[2190.7] Disparities in Child Passenger Safety
M.L. Macy, G.L. Freed, R.M. Cunningham, K. Resnicow. Department of Emergency Medicine, University of Michigan, Ann Arbor, MI; Child Health Evaluation and Research Unit, Division of General Pediatrics, University of Michigan, Ann Arbor, MI; Injury Center, University of Michigan, Ann Arbor, MI; Health Behavior Health Education, School of Public Health, University of Michigan, Ann Arbor, MI.
BACKGROUND: Age-appropriate child passenger restraint use is lower for minority children than white children based on direct observation. However, socioeconomic factors and parental motivation for restraint use cannot be understood with observational data alone.
OBJECTIVE: To determine the contributions of socioeconomic factors and parental motivation to age-appropriate restraint use among parents of children 1-12 years old.
DESIGN/METHODS: Cross-sectional survey of parents of children 1-12 years old treated in 2 Michigan (MI) emergency departments for any reason (10/2011-5/2012). Parent report of passenger safety practices and demographics were obtained. Parental motivation was classified using the Treatment Self-Regulation Questionnaire (TSRQ) modified for child safety seat use. Average TSRQ scores (range 1-7) were calculated for autonomous motivation, controlled motivation, and amotivational responses (Table 2). Age-appropriate restraint use was defined by MI law: 1-3 years (car seat), 4-8 years (car/booster seat), >8 years (booster seat/seat belt). Bivariate analyses and multivariable logistic regression were used.
RESULTS: Complete responses were available from 83% (n=542) of 654 surveyed parents (Table 1).
|Table 1: Sample Demographics||N=542|
|≤High School Education||40%|
|<$25K Annual Income||36%|
|Parent Always Uses Seat Belt||48%|
|Median Child Age (IQR)||4yr (2-6)|
|Table 2: Multivariable Regression||Age-Appropriate Restraint Use|
Adjusted* Odds Ratio
|Always Uses Seat Belt||1.83||1.15-2.91|
|Autonomous Motivation |
(e.g., It is an important choice I really want to make)
|Controlled Motivation |
(e.g., Others would be upset with me if I did not)
|Amotivational Responses |
(e.g., I don't really think about it)
|*Adjusting for child age, parent gender, parent education, family income|