Analysis of the factors influencing parents’ support for child safety seat legislation in Nanjing

Li, Yingshuai; Zhao, Tingli; Kang, Nan; Wang, Weijie; Liu, Qingqing; Namgung, Moon

doi:10.1080/15389588.2022.2047955

Cited by 5 publications

(2 citation statements)

References 23 publications

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“…This is consistent with the IMB's proposition [18]. Due to the professionalism and sophistication of CRS installation, the safety of children while riding would be gravely compromised if parents were unable to obtain dependable CRS installation skills [50]. Therefore, in addition to introducing information about CRS use, training on pertinent behavior skills of CRS installation, including the installation location and interface type, will be significant to encourage parents' use willingness and behavior of CRS in programs of popular science publicity and health education for parents in the future.…”

Section: Discussionsupporting

confidence: 80%

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

et al. 2023

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Background Children's injuries from traffic accidents have been identified as a global public health issue. Child restraint system (CRS) is a useful tool for lowering the risk of injury to children. Nevertheless, CRS usage is really low in China. The goal of the current study was to investigate the use of CRS after the legislation revised in China and to explore the influencing factors based on Information, Motivation, and Behavioral Skills model (IMB). Methods The study is a cross-sectional survey of parents who took their 0 to 6-year-old children for seeking primary care services at the Children Preventive Health Care Clinic of a tertiary hospital in Shandong Province, China. Parents were invited to complete the self-administered questionnaire between March and June 2022, including their knowledge, motivation, and behavioral skills, use behavior of CRS and socio-demographics. Ordinal logistic regression was used to explore the factors associated with CRS use by using SPSS software (version 26.0). Results In total, 442 parents participated in the study; 56.1% (n = 201) of the parents utilized CRS for their child passengers, however only 29.0% used CRS frequently. The result of logistic regression analysis show that parents with junior college (OR = 0.398, 95%CI: 0.185 ~ 0.857), possessing a high family economic status(OR = 0.225, 95%CI: 0.088 ~ 0.578), being trained on children’s unintentional injuries(OR = 0.435,95%CI: 0.272 ~ 0.695), and having high scores on CRS riding mode cognition(OR = 0.476, 95%CI: 0.368 ~ 0.616), CRS type cognition(OR = 0.519, 95%CI: 0.392 ~ 0.689), CRS use motivation(OR = 0.392, 95%CI: 0.295 ~ 0.520) and installation skills(OR = 0.559, 95%CI:0.411 ~ 0.761) were the main factors promoting the usage of CRS. Conclusions This study found that the use of CRS can be increased by improving parents' knowledge, motivation and behavior skills and hence related educational programs is necessary for increasing CRS use in China.

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Section: Discussionsupporting

confidence: 80%

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

et al. 2023

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“…Child safety seats are devices designed to ensure the safety of infants and children during car rides, effectively safeguarding their security. [ 5 ] In this study, the overall adoption rate and frequent usage rate of child safety seats for 0-6-year-old children were 47.7%, which is lower than the investigation level of 53.45% in a Shanghai community in 2018,[ 6 ] and far below the adoption rates in developed countries (>90%). [ 2 ] In this study, the frequent usage rate of child safety seats for 0-1-year-old group was the highest at 33.3%, indicating that parents may be more inclined to use safety seats during the infancy stage and overlook the safety of older children or give up due to decreased compatibility as children grow older.…”

Section: Discussionmentioning

confidence: 70%

Analysis of the usage and awareness of child safety seats for children aged 0-6 in Leshan City, Sichuan Province, China

Li,

Wei,

Rao

et al. 2024

Journal of Family Medicine and Primary Care

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Objective: To investigate the current situation of child safety seat use and children’s cognition of safe riding in Leshan City, and to provide a basis for the promotion and application of child safety seats in Leshan City. Methods: From November 2021 to February 2022, a total of 500 car-owning families who visited or were hospitalized in the department of pediatrics of our hospital were surveyed by self-filling questionnaire method. Through the investigation of personal situation, family situation, travel habits, use of child safety seat, cognition of safe riding, etc., the influencing factors of possession and use of child safety seat and cognition were analyzed. Results: The ownership rate of car seats was 57.8%, the use rate was 47.6%, and the always use rate was 18.8% among all families with children surveyed. There were no statistically significant differences in the use rate and always use rate of child safety seats among different genders of children, parents’ education background, and car ownership price. The use rate and constant use rate of child safety seats in urban households were significantly higher than those in rural areas. When the main driver was the mother, the use rate of child safety seats was higher, and the difference was statistically significant. From the perspective of cognition, the use rate and constant use rate of the child safety seat of parents with correct cognition were 64.5% and 25.7% respectively, while the use rate and constant use rate of the child safety seat of parents with incorrect cognition were only 11.1% and 4.3%, which were significantly lower than those with correct cognition, and the difference was statistically significant. In terms of cognition, 10.4% of parents think it is safe for children to sit in the back seat with adults in their arms, and 9.0% of family members think it is safe for children to sit in the back seat with seat belts alone. Conclusions: At present, the ownership rate, utilization rate, and parents’ correct cognition of child safety seats in Leshan City are all at a low level, and there is a lack of regional legal guidance, so the safety situation of children in cars is worrying. To effectively improve the use of child safety seats, the promotion of child safety seats should be promoted from three aspects: improving parents’ cognition, forming good traffic habits, and legal guidance.

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Child restraint system use in China, comparing theory of planned behavior, prototype willingness model, and integrative model

Liu,

Liu

2024

Journal of Transport & Health

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Analysis of the factors influencing parents’ support for child safety seat legislation in Nanjing

Cited by 5 publications

References 23 publications

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

Analysis of factors influencing the use of child restraint system by parents of children aged 0–6 years: an information, motivation, behavioral skills model-based cross-sectional study

Analysis of the usage and awareness of child safety seats for children aged 0-6 in Leshan City, Sichuan Province, China

Child restraint system use in China, comparing theory of planned behavior, prototype willingness model, and integrative model

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