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 Stephanie Y Chen;Iris Garcia;Shadassa Ourshalimian;Chantel Lowery;Pradip P Chaudhari;Ryan G Spurrier

作者机构：Pediatric SurgeryChildren's Hospital Los AngelesLos AngelesCaliforniaUSA Injury Prevention ProgramChildren's Hospital Los AngelesLos AngelesCaliforniaUSA Emergency and Transport MedicineChildren's Hospital Los AngelesLos AngelesCaliforniaUSA PediatricsUniversity of Southern California Keck School of MedicineLos AngelesCaliforniaUSA SurgeryUniversity of Southern California Keck School of MedicineLos AngelesCaliforniaUSA 

出 版 物：《World Journal of Pediatric Surgery》 (世界小儿外科杂志（英文）)

年 卷 期：2024年第7卷第2期

页      面：142-149页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

主　　题：MVC restrained neighborhood 

摘      要：Objectives Safety restraints reduce injuries from motor vehicle collisions(MVCs)but are often improperly applied or not *** Childhood Opportunity Index(COI)reflects social determinants of health and its study in pediatric trauma is *** hypothesized that MVC patients from low-opportunity neighborhoods are less likely to be appropriately *** A retrospective cross-sectional study was performed on children/adolescents≤18 years old in MVCs between January 1,2011 and December 31,*** were identified from the Children s Hospital Los Angeles trauma *** 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 *** regression controlling for age identified factors associated with safety restraint *** Of 337 patients,73.9%were appropriately restrained and 26.1%were not appropriately *** 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%)*** analysis demonstrated no significant associations in appropriate restraint use and *** 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.