WHO framework. This study identified three areas for improvement: (1) strengthening road safety policies targeting children, (2) strengthening enforcement of legislation, e.g., child restraint use, and (3) increasing multiple-sector cooperation on policy formulation.
Ye Jin is supported by the Scholarship from the George Institute for Global Health and Tuition Fee Scholarships from University of New South Wales.
关于儿童道路伤害政策的研究有限。本研究旨在系统地描述中国过去二十年与儿童道路安全相关的国家政策，并根据世界卫生组织（WHO）儿童道路安全框架确定潜在差距。作为一项范围审查，本研究在政府机构网站上搜索了儿童道路安全的国家政策。共检索到22487项政策，其中37个机构发布的103项政策纳入分析，包括12项多机构联合制定的政策。将确定的政策映射到WHO框架中的策略，发现中国大多数需要立法的WHO策略已经到位，完全符合WHO建议的意图。唯一的例外是儿童约束装置领域，由于缺乏关于儿童约束装置使用法律执行的合格政策，该领域被认为未得到充分覆盖。两项需要标准的策略得到了充分覆盖；八项需要政策支持的策略部分或未得到覆盖，主要涉及为应急车辆配备适合儿童的医疗设备。加强校车安全被确定为中国超出WHO框架建议的政策重点领域。本研究确定了三个改进领域：（1）加强针对儿童的道路安全政策；（2）加强立法执行，如儿童约束装置的使用；（3）加强政策制定方面的多部门合作。
叶进得到了乔治全球健康研究所奖学金和新南威尔士大学学费奖学金的支持。
