Assessing seatbelt use among pregnant drivers in Australia: Correct seatbelt positioning, discomfort, knowledge and information sources

IF 3.9 2区 工程技术 Q1 ERGONOMICS
Sjaan Koppel , Lyndal Bugeja , Xin Zou , Hayley McDonald , Keri-Anne Lue , Jason Forman , Mark R. Zonfrillo , Gretchen H. Baker , David G. Kidd , Peter A. Cripton , Michelle Oyen , David Viano , Julie Brown
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引用次数: 0

Abstract

Background: Correct seatbelt use during pregnancy is critical for ensuring maternal and fetal safety during a motor vehicle crash. This study aimed to investigate seatbelt use among pregnant vehicle drivers in Australia, focusing on correct seatbelt positioning and the potential influence of comfort and the receipt of seatbelt information. Method: An online survey was completed by 1,491 participants (M = 33.2 years, SD = 4.1, Range = 18.0 – 50.0 years). Results: While nearly all participants (99.1%) reported ‘always’ wearing their seatbelt while driving a vehicle, only 41.4% met the correct seatbelt positioning criteria, defined as positioning the lap belt under the belly and low over the upper thighs and the shoulder belt between the breasts. Despite increased discomfort with seatbelt use as pregnancy advanced, discomfort was not significantly associated with correct seatbelt positioning. Additionally, while most participants had not received information about seatbelt use during pregnancy (87.7%), those who did had better knowledge (96.2% vs. 90.5%, χ2(1) = 7.16, p < 0.05), and were more likely to meet all three criteria for correct seatbelt positioning during pregnancy (56.8% vs. 39.3%, χ2(1) = 20.26, p < 0.001), than participants who had not received information (90.5%). However, receiving information did not necessarily increase confidence in correct seatbelt use, as participants who had received information were actually less likely to be confident in their ability to use the seatbelt correctly (3.3% vs. 6.6%, χ2(2) = 8.24, p < 0.05). Conclusions: These findings highlight a significant gap in correct seatbelt positioning among pregnant occupants and the scope for substantial improvement in correct positioning by providing specific information on seatbelt use during pregnancy. Practical applications: To improve correct seatbelt use among pregnant individuals, public health messaging should be enhanced, and obstetrician-gynaecologists, nurses and other healthcare professionals should provide clear guidance on correct seatbelt positioning throughout the pregnancy. Future research should focus on developing effective educational strategies, assessing vehicle design improvements for comfort and safety, and exploring other factors influencing correct seatbelt use during pregnancy.
评估安全带在澳大利亚怀孕司机中的使用:正确的安全带定位,不适,知识和信息来源
背景:在怀孕期间正确使用安全带对于确保母亲和胎儿在机动车碰撞中的安全至关重要。本研究旨在调查澳大利亚怀孕车辆驾驶员安全带的使用情况,重点关注安全带的正确定位和舒适度的潜在影响以及安全带信息的接收。方法:对1491名参与者(M = 33.2岁,SD = 4.1,范围= 18.0 - 50.0岁)进行在线调查。结果:虽然几乎所有的参与者(99.1%)都表示在开车时“总是”系安全带,但只有41.4%的人符合正确的安全带定位标准,即将安全带固定在腹部以下,大腿上方较低,肩带固定在乳房之间。尽管随着怀孕的进展,安全带的使用会增加不适,但不适与正确的安全带位置没有显著的关系。此外,虽然大多数参与者没有收到有关怀孕期间安全带使用的信息(87.7%),但那些知道的人有更好的知识(96.2%比90.5%,χ2(1) = 7.16, p <;0.05),并且更有可能满足怀孕期间安全带正确定位的三个标准(56.8%比39.3%,χ2(1) = 20.26, p <;0.001),高于未接受信息的参与者(90.5%)。然而,接收信息并不一定会增加正确使用安全带的信心,因为接收信息的参与者实际上不太可能对自己正确使用安全带的能力充满信心(3.3% vs. 6.6%, χ2(2) = 8.24, p <;0.05)。结论:这些发现突出了怀孕乘员安全带正确定位的显著差距,以及通过提供怀孕期间安全带使用的具体信息来大幅提高正确定位的范围。实际应用:为了提高孕妇安全带的正确使用,应加强公共卫生信息宣传,妇产科医生、护士和其他保健专业人员应在整个怀孕期间提供关于安全带正确定位的明确指导。未来的研究应侧重于制定有效的教育策略,评估车辆设计改进的舒适性和安全性,并探索影响怀孕期间正确使用安全带的其他因素。
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来源期刊
CiteScore
6.40
自引率
4.90%
发文量
174
审稿时长
61 days
期刊介绍: Journal of Safety Research is an interdisciplinary publication that provides for the exchange of ideas and scientific evidence capturing studies through research in all areas of safety and health, including traffic, workplace, home, and community. This forum invites research using rigorous methodologies, encourages translational research, and engages the global scientific community through various partnerships (e.g., this outreach includes highlighting some of the latest findings from the U.S. Centers for Disease Control and Prevention).
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