Booster Seat Use and Reasons for Nonuse

Ramsey, Ann W.; Simpson, Evan; Rivara, Frederick P.

doi:10.1542/peds.106.2.e20

Cited by 82 publications

(66 citation statements)

References 8 publications

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“…However, as already observed, rates of booster seat use are generally low Decina, Knoebel, 1997; Ebel, Koepsell, Bennett, 1 Rivara, 2003;Ramsey, Simpson, Rivara, 2000;Taft, Mickalide, Taft, 1999). In order to design effective programs to promote use of booster seats it is imperative to understand the barriers to booster seat use as well as the factors that promote use.…”

Section: Introductionmentioning

confidence: 59%

“…Therefore, it is not surprising when a study that combined observational and survey methods to examine booster seat use and reasons for nonuse (Ramsey et al, 2000) found that 27.7 percent of the study participants reported that they used booster seats, yet only 10 percent were observed having their booster seat eligible child(ren) properly restrained at the time of the interview, and over 50 percent of participants who had not properly restrained their eligible children reported owning a booster seat. Discrepancies like these may arise from several sources.…”

Section: Direct Observation Versus Surveysmentioning

confidence: 99%

“…Utilizing parental interview methods, a handful of studies has begun to investigate the factors that influence use of booster seats (Ebel et al, 2003;NHTSA, 2004;Ramsey et. al., 2000;Vaca et.…”

Section: Introductionmentioning

confidence: 99%

“…The study also found that knowledge of when to use a booster seat is poor, with less than one-half of parents knowing that children weighing 40 to 60 pounds should be placed in a booster seat and less than two-thirds having a correct understanding of the child safety restraint laws in their state. Thus, there appears to be significant misunderstanding surrounding the use of booster seats.Utilizing parental interview methods, a handful of studies has begun to investigate the factors that influence use of booster seats (Ebel et al, 2003; NHTSA, 2004;Ramsey et. al., 2000;Vaca et.…”

mentioning

confidence: 99%

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Factors influencing the use of booster seats: A state-wide survey of parents

Bingham

Eby

Hockanson

et al. 2006

Accident Analysis & Prevention

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This study gathered telephone interview data on attitudes, knowledge and motivations regarding booster seat use from a representative stratified random sample of parents with children between the ages of 4 and 8 years living in the State of Michigan. Interviews were completed between December 1 and December 15, 2004, with parents of children in 350 households. Due to demographic differences between this sample and the National Household Travel Survey (NHTS), weights were calculated using NHTS data, and both unweighted and weighted analyses were conducted. No differences were found between the conclusions drawn from the weighted and unweighted analyses; therefore, unweighted results were reported. Analyses examined the sample, overall, part-time booster seat users, and booster seat non-users. Numerous differences were identified based on parental sex, and booster seat use. Results indicated that the lack of legislation mandating booster seat use was a key variable determining level of use and the motivation to use booster seats. Nearly 70% of part-time users said that they used booster seats because they believed it was the law. Similarly, 60% of part-time and non-booster seat users said that they would be more likely to use booster seats if use were mandated by law, with non-users being more than three times as likely as part-time users to agree that a law would increase their booster seat use. Finally, over 90% of part-time and non-booster seat users said it would be easier for them to use booster seats if a law required it, and non-users were almost three times more likely than part-time users to agree that a law would make use easier. The need for booster seat laws, issues of social equity, and implications for intervention were discussed. Key WordBooster seat use, restraint use, safety belt use, telephone survey, representative, occupant protection SI* (MODERN METRIC) CONVERSION FACTORS APPROXIMATE CONVERSIONS TO SI UNITS Introduction BackgroundIt is widely recognized in the fields of injury prevention and transportation safety that motor vehicle crash (crash) is the leading cause of morbidity and mortality among children ages 4 to 8 years (Subrmanian, 2005). Although motor-vehicle-related injuries have declined in recent years (National Highway Traffic Safety Administration [NHTSA], 2003a), child restraint non-use is common in this age group, and contributes significantly to the risk of crash-related injury. Booster seats are important and effective tools in the effort to protect young children from injury in crashes, decreasing the risk of injury in a crash by as much as 59% (Durbin, Elliot, Winston, 2003;Nance et. al., 2004).In spite of their effectiveness (Durbin, Kallan, Winston, 2001), children who have outgrown child safety seats (i.e., infant or toddler seats) but are still too small to be fully protected by a safety belt designed for an adult (adult safety belt, i.e., lap and shoulder), are often either not placed in booster seats, placed inappropriately in a safety belt, or not restrained...

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Section: Introductionmentioning

confidence: 59%

Section: Direct Observation Versus Surveysmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

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Factors influencing the use of booster seats: A state-wide survey of parents

Bingham

Eby

Hockanson

et al. 2006

Accident Analysis & Prevention

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“…These findings are in agreement with the study by Mayr, in which 80% of parents interviewed would appreciate a preinstallation of car restraints, 54% requested more informative instructions for users and 33% asked for products with better stability (Mayr et al 1999). This information is useful to determine the link between parental perception of safety equipment and use (Ehrlich et al 2001), as well as parental misconceptions of safety equipment, which may jeopardize the safety of their children (Ramsey et al 2000).…”

Section: Discussionmentioning

confidence: 99%

Parents' perceptions, attitudes and behaviours towards child safety: a study in 14 European countries

Vincenten¹,

Sector²,

Rogmans³

et al. 2005

International Journal of Injury Control and Safety Promotion

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Use of Child Booster Seats in Motor Vehicles Following a Community Campaign

Ebel¹,

Koepsell²,

Bennett³

et al. 2003

JAMA

Self Cite

100

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OTOR VEHICLE COLLIsions remain the leading cause of death for children aged 4 to 8 years. 1 Booster seats are more effective than seat belts at reducing the risk of injury for these older children. 2 Nonetheless, only an estimated 6% to 19% of 4-to 8-year-old children currently ride in booster seats, while the majority use only an adult seat belt. 3-5 To date, there are no published trials of community interventions to increase booster seat use. In 1999, we began a 2-year community campaign to increase booster seat use in King County, Washington. This report describes the effectiveness of the campaign in increasing observed booster seat use. METHODS Study Design We conducted a prospective, nonrandomized, controlled trial to evaluate the community intervention. Booster seat use in each community was observed at baseline just before beginning the intervention, and then observations were repeated 15 months later. Four communities in the greater Seattle, Wash, area served as intervention sites, comprising about 240000 people. Eight communities in Portland, Ore, and Spo-kane, Wash, served as control sites. These communities were approximately matched on household per capita income and population size (TABLE 1), 6,7 and were chosen because they represented distinct neighborhoods with clear geographic boundaries. Booster Seat Campaign The campaign targeted both parents and children. It sought to increase parental awareness of the need for booster seats, reduce the motivational and financial barriers to purchasing a seat, and reinforce booster seat use through public health messages delivered from many different sources. Campaign messages were developed based on the Precede-Proceed model of behavioral change, identifying predisposing, enabling, and

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Booster Seat Use and Reasons for Nonuse

Abstract: This study indicates that parental misconceptions about size and safety of regular restraint equipment are the most common reason that children are not appropriately restrained in vehicles. This information can be used to guide community intervention programs.

Cited by 82 publications

References 8 publications

Factors influencing the use of booster seats: A state-wide survey of parents

Factors influencing the use of booster seats: A state-wide survey of parents

Parents' perceptions, attitudes and behaviours towards child safety: a study in 14 European countries

Use of Child Booster Seats in Motor Vehicles Following a Community Campaign

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