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Citation |
Shimony Kanat S, Gofin R. Accid. Anal. Prev. 2017; 108: 245-250. |
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Affiliation |
Department of Health Promotion, Social & Behavioral Health, College of Public Health, University of Nebraska Medical Center, NE, USA; Braun School of Public Health and Community Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. |
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Copyright |
(Copyright © 2017, Elsevier Publishing) |
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DOI |
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PMID |
28918223 |
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Abstract |
Belt-positioning booster seat use (BPB) is an effective technology to prevent severe child injury in cases of car crash. However, in many countries, age-appropriate car restraint use for children aged 4-7 years old remains the lowest among all age groups. The aim of this study was to identify the main determinants of BPB use through a comprehensive approach. An ecological model was used to analyze individual, parent-child relationships, and neighborhood characteristics. Parents of children enrolled in the first and second grades completed a self-reported questionnaire (n=745). The data were subjected to multilevel modeling. The first level examined individual and parent-child relationship variables; in addition the second level tested between neighborhood variance. According to parental self- reports, 56.6% of their children had used a BPB on each car trip during the previous month. The results indicated that the determinants positively related to BPB use were individual and parental; namely, the number of children in the family, the parents' car seat belt use, parental knowledge of children's car safety principles, and a highly authoritative parenting style. Children's temperaments and parental supervision were not associated with BPB use. At the neighborhood level, a small difference was found between neighborhoods for BPB users compared to non-users. Language: en |
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Keywords |
Booster seat use; Child temperament; Ecological model; Multilevel analysis; Parenting style |