Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws

Abstract Objectives : To examine changes in child car restraint practices in low socioeconomic areas following the introduction of mandatory child car restraint legislation in New South Wales (NSW), Australia. Methods : Data from two cross‐sectional studies of child car restraint use at pre‐schools,...

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Main Authors: Julie Brown, Lisa Keay, Kate Hunter, Lynne E. Bilston, Judy M. Simpson, Rebecca Ivers
Format: Article
Language:English
Published: Elsevier 2013-06-01
Series:Australian and New Zealand Journal of Public Health
Subjects:
Online Access:https://doi.org/10.1111/1753-6405.12070
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author Julie Brown
Lisa Keay
Kate Hunter
Lynne E. Bilston
Judy M. Simpson
Rebecca Ivers
author_facet Julie Brown
Lisa Keay
Kate Hunter
Lynne E. Bilston
Judy M. Simpson
Rebecca Ivers
author_sort Julie Brown
collection DOAJ
description Abstract Objectives : To examine changes in child car restraint practices in low socioeconomic areas following the introduction of mandatory child car restraint legislation in New South Wales (NSW), Australia. Methods : Data from two cross‐sectional studies of child car restraint use at pre‐schools, early childhood centres and primary schools before and after the introduction of legislating mandatory age‐appropriate car restraint use for children up to the age of seven years was used in this analysis. All included observations were from local government areas with socioeconomic status in the lowest 30% of urban Sydney. Children aged 2–5 years were observed in their vehicles as they arrived at observation sites (107 pre‐legislation, 360 post‐legislation). Multilevel logistic regression was used to examine changes in observed age‐appropriate and correct use of car restraints. Results : Age‐appropriate car restraint use was higher post‐legislation than pre‐legislation. After controlling for child's age, parental income, language spoken at home and adjusting for clustering, the odds of children being appropriately restrained post‐legislation were 2.3 times higher than in the pre‐legislation sample, and the odds of them being correctly restrained were 1.6 times greater. Conclusions : Results indicate an improvement in car restraint practices among children aged 2–5 in low socioeconomic areas after introduction of child restraint laws. Implications : Despite improvements observed with enhanced legislation, further efforts are required to increase optimal child car restraint use.
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spelling doaj.art-6babe2306a7644f19358308c732661fa2023-09-03T01:49:17ZengElsevierAustralian and New Zealand Journal of Public Health1326-02001753-64052013-06-0137327227710.1111/1753-6405.12070Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint lawsJulie Brown0Lisa Keay1Kate Hunter2Lynne E. Bilston3Judy M. Simpson4Rebecca Ivers5Neuroscience Research Australia and School of Medical Science, University of New South WalesThe George Institute for Global Health, New South Wales; School of Public Health, University of Sydney, New South WalesThe George Institute for Global Health, New South Wales; School of Public Health, University of Sydney, New South WalesNeuroscience Research Australia and POW Clinical School, University of New South WalesSchool of Public Health, University of Sydney, New South WalesThe George Institute for Global Health, New South Wales; School of Public Health, University of Sydney, New South WalesAbstract Objectives : To examine changes in child car restraint practices in low socioeconomic areas following the introduction of mandatory child car restraint legislation in New South Wales (NSW), Australia. Methods : Data from two cross‐sectional studies of child car restraint use at pre‐schools, early childhood centres and primary schools before and after the introduction of legislating mandatory age‐appropriate car restraint use for children up to the age of seven years was used in this analysis. All included observations were from local government areas with socioeconomic status in the lowest 30% of urban Sydney. Children aged 2–5 years were observed in their vehicles as they arrived at observation sites (107 pre‐legislation, 360 post‐legislation). Multilevel logistic regression was used to examine changes in observed age‐appropriate and correct use of car restraints. Results : Age‐appropriate car restraint use was higher post‐legislation than pre‐legislation. After controlling for child's age, parental income, language spoken at home and adjusting for clustering, the odds of children being appropriately restrained post‐legislation were 2.3 times higher than in the pre‐legislation sample, and the odds of them being correctly restrained were 1.6 times greater. Conclusions : Results indicate an improvement in car restraint practices among children aged 2–5 in low socioeconomic areas after introduction of child restraint laws. Implications : Despite improvements observed with enhanced legislation, further efforts are required to increase optimal child car restraint use.https://doi.org/10.1111/1753-6405.12070child restraintage‐appropriate child restraintcorrect child restraintlegislation
spellingShingle Julie Brown
Lisa Keay
Kate Hunter
Lynne E. Bilston
Judy M. Simpson
Rebecca Ivers
Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws
Australian and New Zealand Journal of Public Health
child restraint
age‐appropriate child restraint
correct child restraint
legislation
title Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws
title_full Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws
title_fullStr Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws
title_full_unstemmed Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws
title_short Increase in best practice child car restraint use for children aged 2–5 years in low socioeconomic areas after introduction of mandatory child restraint laws
title_sort increase in best practice child car restraint use for children aged 2 5 years in low socioeconomic areas after introduction of mandatory child restraint laws
topic child restraint
age‐appropriate child restraint
correct child restraint
legislation
url https://doi.org/10.1111/1753-6405.12070
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