0~6岁儿童父母风险感知与儿童安全座椅使用的相关性分析

doi:10.11852/zgetbjzz2022-0815

摘要/Abstract

摘要： 目的调查儿童安全座椅(CSS)首次写进《未成年儿童保护法》后0~6岁儿童的CSS使用现状,了解父母的风险感知与CSS使用行为的相关性,为后续干预性研究提供参考。方法 2022年1—4月采用便利抽样法,抽取青岛市某三甲医院儿童保健科、某幼儿园及某社区卫生服务中心作为调查现场,使用儿童乘车安全现况调查问卷、儿童乘车风险行为诊断量表对有私家车家庭的0～6 岁儿童父母进行调查。结果 CSS的使用率为 53.4%(222/416),高频次使用率为23.6%(98/416);回归分析结果显示,儿童意外伤害培训参与经历(OR=1.887,95%CI:1.149～3.102)、父母学历为大专和本科及以上(大专:OR=4.486,95%CI:1.956～10.278;本科及以上:OR＝5.249,95%CI:2.307~11.953)、感知易感性(OR=1.701,95%CI:1.220～2.373)、反应效能(OR=1.642,95%CI:1.191～2.264)、自我效能(OR=1.759,95%CI:1.285～2.408)、类型选择认知(OR=1.413,95%CI:1.085～1.840)是CSS使用行为的显著影响因素(P<0.05)。结论 CSS首次纳入全国性立法后,其使用率略有提升而高频次使用率较低。较高水平的风险感知可以促进父母采取积极的措施避免儿童乘车伤害的发生,应加强父母对不使用CSS造成乘车伤害的认知和防治信心的主观判断以增加CSS的使用。

关键词: 父母, 儿童安全座椅, 扩展平行过程模型, 风险感知

Abstract: Objective To investigate the use of child safety seats for children aged 0 - 6 years after child safety seats were first written into the Law on the Protection of Minors, and to understand the correlation between parents′ risk perception and children′s safety seat use behavior, so as to provide reference for follow-up intervention. Methods From January to April 2022, the convenience sampling method was used to select children′s health department of a third-class hospital in Qingdao, a kindergarten and a community health service center as the survey sites. The parents of children aged 0 - 6 years from families with private cars were investigated by using the questionnaire on the current situation of children′s riding safety and the diagnostic scale of children′s riding risk behavior. Results The utilization rate of child safety seats was 53.4%(222/416), and the high frequency utilization rate was 23.6%(98/416). The results of regression analysis showed that parents participation experience of children′s accidental injury training(OR=1.887, 95%CI:1.149 - 3.102), parents with college degree or above(college:OR=4.486, 95%CI:1.956 - 10.278; bacholor′ s degree:OR=5.249, 95%CI:2.307 - 11.953), perceived susceptibility(OR=1.701, 95%CI:1.220 - 2.373), response efficiency(OR=1.642, 95%CI:1.191 - 2.264), self-efficacy(OR=1.759, 95%CI:1.285 - 2.408), type selection cognition(OR=1.413, 95%CI:1.085 - 1.840) were significantly influencing factor of child safety seat use behavior(P<0.05). Conclusions After being included in national legislation for the first time, the usage rate of child safety seats increases slightly while high frequency usage rate was low. Higher levels of risk perception can promote parents to take active measures to avoid child car injuries. Therefore, parents′ subjective judgments about their perceptions and confidence in preventing car injuries caused by not using child safety seats should be strengthened so as to increase the use of child safety seats.

Key words: parents, child safety seat, extended parallel process model, risk perception

中图分类号:

R179

孙亚茹, 尹磊, 刘婷, 冉霓, 王欣, 郭坤, 杨秀玲. 0~6岁儿童父母风险感知与儿童安全座椅使用的相关性分析[J]. 中国儿童保健杂志, 2023, 31(1): 27-31.

SUN Ya-ru, YIN Lei, LIU Ting, RAN Ni, WANG Xin, GUO Kun, YANG Xiu-ling. Correlation between the risk perception of parents of children aged 0-6 years and the use of child safety seats[J]. Chinese Journal of Child Health Care, 2023, 31(1): 27-31.

参考文献

[1] WHO. Global status report on road safety 2018[R/OL]. Geneva:World Health Organization, 2018.[2022-02-24]. Available from:https://www.who.int/violence_injury_prevention/road_safety_status/2018/en/.
[2] 中国疾病预防控制, 中心中国慢性非传染性疾病预防控制中心, 国家卫生计生委统计信息中心. 中国死因监测数据集2017[M].北京:中国科学技术出版社, 2018.
China Center for Disease Control and Prevention(CDC), China Chronic Non communicable Disease Control and Prevention Center, Statistical Information Center of the National Health and Family Planning Commission. China Death Cause Monitoring Data Set 2017[M]. Beijing:Science and Technology of China Press, 2018.
[3] Sartin E, Bell TR, McDonald CC, et al. Assessment of caregiver-targeted interventions for use of motor vehicle passenger safety systems for children:A systematic review and Meta-analysis[J]. JAMA Netw Open, 2019, 2(10):e1914180.
[4] Zheng X, Li R, Yang H, et al. The rate of child restraint system use among children aged under six years in China[J]. Scand J Public Health, 2021:14034948211036621.doi:10.1177/14034948211036621.
[5] 喻彦, 邓晓, 金叶,等. 上海市中心地区0～3岁儿童安全座椅使用状况分析[J]. 中国公共卫生, 2021, 37(4):668-673.
Yu Y, Deng X, Jin Y, et al. Child safety seat use among 0-3 years old children in urban Shanghai:A cross-sectional study[J]. Chin J Public Health, 2021, 37(4):668-673.
[6] Will KE, Decina LE, Maple EL, et al. Examining the relative effectiveness of different message framing strategies for child passenger safety:Recommendations for increased comprehension and compliance[J]. Accid Anal Prev, 2015, 79(5):170-181.
[7] Chen X, Yang J, Peek-Asa C, et al. Parents′ experience with child safety restraint in China[J]. BMC Public Health, 2014, 14(3):318.
[8] Witte K. Putting the fear back into fear appeals:The extended paralel process model[J]. Communications Monographs, 1992, 59(4):329-349.
[9] Totzkay D, Silk KJ, Thomas BDH. Evaluating the extended parallel process model′s danger control predictions in the context of dense breast notification laws[J]. Health Commun, 2022, 37(1):103-113.
[10] Afenigus AD, Mulugeta H, Tsehay B, et al. Behavioral response to HIV/AIDS prevention messages among students in selected universities of amhara region, northwest ethiopia:An extended parallel process model[J]. HIV AIDS(Auckl), 2021, 13:115-124.
[11] Reno JE, Dempsey AF. Promoting HPV vaccination among Latinx:An application of the extended parallel processing model[J]. J Behav Med, 2022.doi:10.1007/s10865-02200293-7.
[12] 孙亚茹, 刘婷, 尹翠艳,等. 儿童乘车风险行为诊断量表的汉化及信效度检验[J]. 中国儿童保健杂志, 2022, 30(10):1063-1067.
Sun YR, Liu T, Yin CY, et al. ReIiabiIity and vaIidity test of Chinese version of the ChiId Riding Risk Behavior Diagnostic ScaIe[J]. Chin J Child Health Care, 2022, 30(10):1063-1067.
[13] 胡静, 闵星, 杨婕,等. 宜兴市幼儿家长对安全座椅使用及认知情况调查[J]. 实用预防医学, 2019, 26(7):801-804, 811.
Hu J, Min X, Yang J, et al. Use and awareness of child safety seats among parents in Yixing City[J]. Pract Prev Med, 2019, 26(7):801-804, 811.
[14] 全国人民代表大会常务委员会.儿童安全座椅使用首入全国性立法[J]. 中外玩具制造, 2021, 19(7):74.
National People′s Congress Standing Committee. The first national legislation on the use of child safety seats[J]. Toy Industry, 2021, 19(7):74.
[15] 王冬雪, 欧国立. 我国一线二线城市经济与交通运输发展差异性分析[J]. 铁道运输与经济, 2018, 40(2):28-32.
Wang DX, Ou GL. An analysis of the differences of transport and economic performance between first and second-tier cities in China[J]. Railway Transport and Economy, 2018, 40(2):28-32.
[16] Durbin DR, Hoffman BD. Child passenger safety[J]. J Pediatr, 2018, 142(5):e20182460.
[17] 李海, 黄小娜, 杨君,等. 海淀区2所幼儿园儿童安全座椅购买使用及影响因素分析[J]. 中国学校卫生, 2015, 36(4):595-597.
Li H, Huang XN, Yang J, et al. Analysis on the purchase, use and influencing factors of child safety seats in two kindergartens in Haidian District[J]. Chin J Sch Health, 2015, 36(4):595-597.
[18] 苏慧佳, 喻彦, 彭娟娟,等. 儿童安全座椅配备及使用影响因素的多层线性模型分析[J]. 上海预防医学, 2018, 30(11):930-936.
Su HJ, Yu Y, Peng JJ, et al. Multilevel linear model analysis on influence factors for child safety seat possession and usage[J]. Shanghai Journal of Preventive Medicine, 2018, 30(11):930-936.
[19] 林小燕, 黄湘晖, 李婉婷. 儿童急救和照护公益培训的效果评价[J]. 中华护理教育, 2020, 17(9):809-811.
Lin XY, Huang XH, Li WT. Public welfare training effects evaluation of children′s emergency and care[J]. Chinese Journal of Nursing Education, 2020, 17(9):809-811.
[20] Zhou K, Wang W, Zhao W, et al. Benefits of a WeChat-based multimodal nursing program on early rehabilitation in postoperative women with breast cancer:A clinical randomized controlled trial[J]. Int J Nurs Stud, 2020, 106:103565.
[21] Omaki E, Rizzutti N, Shields W, et al. A systematic review of technology-based interventions for unintentional injury prevention education and behaviour change[J]. Inj Prev, 2017, 23(2):138-146.
[22] Yan S, Ding K, Yang J, et al. Prevalence of child passenger restraint use in Shantou, China from 2012 to 2017[J]. BMC Public Health, 2020, 20(1):807.
[23] 文静, 曹佳彦, 杨丽君,等. 我国儿童安全座椅发展现状及标准法规分析[J]. 标准科学, 2021, 58(2):66-69.
Wen J, Cao JY, Yang LJ, et al. An analysis on the development status and standards for child safety seats in China[J]. Standard Science, 2021,58(2):66-69.
[24] Lael-Monfared E, Tehrani H, Moghaddam ZE, et al. Health literacy, knowledge and self-care behaviors to take care of diabetic foot in low-income individuals:Application of extended parallel process model[J]. Diabetes Metab Syndr, 2019, 13(2):1535-1541.