Child Restraint Use in Canadian Provinces With and Without Legislation in 2010

Simniceanu, Alice; Richmond, Sarah; Snowdon, Anne; Hussein, Abdulkadir; Boase, Paul; Howard, Andrew

doi:10.1080/15389588.2013.867483

Cited by 24 publications

(16 citation statements)

References 7 publications

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“…Stricter federal impaired driving laws and improved enforcement over the study period could have further contributed to reduced MVC rates 29 . In addition, the increased use of child safety seats and recent introduction of child safety seat legislation in Canada could account for the decline in MVC rates among young children 30 . These results, while encouraging, underscore the need for continued injury prevention targeted to children and young adults, who remain the most at risk for hospitalization from MVCs.…”

Section: Discussionmentioning

confidence: 99%

Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada

Jing

McFaull

et al. 2015

Journal of Trauma and Acute Care Surgery

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Background: Traumatic brain injury (TBI) is the leading cause of traumatic death and disability worldwide. We examined nationwide trends in TBI-related hospitalizations and in-hospital mortality between April 2006 and March 2011 using a nationwide, population-based database that is mandatory for all hospitals in Canada. Methods: Trends in hospitalization rates for all acute hospital separations in Canada were analyzed using linear regression. Independent predictors of in-hospital mortality were evaluated using logistic regression. Results: Hospitalization rates remained stable for children and young adults, but increased considerably among elderly adults (ages 65 and older). Falls and motor vehicle collisions (MVCs) were the most common causes of TBI hospitalizations. TBIs caused by falls increased by 24% (p=0.01), while MVC-related hospitalization rates decreased by 18% (p=0.03). Elderly adults were most vulnerable to falls, and experienced the greatest increase (29%) in fall-related hospitalization rates. Young adults (ages 15-24) were most at risk for MVCs, but experienced the greatest decline (28%) in MVC-related admissions. There were significant trends towards increasing age, injury severity, comorbidity, hospital length of stay, and rate of in-hospital mortality. However, multivariate regression showed that odds of death decreased over time after controlling for relevant factors. Injury severity, comorbidity, and advanced age were the most important predictors of in-hospital mortality for TBI inpatients. Conclusions: Hospitalizations for TBI are increasing in severity and involve older populations with more complex comorbidities. Although preventive strategies for MVC-related TBI are likely having some effects, there is a critical need for effective fall prevention strategies, especially among elderly adults.

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Section: Discussionmentioning

confidence: 99%

Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada

Jing

McFaull

et al. 2015

Journal of Trauma and Acute Care Surgery

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“…In Canada, Simniceanu et al (2013) [27] concluded that the legislation has an impact on restraint use. Despite the increased number of parents that carry children in these devices, the use rates in the population studied remained low.…”

Section: Resultsmentioning

confidence: 99%

Children Safety Devices in Brazil—Why Do People Don’t Use Them after the Law?

Abib¹,

Francoia²,

Ricci³

et al. 2014

JTTs

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Introduction: Children safety car devices decrease injuries and death in children. A survey conducted in Brazil in 2009 revealed that only 36.1% of children safely transported. In 2010, a Brazilian law was implemented, obligating the use of safety devices. The aim of this study is to evaluate the use of such devices after the law and the eventual reasons for non-use. Methods: A significant sample of Brazilian population aged 18 years or more, which normally carry children until 10 years old answered a survey between August 16 and 25, 2012. The study was conducted in two phases. The first one aimed to raise the proportion and profile of the target population, while the second investigated the children car safety device use (or not). Results: 622 interviews. Children's transporters are young males (57%), living in a metropolitan area in the South region, concerned about safety and law supervision, with greater education level and income than non-transporters (31%) who are male with lack of information, living in a non-metropolitan area of the Northeast region that would be motivated to use the device by effective law fiscalization or threat of an accident. Conclusion: Two years after the law it is observed that education, income, age, gender and region of origin influence the use/non-use of the safety seats in Brazil. The accident threat and fiscalization are the main reasons for using the device, showing that the lack of information impairs the democratization of its use and the prevention culture has to be enhanced in the country.

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“…Child passenger safety laws have been well implemented and enforced in the United States and other European countries for many years [7,10,22,23,24]. In the US, CSS laws have been enacted for more than two decades, and the usage of CSS was 98% among infants and 89% among children age 1 to 3 in 2006 [25].…”

Section: Discussionmentioning

confidence: 99%

“…In 2000, Japan’s Road Traffic Law stipulating CSS use among children aged 0–5 years went into effect, while, in China, even today there is no national legislation [9]. To increase CSS use following hospital discharge and improve the knowledge of parents, many intervention programs have been implemented, including CSS education, CSS installation training, CSS discharge polices of newborns and CSS laws, all of which showed success in increasing CSS use [10,11,12,13,14,15,16,17,18,19]. A published review in 2001 showed that more than 10 programs included the strategies of providing free loaner CSS, giveaways or low-cost rentals to the parents of children, in addition to educational components such as instruction or written materials, professional installation training, or rehearsal of skills [20].…”

Section: Introductionmentioning

confidence: 99%

Newborn Parent Based Intervention to Increase Child Safety Seat Use

Liu

Yang

Cheng

et al. 2016

IJERPH

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This paper intends to assess the effect of a maternity department intervention on improvement of knowledge and use of child safety seats (CSS) among newborn parents. An intervention study included three groups (one education plus free CSS intervention group, one education only group, and one control group). The participants were parents of newborns in the maternity department of two hospitals. Both of the intervention groups received a folded pamphlet of child passenger safety, a height chart and standardized safety education during their hospital stay after giving birth. The education plus free CSS intervention group received an additional free CSS and professional installation training at hospital discharge. The control group received a pamphlet with educational information about nutrition and food safety. Three months after enrollment, a telephone follow-up was conducted among participants in the three groups. Data on child passenger safety knowledge, risky driving behaviors, and use of CSS were evaluated before and after the intervention. A total of 132 newborn parents were enrolled in the study; of those, 52 (39.4%) were assigned into the education plus free CSS intervention group, 44 (33.3%) were in the education intervention only group, and 36 (27.3%) were in the control group. No significant differences existed in demographics among the three groups. There was a significant difference in newborn parents’ child passenger safety knowledge and behaviors in the three groups before and after the intervention. In addition, the CSS use increased significantly in the education plus free CSS group after the intervention compared to parents in the education only or control groups. Education on safety, combined with a free CSS and professional installation training, were effective at increasing newborn parents’ knowledge and use of CSS. Future studies with larger sample sizes and longer follow-up are needed to determine a long-term effect of the intervention.

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Child Restraint Use in Canadian Provinces With and Without Legislation in 2010

Cited by 24 publications

References 7 publications

Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada

Recent trends in hospitalization and in-hospital mortality associated with traumatic brain injury in Canada

Children Safety Devices in Brazil—Why Do People Don’t Use Them after the Law?

Newborn Parent Based Intervention to Increase Child Safety Seat Use

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