中国深圳地方立法颁布三年后儿童约束实践的变化:两项基于人口的横断面调查。

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Weicong Cai, Ke Peng, Ye Jin, Lin Lei, Maoyi Tian, Margaret Peden, Rebecca Q Ivers, Ji Peng, Julie Brown
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引用次数: 0

摘要

背景:制定儿童约束制度(CRSs)立法在增加儿童约束制度实践方面非常有效。然而,来自低收入和中等收入国家的证据仍然缺乏。本研究旨在评估中国深圳CRS立法实施后CRS实践的变化。方法:采用2015年深圳市强制实施CRS立法前1年和实施后3年在社区卫生服务中心和幼儿园进行的两项横断面调查数据,对CRS实践的变化进行评估。研究了CRS实践的时间变化,并采用logistic回归模型分析了立法后3年与立法前3年CRS实践的差异。结果:CRS立法实施后,CRS的拥有和使用比例分别从27.8% (1047/3768,95% CI: 26.4% ~ 29.3%)上升到72.6% (4900/6748,95% CI: 71.5% ~ 73.7%)和22.9% (864/3768,95% CI: 21.6% ~ 24.3%)上升到56.3% (3800/6748,95% CI: 55.1% ~ 57.5%), CRS的合理使用比例从75.9% (656/864,95% CI: 72.9% ~ 78.7%)下降到69.7% (2649/3800,95% CI: 68.2% ~ 71.2%)。结论:深圳市CRS强制立法3年后,CRS的持有和使用情况有了显著改善。需要进一步努力更新当地立法,为CRS的适当使用提供具体指导方针,并实施有针对性的多方面干预措施,以增加最佳CRS实践,提高深圳儿童乘客的安全。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Changes in child restraint practices in Shenzhen, China three years after the enactment of local legislation: two population-based cross-sectional surveys.

Background: The enactment of child restraint systems (CRSs) legislation is highly effective in increasing CRS practices. However, evidence from low- and middle-income countries is still lacking. This study aimed to assess the changes in CRS practices in Shenzhen, China following the implementation of CRS legislation.

Methods: Data from two cross-sectional surveys conducted in community health service centres and kindergartens 1 year before and 3 years after the enactment of mandatory CRS legislation in 2015 were used to assess the changes in CRS practices in Shenzhen, China. Temporal changes in CRS practices were investigated, and logistic regression models were performed to examine the differences in CRS practices 3 years after the legislation compared with the period before the legislation.

Results: The proportion of CRS possession and use increased from 27.8% (1047/3768, 95% CI: 26.4% to 29.3%) to 72.6% (4900/6748, 95% CI: 71.5% to 73.7%) and from 22.9% (864/3768, 95% CI: 21.6% to 24.3%) to 56.3% (3800/6748, 95% CI: 55.1% to 57.5%), respectively, with a decrease of appropriate CRS use from 75.9% (656/864, 95% CI: 72.9% to 78.7%) to 69.7% (2649/3800, 95% CI: 68.2% to 71.2%) after the implementation of CRS legislation.

Conclusions: The findings indicate a significant improvement in CRS possession and use in Shenzhen, 3 years after the enactment of mandatory CRS legislation. Further efforts to update the local legislation to provide specific guidelines for appropriate CRS use and implement targeted multifaceted interventions are needed to increase optimal CRS practices for better child passenger safety in Shenzhen.

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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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