Road traffic injuries among children and adolescents in Singapore – Who is at greatest risk?

Chong, Shu-Ling; Tyebally, Arif; Chew, Samuel Teong Huang; Lim, Yang Chern; Feng, Xun Yi Jasmine; Chin, Sock Teng; Lee, Lois K.

doi:10.1016/j.aap.2017.01.005

Cited by 25 publications

(27 citation statements)

References 29 publications

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“…Non-compliance to CCRs is significant even from the infant stage. (13) This contrasts with data from the United States, where non-compliance to CCRs occurs in older age groups. (15) Furthermore, up to 30% of child passengers under the age of 12 are commonly placed in the front seats in Singapore.…”

Section: Introductionmentioning

confidence: 81%

“…Previous studies have demonstrated that adherence to best road safety practices in Singapore remains lacking, particularly in the suboptimal use of appropriate CCRs and transporting children under 10 years of age in the front seat. (13,14) This is the first qualitative study in Singapore that uses focus group interviews to address the use of CCRs. By interviewing parents who drive their children in their own cars, we identified knowledge deficits and modifiable factors that can guide future public education efforts on CCR use.…”

Section: Discussionmentioning

confidence: 99%

“…(12) However, compliance to the use of appropriate CCRs is poor. (13,14) In a retrospective cohort study of 2,468 road traffic injury patients seen in Singapore paediatric emergency departments, 51% of motor vehicle passengers were unrestrained at the time of the accident. Non-compliance to CCRs is significant even from the infant stage.…”

Section: Introductionmentioning

confidence: 99%

“…(15) Furthermore, up to 30% of child passengers under the age of 12 are commonly placed in the front seats in Singapore. (13) This is concerning because the younger the child is, the more significant the injuries sustained are, should the child be involved in a motor vehicle collision. These findings represent an issue of public health importance that needs to be addressed by injury researchers and child road safety advocates.…”

Section: Introductionmentioning

confidence: 99%

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Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Tan

Dong

Shen

et al. 2020

smedj

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INTRODUCTION Road traffic injuries and fatalities represent a significant public health problem. In Singapore, compliance with appropriate child car restraints (CCRs) is poor. We aimed to understand parental knowledge, beliefs and barriers regarding the use of CCRs. METHODSIn this qualitative study, we conducted five focus group discussions with parents who drive with their children in private cars. Participants were recruited using the KK Women's and Children's Hospital's social media page. Guiding questions were derived by consensus following literature review and adaptation to the Singapore context, exploring parental perceptions of CCR use. Focus group interviews were then transcribed and analysed.RESULTS 33 participants were recruited, with an age range of 28-46 (mean age 35.5) years. They had a total of 46 children with ages ranging from 2.5 months to 14 years (mean age 4.2 years). Three key themes were identified: parental knowledge regarding CCRs, barriers to CCR use, and suggestions to increase CCR compliance. Barriers to compliance included lack of knowledge, difficult child behaviour and cultural norms. A multipronged approach was proposed to increase CCR use, including educating the public, reinforcing positive behaviour, legal enforcement as a deterrent to non-compliance, increasing CCR installation services, providing CCRs for taxi users and offering financial incentives.CONCLUSION Non-compliance to CCR use is multidimensional, including multiple potentially modifiable factors. This study could inform ongoing collaborative injury prevention efforts among healthcare professionals, industry partners and the traffic police, using public education and outreach to reduce the burden of road traffic injuries.

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Section: Introductionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Tan

Dong

Shen

et al. 2020

smedj

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“…o Research problem Studies have shown that teenagers (15)(16)(17)(18)(19) and the older (65 and above) drivers are more vulnerable to fatal road accident (Ang, Chen, & Lee, 2017;Chong et al, 2017), however, these studies have not shown the risk for children occupants (0-15). Texas child mortality rate of 18.1 per 100,000 is higher than the national average of 16.8.…”

Section: Introductionmentioning

confidence: 99%

Inter-Group Disparities in Fatal Road Traffic Accident in Texas

Iyanda

2018

ESJ

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The risk of dying from a road accident is higher than dying from heart and infectious diseases. Mortality and injury related to fatal accident is increasing partly due to the level of motorization. Further, the associated risk of accident varies among diverse population groups. This study examines the inter-group difference in injury and mortality caused by road accident in Texas using Fatality Analysis Reporting System (FARS), the nation's most comprehensive population-based accident database from 2014 to 2016. Texas had the highest accident mortality in 2016 making accident the fifth leading cause of death. This study performed two main tasks: 1) It analyzed injury severity variation for different age groups using data mining technique. 2) Accident fatality disparity was determined by using both nonparametric version of analysis of variance and multilevel binary logistic regression. The study interprets fatality risk using the odd ratio. Result shows that Asian subgroups, European Spanish, Central and South Americans, and children were at greater risk. This study is important for culturally specific public health intervention design targeting the most vulnerable subgroups based on people's cultural orientation.

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Exploring the crossing behaviours and visual attention allocation of children in primary school in an outdoor road environment

et al. 2020

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Road traffic injuries among children and adolescents in Singapore – Who is at greatest risk?

Cited by 25 publications

References 29 publications

Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Parental knowledge and beliefs on the use of child car restraints in Singapore: a qualitative study

Inter-Group Disparities in Fatal Road Traffic Accident in Texas

Exploring the crossing behaviours and visual attention allocation of children in primary school in an outdoor road environment

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