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Booster Seat Use and Child Passenger Safety in Ohio, United States- [electronic resource]
Booster Seat Use and Child Passenger Safety in Ohio, United States - [electronic resource]
Booster Seat Use and Child Passenger Safety in Ohio, United States- [electronic resource]

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자료유형  
 학위논문파일 국외
최종처리일시  
20240214101934
ISBN  
9798380182157
DDC  
614
저자명  
Li, Li.
서명/저자  
Booster Seat Use and Child Passenger Safety in Ohio, United States - [electronic resource]
발행사항  
[S.l.]: : The Ohio State University., 2021
발행사항  
Ann Arbor : : ProQuest Dissertations & Theses,, 2021
형태사항  
1 online resource(181 p.)
주기사항  
Source: Dissertations Abstracts International, Volume: 85-03, Section: A.
학위논문주기  
Thesis (Ph.D.)--The Ohio State University, 2021.
사용제한주기  
This item must not be sold to any third party vendors.
초록/해제  
요약Motor vehicle crash (MVC) related injuries remain the leading cause of death among children in the US. Age and size appropriate child restraint systems reduce the risk of MVC-related injuries. The American Academy of Pediatrics recommends that children who outgrow harness-based car seats should continue to use booster seats until they reach 57 inches tall. Many countries and US states have enacted legislation to promote the use of child restraint systems. However, the premature transition from using booster seats to seat belts is a public health hazard to children. The overarching goal of this dissertation was to examine the motor vehicle safety of child passengers by investigating the premature transition from booster seats to seat belts. The findings could be used to promote the appropriate use of child restraint systems and improve child passenger safety.The first aim of this dissertation (Chapter 3) was to compare the effectiveness of booster seats versus seat belts in protecting children aged 4 to 8 involved in MVCs. This chapter utilized data from Ohio Crash Outcome Data Evaluation System (CODES) from 2013 to 2016. By using propensity score methods with robust Poisson regression analysis, we found that children with booster seats had an 11% lower risk for overall MVC-related injuries, an 18% lower risk for moderate to severe injury, and a 59% lower risk for sustaining abdominal injury compared to those with seat belts alone.The second aim (Chapter 4) was to evaluate the impact of Ohio's booster seat law on child restraint use and MVC-related injuries. We included 18 years (2000-2017) of Ohio police accident report data and utilized an interrupted time series analysis with the generalized least-squares method. Our results indicated that Ohio's booster seat law was associated with an 18% increase in the proportion of age appropriate restraint use among children aged 4-7 years involved in MVCs, with this increase in usage occurring immediately after implementing the Ohio booster seat law and sustaining over several years. We also observed a negative association between the law and MVC-related injuries, though the statistical association was not reached at the significance level of 0.05.The third aim (Chapter 5) was to explore factors that influence parents' decision-making on their children's transition from booster seats to seat belts. We conducted 20 semi-structured interviews virtually with parents whose first child made the transition within the last year. We audio-recorded and transcribed all the interviews. This study identified three child-related themes and five parent-related themes associated with parents' decision-making on transitioning from booster seats to seat belts. We also found that the internet was the most common information source when parents sought child passenger safety knowledge. The majority of participants were aware of the Ohio booster seat law and used the law as a guideline, but misunderstanding and misinterpretation existed regarding age and height requirements.This dissertation demonstrates that using booster seats could reduce injuries among children aged 4-8 involved in MVCs. Children who prematurely transition to seat belts have a higher risk of MVC-related injuries. Ohio's statewide booster seat law was effective in promoting the age appropriate restraint use of children at booster seat age, even though the law was secondary enforcement. This dissertation also highlighted the importance of redesigning educational materials to improve parents/caregivers' knowledge and practice regarding correctly transitioning their children from booster seats to seat belts.
일반주제명  
Public health.
일반주제명  
American studies.
일반주제명  
Transportation.
키워드  
Booster seats
키워드  
Child restraint systems
키워드  
Child passenger safety
키워드  
Road safety
키워드  
Abdominal injury
키워드  
Motor vehicle crash
기타저자  
The Ohio State University Public Health
기본자료저록  
Dissertations Abstracts International. 85-03A.
기본자료저록  
Dissertation Abstract International
전자적 위치 및 접속  
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MARC

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■260  1▼aAnn  Arbor  :▼bProQuest  Dissertations  &  Theses,  ▼c2021
■300    ▼a1  online  resource(181  p.)
■500    ▼aSource:  Dissertations  Abstracts  International,  Volume:  85-03,  Section:  A.
■5021  ▼aThesis  (Ph.D.)--The  Ohio  State  University,  2021.
■506    ▼aThis  item  must  not  be  sold  to  any  third  party  vendors.
■520    ▼aMotor  vehicle  crash  (MVC)  related  injuries  remain  the  leading  cause  of  death  among  children  in  the  US.  Age  and  size  appropriate  child  restraint  systems  reduce  the  risk  of  MVC-related  injuries.  The  American  Academy  of  Pediatrics  recommends  that  children  who  outgrow  harness-based  car  seats  should  continue  to  use  booster  seats  until  they  reach  57  inches  tall.  Many  countries  and  US  states  have  enacted  legislation  to  promote  the  use  of  child  restraint  systems.  However,  the  premature  transition  from  using  booster  seats  to  seat  belts  is  a  public  health  hazard  to  children.  The  overarching  goal  of  this  dissertation  was  to  examine  the  motor  vehicle  safety  of  child  passengers  by  investigating  the  premature  transition  from  booster  seats  to  seat  belts.  The  findings  could  be  used  to  promote  the  appropriate  use  of  child  restraint  systems  and  improve  child  passenger  safety.The  first  aim  of  this  dissertation  (Chapter  3)  was  to  compare  the  effectiveness  of  booster  seats  versus  seat  belts  in  protecting  children  aged  4  to  8  involved  in  MVCs.  This  chapter  utilized  data  from  Ohio  Crash  Outcome  Data  Evaluation  System  (CODES)  from  2013  to  2016.  By  using  propensity  score  methods  with  robust  Poisson  regression  analysis,  we  found  that  children  with  booster  seats  had  an  11%  lower  risk  for  overall  MVC-related  injuries,  an  18%  lower  risk  for  moderate  to  severe  injury,  and  a  59%  lower  risk  for  sustaining  abdominal  injury  compared  to  those  with  seat  belts  alone.The  second  aim  (Chapter  4)  was  to  evaluate  the  impact  of  Ohio's  booster  seat  law  on  child  restraint  use  and  MVC-related  injuries.  We  included  18  years  (2000-2017)  of  Ohio  police  accident  report  data  and  utilized  an  interrupted  time  series  analysis  with  the  generalized  least-squares  method.  Our  results  indicated  that  Ohio's  booster  seat  law  was  associated  with  an  18%  increase  in  the  proportion  of  age  appropriate  restraint  use  among  children  aged  4-7  years  involved  in  MVCs,  with  this  increase  in  usage  occurring  immediately  after  implementing  the  Ohio  booster  seat  law  and  sustaining  over  several  years.  We  also  observed  a  negative  association  between  the  law  and  MVC-related  injuries,  though  the  statistical  association  was  not  reached  at  the  significance  level  of  0.05.The  third  aim  (Chapter  5)  was  to  explore  factors  that  influence  parents'  decision-making  on  their  children's  transition  from  booster  seats  to  seat  belts.  We  conducted  20  semi-structured  interviews  virtually  with  parents  whose  first  child  made  the  transition  within  the  last  year.  We  audio-recorded  and  transcribed  all  the  interviews.  This  study  identified  three  child-related  themes  and  five  parent-related  themes  associated  with  parents'  decision-making  on  transitioning  from  booster  seats  to  seat  belts.  We  also  found  that  the  internet  was  the  most  common  information  source  when  parents  sought  child  passenger  safety  knowledge.  The  majority  of  participants  were  aware  of  the  Ohio  booster  seat  law  and  used  the  law  as  a  guideline,  but  misunderstanding  and  misinterpretation  existed  regarding  age  and  height  requirements.This  dissertation  demonstrates  that  using  booster  seats  could  reduce  injuries  among  children  aged  4-8  involved  in  MVCs.  Children  who  prematurely  transition  to  seat  belts  have  a  higher  risk  of  MVC-related  injuries.  Ohio's  statewide  booster  seat  law  was  effective  in  promoting  the  age  appropriate  restraint  use  of  children  at  booster  seat  age,  even  though  the  law  was  secondary  enforcement.  This  dissertation  also  highlighted  the  importance  of  redesigning  educational  materials  to  improve  parents/caregivers'  knowledge  and  practice  regarding  correctly  transitioning  their  children  from  booster  seats  to  seat  belts.
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■650  4▼aAmerican  studies.
■650  4▼aTransportation.
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■653    ▼aChild  restraint  systems
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■980    ▼a202402▼f2024

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