Childhood opportunity and appropriate use of child safety restraints in motor vehicle collisions  

作　　者：Stephanie Y Chen Iris Garcia Shadassa Ourshalimian Chantel Lowery Pradip P Chaudhari Ryan G Spurrier 

机构地区：[1]Pediatric Surgery,Children's Hospital Los Angeles,Los Angeles,California,USA [2]Injury Prevention Program,Children's Hospital Los Angeles,Los Angeles,California,USA [3]Emergency and Transport Medicine,Children's Hospital Los Angeles,Los Angeles,California,USA [4]Pediatrics,University of Southern California Keck School of Medicine,Los Angeles,California,USA [5]Surgery,University of Southern California Keck School of Medicine,Los Angeles,California,USA

出　　处：《World Journal of Pediatric Surgery》2024年第2期142-149,共8页世界小儿外科杂志（英文）

摘　　要：Objectives Safety restraints reduce injuries from motor vehicle collisions(MVCs)but are often improperly applied or not used.The Childhood Opportunity Index(COI)reflects social determinants of health and its study in pediatric trauma is limited.We hypothesized that MVC patients from low-opportunity neighborhoods are less likely to be appropriately restrained.Methods A retrospective cross-sectional study was performed on children/adolescents≤18 years old in MVCs between January 1,2011 and December 31,2021.Patients were identified from the Children's Hospital Los Angeles trauma registry.The outcome was safety restraint use(appropriately restrained,not appropriately restrained).COI levels by home zip codes were stratified as very low,low,moderate,high,and very high.Multivariable regression controlling for age identified factors associated with safety restraint use.Results Of 337 patients,73.9%were appropriately restrained and 26.1%were not appropriately restrained.Compared with appropriately restrained patients,more not appropriately restrained patients were from low-COI(26.1%vs 20.9%),high-COI(14.8%vs 10.8%)and very high-COI(10.2%vs 3.6%)neighborhoods.Multivariable analysis demonstrated no significant associations in appropriate restraint use and COI.There was a non-significant trend that children/adolescents from moderate-COI neighborhoods were more likely than those from very low-COI neighborhoods to be appropriately restrained(OR=1.82,95%CI 0.78,4.28).Conclusion Injury prevention initiatives focused on safety restraints should target families of children from all neighborhood types.

关 键 词：MVC restrained NEIGHBORHOOD 

分 类 号：R726[医药卫生—儿科]