Knowledge, Attitudes and Behaviors on Child Passenger Safety Among Expectant Mothers and Parents of Newborns: A Qualitative and Quantitative Approach

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2016 Jan 7

PMID 26735974

Citations 4

Authors

Xiangxiang Liu

Jingzhen Yang

Xiaojun Chen

Liping Li

Affiliations

Soon will be listed here.

Abstract

Objective: To investigate the knowledge, attitudes, and intended behaviors about use of child safety seats among parents of newborns and explore expectant mothers' views and decisions regarding child safety seats use.

Methods: A cross-sectional survey and semi-structured interview were conducted in the maternity departments of two hospitals in China. Parents of newborns were recruited after delivery and surveyed on their knowledge, attitudes and behaviors regarding child safety seats use. Pregnant women were also interviewed to learn about their views and decisions regarding child safety seats use. Both quantitative and qualitative methods were used to analyze the data collected.

Results: Of a total of 242 parents of newborns recruited in the quantitative survey, 202 (83.5%) parents had heard of child safety seats and 149 (61.6%) parents reported they would use child safety seats for their babies. Parents' knowledge, car ownership, occupation, and income were significantly associated with their decision regarding use of child safety seats. Three themes were identified from the qualitative interview of 30 pregnant women: (1) the pregnant women perceived child passenger safety as important; (2) the car ownership and price and quality of child safety seats were major influencing factors of their decisions on use of child safety seats; and (3) lack of awareness and lack of laws requiring use were perceived to contribute to low use of child safety seats in China.

Conclusion: Lack of knowledge and awareness on child passenger safety were found to be two most important factors associated with low use of child safety seats. Effective interventions are urgently needed to improve parents' knowledge before laws are enacted and implemented.

Citing Articles

Parents' Knowledge, Attitudes, and Practices Regarding Baby Walkers, Baby Car Seats, Oral Health, and Child Screen Time in Saudi Arabia: A Cross-Sectional Study.

Algethami R, Tamur S, Alsofyani R, Alfaifi H, Qattan F, Alharthi M Cureus. 2024; 16(1):e52464.

PMID: 38371110 PMC: 10873485. DOI: 10.7759/cureus.52464.

Restraint Use for Child Occupants in Dubai, United Arab Emirates.

Ahmad I, Fildes B, Logan D, Koppel S Int J Environ Res Public Health. 2022; 19(10).

PMID: 35627501 PMC: 9141416. DOI: 10.3390/ijerph19105966.

Prevalence of child passenger restraint use in Shantou, China from 2012 to 2017.

Yan S, Ding K, Yang J, Ye W, Li L BMC Public Health. 2020; 20(1):807.

PMID: 32471397 PMC: 7257449. DOI: 10.1186/s12889-020-08859-3.

Has Child Restraint System Use Increased among Parents of Children in Shantou, China?.

Lei H, Yang J, Liu X, Chen X, Li L Int J Environ Res Public Health. 2016; 13(10).

PMID: 27690070 PMC: 5086703. DOI: 10.3390/ijerph13100964.

References

Olufunlayo T, Odeyemi K, Ogunnowo B, Onajole A, Oyediran M . An observational survey of child car safety practices in private pre-primary and primary schools in two local government areas of Lagos State, Nigeria. Inj Prev. 2011; 18(4):216-20. DOI: 10.1136/injuryprev-2011-040047. View

Pan S, Du W, Jiang F, Bilston L, Brown J, Shen X . Exploring child car passenger safety practices in China: experience from a parental survey in Shanghai. Inj Prev. 2011; 18(2):133-7. DOI: 10.1136/injuryprev-2011-040049. View

Koppel S, Muir C, Budd L, Devlin A, Oxley J, Charlton J . Parents' attitudes, knowledge and behaviours relating to safe child occupant travel. Accid Anal Prev. 2012; 51:18-26. DOI: 10.1016/j.aap.2012.10.009. View

Grivna M, Eid H, Abu-Zidan F . Pediatric and youth traffic-collision injuries in Al Ain, United Arab Emirates: a prospective study. PLoS One. 2013; 8(7):e68636. PMC: 3701680. DOI: 10.1371/journal.pone.0068636. View

Skjerven-Martinsen , Naess P, Hansen T, Staff T, Stray-Pedersen A . Observational study of child restraining practice on Norwegian high-speed roads: restraint misuse poses a major threat to child passenger safety. Accid Anal Prev. 2013; 59:479-86. DOI: 10.1016/j.aap.2013.07.023. View

Eventov-Friedman S, Bar-Oz B, Zisk-Rony R . Using a safe taxi service to transport newborn babies home from hospital. Acta Paediatr. 2013; 103(1):57-61. DOI: 10.1111/apa.12431. View

Chen X, Yang J, Peek-Asa C, McGehee D, Li L . Parents' knowledge, attitude, and use of child restraints, Shantou, China. Am J Prev Med. 2013; 46(1):85-8. DOI: 10.1016/j.amepre.2013.08.017. View

Bae J, Anderson E, Silver D, Macinko J . Child passenger safety laws in the United States, 1978-2010: policy diffusion in the absence of strong federal intervention. Soc Sci Med. 2014; 100:30-7. PMC: 3899584. DOI: 10.1016/j.socscimed.2013.10.035. View

Chen X, Yang J, Peek-Asa C, Li L . Parents' experience with child safety restraint in China. BMC Public Health. 2014; 14:318. PMC: 4234189. DOI: 10.1186/1471-2458-14-318. View

10.

Simniceanu A, Richmond S, Snowdon A, Hussein A, Boase P, Howard A . Child restraint use in Canadian provinces with and without legislation in 2010. Traffic Inj Prev. 2013; 15(7):734-9. DOI: 10.1080/15389588.2013.867483. View

11.

Chen X, Yang J, Peek-Asa C, Chen K, Liu X, Li L . Hospital-based program to increase child safety restraint use among birthing mothers in China. PLoS One. 2014; 9(8):e105100. PMC: 4136798. DOI: 10.1371/journal.pone.0105100. View

12.

Zonfrillo M, Sauber-Schatz E, Hoffman B, Durbin D . Pediatricians' self-reported knowledge, attitudes, and practices about child passenger safety. J Pediatr. 2014; 165(5):1040-5.e1-2. PMC: 4253538. DOI: 10.1016/j.jpeds.2014.07.041. View

13.

Nelson A, Modeste N, Hopp Marshak H, Hopp J . Saudi women's beliefs on the use of car infant restraints: a qualitative study. Traffic Inj Prev. 2014; 16:240-5. DOI: 10.1080/15389588.2014.931578. View

14.

Hunter K, Keay L, Simpson J, Brown J, Bilston L, Fegan M . Program fidelity measures associated with an effective child restraint program: Buckle-Up Safely. Am J Public Health. 2015; 105(3):584-90. PMC: 4330849. DOI: 10.2105/AJPH.2014.302308. View

15.

Nugmanova Z, Ussatayeva G, McNutt L . Seatbelt and child-restraint use in Kazakhstan: attitudes and behaviours of medical university students. Inj Prev. 2014; 21(e1):e109-12. DOI: 10.1136/injuryprev-2014-041198. View

16.

Erkoboni D, Ozanne-Smith J, Rouxiang C, Winston F . Cultural translation: acceptability and efficacy of a US-based injury prevention intervention in China. Inj Prev. 2010; 16(5):296-301. DOI: 10.1136/ip.2009.023341. View

17.

Tessier K . Effectiveness of hands-on education for correct child restraint use by parents. Accid Anal Prev. 2010; 42(4):1041-7. PMC: 2865471. DOI: 10.1016/j.aap.2009.12.011. View

18.

Brown J, McCaskill M, Henderson M, Bilston L . Serious injury is associated with suboptimal restraint use in child motor vehicle occupants. J Paediatr Child Health. 2006; 42(6):345-9. DOI: 10.1111/j.1440-1754.2006.00870.x. View

19.

Purc-Stephenson R, Ren J, Snowdon A . An exploratory study of parents' use and knowledge of car safety seats in Beijing, China. Int J Inj Contr Saf Promot. 2010; 17(4):231-8. DOI: 10.1080/17457300.2010.487155. View

20.

Pan S, Du W, Jiang F, Bilston L, Brown J, Shen X . Restraint use and seating position among child car passengers: an observational study in Shanghai. Accid Anal Prev. 2011; 43(6):2195-2199. DOI: 10.1016/j.aap.2011.06.014. View