Restraint use among Northwest American Indian children traveling in motor vehicles

Jodi A. Lapidus, Nicole H. Smith, Beth E. Ebel, Francine C Gachupin

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

Objectives. We sought to estimate motor vehicle passenger restraint use among Northwest American Indian children 8 years old or younger and to determine factors associated with using proper (i.e., age and weight appropriate) passenger restraint systems. Methods. We surveyed vehicles driven by members of 6 tribes in Idaho, Oregon, and Washington. Associations between proper restraint and child, driver, and vehicle characteristics were analyzed using logistic regression for clustered data. Results. We observed 775 children traveling in 574 vehicles; 41% were unrestrained. Proper restraint ranged from 63% among infant seat-eligible children to 11% among booster seat-eligible children and was associated with younger child's age (odds ratio (OR) per year=0.60; 95% confidence interval (CI) = 0.48, 0.75), seating location (OR front vs rear = 0.27; 95% CI = 0.16, 0.44), driver seat belt use (OR = 2.39; 95% CI = 1.51, 3.80), and relationship (OR for nonparent vs parent = 0.28; 95% CI = 0.14, 0.58). More than half of drivers felt children could use an adult seat belt earlier than recommended guidelines, and 63% did not correctly identify whether their tribe had child safety seat laws. Conclusions. Children in these communities are inadequately restrained. Restraint use was exceedingly low among booster-eligible children and children riding with unrestrained adults. Interventions emphasizing appropriate restraint use and enforcement of passenger safety laws could reduce the risk of injury or death in motor vehicle accidents.

Original languageEnglish (US)
Pages (from-to)1982-1988
Number of pages7
JournalAmerican Journal of Public Health
Volume95
Issue number11
DOIs
StatePublished - Nov 2005
Externally publishedYes

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North American Indians
Motor Vehicles
Odds Ratio
Confidence Intervals
Seat Belts
Population Groups
Child Restraint Systems
Accidents
Logistic Models
Guidelines
Safety
Weights and Measures

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Restraint use among Northwest American Indian children traveling in motor vehicles. / Lapidus, Jodi A.; Smith, Nicole H.; Ebel, Beth E.; Gachupin, Francine C.

In: American Journal of Public Health, Vol. 95, No. 11, 11.2005, p. 1982-1988.

Research output: Contribution to journalReview article

Lapidus, Jodi A. ; Smith, Nicole H. ; Ebel, Beth E. ; Gachupin, Francine C. / Restraint use among Northwest American Indian children traveling in motor vehicles. In: American Journal of Public Health. 2005 ; Vol. 95, No. 11. pp. 1982-1988.
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abstract = "Objectives. We sought to estimate motor vehicle passenger restraint use among Northwest American Indian children 8 years old or younger and to determine factors associated with using proper (i.e., age and weight appropriate) passenger restraint systems. Methods. We surveyed vehicles driven by members of 6 tribes in Idaho, Oregon, and Washington. Associations between proper restraint and child, driver, and vehicle characteristics were analyzed using logistic regression for clustered data. Results. We observed 775 children traveling in 574 vehicles; 41{\%} were unrestrained. Proper restraint ranged from 63{\%} among infant seat-eligible children to 11{\%} among booster seat-eligible children and was associated with younger child's age (odds ratio (OR) per year=0.60; 95{\%} confidence interval (CI) = 0.48, 0.75), seating location (OR front vs rear = 0.27; 95{\%} CI = 0.16, 0.44), driver seat belt use (OR = 2.39; 95{\%} CI = 1.51, 3.80), and relationship (OR for nonparent vs parent = 0.28; 95{\%} CI = 0.14, 0.58). More than half of drivers felt children could use an adult seat belt earlier than recommended guidelines, and 63{\%} did not correctly identify whether their tribe had child safety seat laws. Conclusions. Children in these communities are inadequately restrained. Restraint use was exceedingly low among booster-eligible children and children riding with unrestrained adults. Interventions emphasizing appropriate restraint use and enforcement of passenger safety laws could reduce the risk of injury or death in motor vehicle accidents.",
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