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Parental awareness and perception for correct use of child occupant restraints in Korea
1Department of Pediatrics, Eulji Hospital, Eulji University School of Medicine, Seoul, Korea.
Insights
Many parents misuse child occupant restraints (CORs), with correct usage rates significantly lower than expected. Increased education and stricter enforcement of car seat laws are crucial for improving child safety.
Area of Science:
- Pediatric Safety
- Public Health
- Transportation Safety
Background:
- Child occupant restraints (CORs) are critical for preventing injuries and fatalities in motor vehicle accidents.
- Previous studies indicate a gap between the availability of CORs and their correct usage.
- Parental awareness and perception significantly influence the adoption and correct application of safety measures.
Purpose of the Study:
- To assess the actual rate of correct child occupant restraint (COR) usage among children.
- To evaluate parental awareness and perceptions regarding the use of CORs.
- To identify factors influencing the correct use of CORs.
Main Methods:
- A cross-sectional survey was conducted across 10 hospitals.
- Self-report questionnaires were administered to 1573 parents.
- Data were collected on 2209 children aged 6 years or younger.
Main Results:
- Only 25.6% of parents correctly used child occupant restraints (CORs) or adult seat belts for their children.
- Correct restraint use varied significantly by child's age, with infants showing the lowest rates (14.3%).
- Maternal education, household size, age of COR initiation, and awareness of legal penalties were key influencing factors.
Conclusions:
- Current rates of correct child occupant restraint (COR) use are alarmingly low.
- There is a need for enhanced educational campaigns focusing on the efficacy of CORs.
- Increased enforcement of car seat laws is recommended to improve parental compliance and child safety.
Objective:
To determine the rate of correct use of child occupant restraints (CORs) and to evaluate the parental awareness and perception associated with the use of CORs.
Methods:
A cross-sectional survey using self-report questionnaires was performed at 10 different hospitals. A total of 1573 parents and 2209 of their children 6 years of age or younger were studied.
Results:
The overall percentage of parents using CORs or adult seat belt was 57.7 percent. However, only 44.4 percent of those parents, which corresponds to 25.6 percent of all parents recruited, were correctly using the restraints for their children. The overall percentage of children using CORs or adult seat belt was 53 percent. However, the percentage of children correctly using the restraints was 14.3 percent for infants (<12 months of age), 42 percent for children one years old, 43.8 percent for children 2 years old, 28.7 percent for children 3 years old, 18.9 percent for children 4 years old, 13.9 percent for children 5 years old, and 10.5 percent for children 6 years old. The logistic regression analysis revealed that the mother's level of education, number of children in each household, child's age when parents started to use the CORs, and parental awareness about the fine for violation of car seat laws were the most influential variables associated with the correct use of CORs. The rates of correct use of CORs and parental preferences about CORs, respectively, differed by ages of their children. Most parents showed a negative perception of placing children in the front passenger seat. However, many parents were prematurely using adult seat belts for children without realizing the risk of injury.
Conclusion:
More aggressive educational campaigns and increased enforcement of the car seat laws are needed to improve the awareness of parents on the efficacy of CORs.
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