- Title
- Relative benefits of population-level interventions targeting restraint-use in child car passengers
- Creator
- Du, Wei; Finch, Caroline; Hayen, Andrew; Bilston, Lynne; Brown, Julie; Hatfield, Julie
- Date
- 2010
- Type
- Text; Journal article
- Identifier
- http://researchonline.federation.edu.au/vital/access/HandleResolver/1959.17/68051
- Identifier
- vital:2624
- Identifier
-
https://doi.org/10.1542/peds.2009-1171
- Identifier
- ISSN:0031-4005
- Abstract
- Objectives: Because public health resources for injury prevention are limited, methods for comparing competing strategies are needed. We aimed to estimate potential injury reductions for 4 population-level interventions that target restraint practices for child car passengers aged 0 to 12 years. Methods: Population-attributable risk fraction (parf) is a populationlevel estimate of excess risk from exposure to a risk factor. Parfs were calculated for each intervention scenario by using published age-specific mortality/injury relative-risk estimates; restraint practices among injured child car passengers from police-collected data; and observational data for correctness of restraint use in new south wales, australia. Parf reductions were estimated for population uptakes of 25%, 50%, and 75%. Results: Assuming a 50% population uptake, (1) promoting ageappropriate restraint use could prevent additional fatalities (5.1%, infants; 3.4%, 1- To 6-year-olds) and nonfatal injuries (3.2%, infants; 16.2%, 1- To 6-year-olds) compared with promoting any restraint use; (2) further encouraging correct age-appropriate restraint use could also prevent additional fatalities (9.1%, infants; 14.3%, 1- To 6-year-olds) and nonfatal injuries (9.2%, infants; 10.7%, 1- To 6-year-olds); and (3) for children aged 7 to 12 years, promoting correct use of restraints could prevent an additional 3.4% fatalities and 3.1% nonfatal injuries compared with promoting any restraint use. Conclusions: Interventions that target child passenger-restraint practices offer population-level benefits in terms of reduction in fatalities and injuries. These tangible benefits call for action internationally, not only to promote restraint use but correct age-appropriate restraint use for child car passengers. Copyright © 2010 by the American Academy of Pediatrics.
- Publisher
- American Academy of Pediatrics
- Relation
- Pediatrics Vol. 125, no. 2 (2010), p. 304-312; http://purl.org/au-research/grants/nhmrc/565900
- Rights
- Copyright American Academy of Pediatrics
- Rights
- Open Access
- Rights
- This metadata is freely available under a CCO license
- Subject
- 1114 Paediatrics and Reproductive Medicine; Child car passengers; Child road safety; Intervention effectiveness; Population-attributable risk fraction; Protective devices
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