Factors Associated With Child Restraint Use in Motor Vehicle Crashes

Franklin Privette; Ann Nwosu; Caitlin N. Pope; Jingzhen Yang; Joyce C. Pressley; Motao Zhu

doi:10.1177/0009922818786002

Factors Associated With Child Restraint Use in Motor Vehicle Crashes

Franklin Privette
, Ann Nwosu
, Caitlin N. Pope
, Jingzhen Yang
, Joyce C. Pressley
, Motao Zhu

Health, Behavior, and Society

Research output: Contribution to journal › Article › peer-review

11 Scopus citations

Abstract

Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the “booster-aged” population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4 to 7 years old, using 2011 to 2015 data from the Fatality Analysis Reporting System. Of 929 MVC fatalities, 32% of fatally injured children were in an age-appropriate restraint. While age-appropriate CRS use was higher for 4-, 5-, and 6-year-olds relative to 7-year-olds (adjusted relative risk [aRR] = 2.57, 2.51, and 2.18, respectively; p <.01 for each comparison), black children (aRR = 0.62; p <.01) relative to white children, and drivers who had not used a lap-shoulder belt (aRR = 0.40; p <.01) relative to belted drivers were associated with lower levels of age-appropriate CRS use. Our findings underscore the continued importance of communicating best practice guidelines on CRSs to caregivers of young children.

Original language	English
Pages (from-to)	1423-1431
Number of pages	9
Journal	Clinical Pediatrics
Volume	57
Issue number	12
DOIs	https://doi.org/10.1177/0009922818786002
State	Published - Oct 1 2018

Bibliographical note

Publisher Copyright:
© The Author(s) 2018.

Funding

The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: Author Franklin Privette received a research scholarship stipend from the Samuel J. Roessler Memorial Scholarship from the Medical Student Research Scholarship Program at the Ohio State University College of Medicine while he worked on this study. Author Motao Zhu received support from the National Institutes of Child Health and Human Development (R21HD085122) and the National Institutes on Aging (R01AG050581). The opinions, views, or comments expressed in this paper are those of the authors and do not necessarily represent the official positions of funding departments.

Funders	Funder number
National Institutes of Aging
Ohio State University College of Medicine
National Institute on Aging	R01AG050581
National Institute on Aging
NIH National Institute of Child Health and Human Development National Center for Medical Rehabilitation Research	R21HD085122, R01HD074594
NIH National Institute of Child Health and Human Development National Center for Medical Rehabilitation Research
College of Medicine Office of Research, Ohio State University

Keywords

age-appropriate restraint
booster seats
child passenger safety
motor vehicle crash

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health

Access to Document

10.1177/0009922818786002

Cite this

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title = "Factors Associated With Child Restraint Use in Motor Vehicle Crashes",

abstract = "Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the “booster-aged” population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4 to 7 years old, using 2011 to 2015 data from the Fatality Analysis Reporting System. Of 929 MVC fatalities, 32\% of fatally injured children were in an age-appropriate restraint. While age-appropriate CRS use was higher for 4-, 5-, and 6-year-olds relative to 7-year-olds (adjusted relative risk [aRR] = 2.57, 2.51, and 2.18, respectively; p <.01 for each comparison), black children (aRR = 0.62; p <.01) relative to white children, and drivers who had not used a lap-shoulder belt (aRR = 0.40; p <.01) relative to belted drivers were associated with lower levels of age-appropriate CRS use. Our findings underscore the continued importance of communicating best practice guidelines on CRSs to caregivers of young children.",

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author = "Franklin Privette and Ann Nwosu and Pope, \{Caitlin N.\} and Jingzhen Yang and Pressley, \{Joyce C.\} and Motao Zhu",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2018.",

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language = "English",

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AU - Privette, Franklin

AU - Nwosu, Ann

AU - Pope, Caitlin N.

AU - Yang, Jingzhen

AU - Pressley, Joyce C.

AU - Zhu, Motao

N1 - Publisher Copyright: © The Author(s) 2018.

PY - 2018/10/1

Y1 - 2018/10/1

N2 - Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the “booster-aged” population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4 to 7 years old, using 2011 to 2015 data from the Fatality Analysis Reporting System. Of 929 MVC fatalities, 32% of fatally injured children were in an age-appropriate restraint. While age-appropriate CRS use was higher for 4-, 5-, and 6-year-olds relative to 7-year-olds (adjusted relative risk [aRR] = 2.57, 2.51, and 2.18, respectively; p <.01 for each comparison), black children (aRR = 0.62; p <.01) relative to white children, and drivers who had not used a lap-shoulder belt (aRR = 0.40; p <.01) relative to belted drivers were associated with lower levels of age-appropriate CRS use. Our findings underscore the continued importance of communicating best practice guidelines on CRSs to caregivers of young children.

AB - Motor vehicle crashes (MVCs) are a leading cause of death among children. Multivariable analyses of age-appropriate child restraint system (CRS) use in the “booster-aged” population are needed. The current study identified factors associated with age-appropriate CRS use in fatal MVCs for children 4 to 7 years old, using 2011 to 2015 data from the Fatality Analysis Reporting System. Of 929 MVC fatalities, 32% of fatally injured children were in an age-appropriate restraint. While age-appropriate CRS use was higher for 4-, 5-, and 6-year-olds relative to 7-year-olds (adjusted relative risk [aRR] = 2.57, 2.51, and 2.18, respectively; p <.01 for each comparison), black children (aRR = 0.62; p <.01) relative to white children, and drivers who had not used a lap-shoulder belt (aRR = 0.40; p <.01) relative to belted drivers were associated with lower levels of age-appropriate CRS use. Our findings underscore the continued importance of communicating best practice guidelines on CRSs to caregivers of young children.

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Factors Associated With Child Restraint Use in Motor Vehicle Crashes

Abstract

Bibliographical note

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Keywords

ASJC Scopus subject areas

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