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Restraint use among Northwest American Indian children traveling in motor vehicles

Author

Listed:
  • Lapidus, J.A.
  • Smith, N.H.
  • Ebel, B.E.
  • Romero, F.C.

Abstract

Objectives. We sought to estimate motor vehicle passenger restraint use among Northwest American Indian children 8 years old or younger and to determine factors associated with using proper (i.e., age and weight appropriate) passenger restraint systems. Methods. We surveyed vehicles driven by members of 6 tribes in Idaho, Oregon, and Washington. Associations between proper restraint and child, driver, and vehicle characteristics were analyzed using logistic regression for clustered data. Results. We observed 775 children traveling in 574 vehicles; 41% were unrestrained. Proper restraint ranged from 63% among infant seat-eligible children to 11% among booster seat-eligible children and was associated with younger child's age (odds ratio (OR) per year=0.60; 95% confidence interval (CI) = 0.48, 0.75), seating location (OR front vs rear = 0.27; 95% CI = 0.16, 0.44), driver seat belt use (OR = 2.39; 95% CI = 1.51, 3.80), and relationship (OR for nonparent vs parent = 0.28; 95% CI = 0.14, 0.58). More than half of drivers felt children could use an adult seat belt earlier than recommended guidelines, and 63% did not correctly identify whether their tribe had child safety seat laws. Conclusions. Children in these communities are inadequately restrained. Restraint use was exceedingly low among booster-eligible children and children riding with unrestrained adults. Interventions emphasizing appropriate restraint use and enforcement of passenger safety laws could reduce the risk of injury or death in motor vehicle accidents.

Suggested Citation

  • Lapidus, J.A. & Smith, N.H. & Ebel, B.E. & Romero, F.C., 2005. "Restraint use among Northwest American Indian children traveling in motor vehicles," American Journal of Public Health, American Public Health Association, vol. 95(11), pages 1982-1988.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2004.052514_3
    DOI: 10.2105/AJPH.2004.052514
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    Cited by:

    1. Shin Ah Oh & Chang Liu & Joyce C. Pressley, 2017. "Fatal Pediatric Motor Vehicle Crashes on U.S. Native American Indian Lands Compared to Adjacent Non-Indian Lands: Restraint Use and Injury by Driver, Vehicle, Roadway and Crash Characteristics," IJERPH, MDPI, vol. 14(11), pages 1-15, October.
    2. Kate Hunter & Lisa Keay & Kathleen Clapham & Julie Brown & Lynne E. Bilston & Marilyn Lyford & Celeste Gilbert & Rebecca Q. Ivers, 2017. "“He’s the Number One Thing in My World”: Application of the PRECEDE-PROCEED Model to Explore Child Car Seat Use in a Regional Community in New South Wales," IJERPH, MDPI, vol. 14(10), pages 1-12, October.
    3. Kristen Pammer & Melissa Freire & Cassandra Gauld & Nathan Towney, 2021. "Keeping Safe on Australian Roads: Overview of Key Determinants of Risky Driving, Passenger Injury, and Fatalities for Indigenous Populations," IJERPH, MDPI, vol. 18(5), pages 1-16, March.
    4. Huiqian Lei & Jingzhen Yang & Xiangxiang Liu & Xiaojun Chen & Liping Li, 2016. "Has Child Restraint System Use Increased among Parents of Children in Shantou, China?," IJERPH, MDPI, vol. 13(10), pages 1-8, September.

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