上海市某中心城区0-1岁婴儿的安全座椅使用现状及影响因素分析  

Current Status and Influencing Factors of Safety Seats among Infant Aged 0-1 Years Old in Shanghai

作　　者：王熙慧 陈博 李为翊 李佩 陈玮华 高淑娜[1] WANG Xi-hui;CHEN Bo;LI Wei-yi;LI Pei;CHEN Wei-hua;GAO Shu-na(Huangpu District centre for disease control and prevention,Shanghai 200023,China)

机构地区：[1]上海市黄浦区疾病预防控制中心(上海市黄浦区卫生健康监督所)健康教育科,上海200023

出　　处：《伤害医学(电子版)》2025年第1期1-7,共7页Injury Medicine(Electronic Edition)

基　　金：上海市黄浦区疾病预防控制中心2022-2023年度青年业务人才培养项目(2022HYQ08)。

摘　　要：目的了解上海市0~1岁婴儿家庭的安全座椅的使用情况及影响因素,为儿童安全座椅的推广和政策制定提供理论依据。方法采用多阶段随机抽样的方法于2024年5—7月,通过对上海市中心城区的258名0~1岁婴儿的父母进行问卷调查,内容包括婴儿及父母的基本情况、出行情况、儿童安全座椅的配备情况及父母的认知等。采用SPSS 24.0软件进行描述性分析,构成比的比较采用χ2检验,影响因素采用Logistic多因素回归分析。结果调查应答率为99.23%。上海市中心城区0~1岁婴儿的安全座椅配备率为83.72%,未配备率为16.28%,其中,在未配备儿童安全座椅的家庭中,23.81%是多子女家庭。配备有儿童安全座椅的家庭中,41.20%的家庭总是使用安全座椅。0~1岁婴儿仍有39.81%的家长错误使用前向式和2.78%的家长错误使用增高型安全座椅。本市户籍的婴儿安全座椅配备率高于非本市户籍的婴儿(χ2=9.698,P<0.01),家长文化程度较高的家庭安全座椅配备率高(χ2=9.777,P<0.01),出行频率较高的家庭安全座椅配备率高(χ2=16.384,P<0.01),家长系安全带频率较高的家庭安全座椅配备率高(χ^(2)=4.795,P<0.01)。多因素分析结果显示,配备儿童安全座椅的保护因素为本地户籍(OR=0.319,95%CI:0.146~0.699)、婴儿每月乘坐私家车2~4次(OR=0.100,95%CI:0.012~0.819)、每月乘坐1次或更少(OR=0.116,95%CI:0.014~0.966)、父母系安全带的频率较高(OR=2.581,95%CI:1.093~6.093),均有统计学意义(P<0.05)。结论根据影响儿童安全座椅配备的因素可采取针对性的有效干预措施。Objective To understand the use of safety seats in families with infants,aged O to 1 in a central urban district of Shanghai,and to provide a basis for enhancing such use in the future.Methods From May to July 2024,a multi-stage random sampling method was used to conduct a questionnaire survey among 258 parents of infants aged 0 to 1 years old in a central urban district of Shanghai,including the demographics of infants and parents,commuting behaviors,the equipment of child safety seats and parents'cognition.SPSS 24.o software was used for descriptive analysis,component ratio was compared by X test,and influencing factors were analyzed by Logistic multi-factor regression.Results The response rate was 99.23%.In the central urban district of Shanghai,83.72%of infants aged 0 to 1 years old were equipped with safety seats,and 16.28%were not equipped.Among families without child safety seats,23.81%were multi-child families.In families with child safety seats,41.20%always used the safety seats.For infants aged 0-1 years,rear-facing safety seats should be used,yet 39.81%of parents still mistakenly used forward-facing seats,and 2.78%mistakenly used booster seats.Infants registered in the city had a higher availability rate of child safety seats than non-resident infants(χ^(2)=9.698,P<0.01).Families with higher education level had a higher availability rate of child safety seats than families with lower education(χ^(2)=9.777,P<0.01).Families with higher travel frequency had a higher child safety seat allocation rate than families with lower travel frequency(χ^(2)=16.384,P<0.01).Safety seats with infants whose parents wore seat belts more often had higher availability rates(χ^(2)=4.795,P<0.01).The results from multi-factorial analysis showed that the protective factors influencing child safety seats included Shanghai household registration(OR=0.319,95%CI:0.146-0.699),infants traveling in private cars 2-4 times a month(OR=0.100,95%CI:0.012-0.819)and 1 or less a month(0R=2.581,95%Cl:1.093-6.093),and parents wore seat bel

关 键 词：儿童安全座椅 使用率 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]