@article{ref1,
title="Increases in best practice child restraint use among children aged 2-5 years in low socioeconomic areas after introduction of mandatory child restraint laws in NSW Australia",
journal="Injury prevention",
year="2012",
author="Brown, J. and Keay, L. and Hunter, K. and Bilston, L. and Simpson, J. and Ivers, Rebecca Q.",
volume="18",
number="Suppl 1",
pages="A106-A106",
abstract="Background In 2009 the Australian Road Rules were modified to specify use of age-appropriate restraints for children up to 7 years. Implementation of the new laws was expected to increase optimal restraint use, but international studies have reported little or no effect of legislation in low income and minority groups.  Aims/Objectives/Purpose To compare restraint practices in children aged 2-5 years in low socioeconomic areas of NSW before and after introduction of legislation specifying age-appropriate restraint use.  Methods Direct observations of children aged 2-5 years at sites within low socioeconomic areas were used to assess restraint practices. A pre-legislation sample was drawn from a 2008 cross-sectional observation survey (n=106) and post-legislation data were collected in 2010 from control sites in a cluster randomised trial (n=360). Logistic regression was used to compare restraint practices adjusting for variations in demographic distributions between the samples.  Results/Outcome Age-appropriate restraint use increased from 41% to 73%, and correct use from 34% to 47% in the post-legislation sample. After controlling for child's age, parental education, income and language spoken at home, the odds of children in the post-legislation sample being appropriately restrained were 2.2 times greater (95% CI 1.4 to 3.6) and the odds of them being correctly restrained were 1.6 times greater (95% CI 1.0 to 2.7) than children in the pre-legislation sample.  Significance/Contribution to the Field While there appears to have been an improvement in child restraint practices in low income populations following implementation of laws mandating age-appropriate restraint, the results indicate a need for further interventions to increase the number of children optimally restrained.   This is an abstract of a presentation at Safety 2012, the 11th World Conference on Injury Prevention and Safety Promotion, 1-4 October 2012, Michael Fowler Center, Wellington, New Zealand. Full text does not seem to be available for this abstract. <p />",
language="en",
issn="1353-8047",
doi="10.1136/injuryprev-2012-040590d.32",
url="http://dx.doi.org/10.1136/injuryprev-2012-040590d.32"
}