scholarly journals Child restraint use in motor vehicles in Shanghai, China: a multiround cross-sectional observational study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e050896
Author(s):  
Ting Chen ◽  
Abdul M Bachani ◽  
Qingfeng Li
Keyword(s):  
Risk Factors ◽  
Observational Study ◽  
Motor Vehicles ◽  
Child Safety ◽  
Shopping Malls ◽  
Children's Hospitals ◽  
Cross Sectional ◽  
Restraint Use ◽  
Children’S Hospitals ◽  
Child Restraint

ObjectivesWhile appropriate child restraint use in motor vehicles can reduce the risk of injuries or deaths, few previous studies have assessed child restraint practice in China. We aim to describe the prevalence of child restraint use and investigate risk factors affecting child restraint practice in Shanghai, China.Design and settingA cross-sectional observational study was conducted near children’s hospitals, kindergartens, entertainment places and shopping malls in Shanghai, China.ParticipantsEight rounds of data were collected between October 2015 and April 2019 with a total sample size of 12 061 children.Primary outcome measuresAt each site, trained field workers observed and recorded child restraint use in all passing motor vehicles with at least one child passenger.ResultsThe overall child safety restraint use rate was 6.42%. Child restraint use rate rose over time, from 5.12% in round 1% to 8.55% in round 8 (p<0.001). Results from the adjusted logistic regression model showed that children occupants with the following risk factors had a higher likelihood of child restraint use: children younger than 5 years compared with those aged 5–12 years (OR 2.12; 95% CI 1.78 to 2.53; p<0.001), sitting in rear seat compared with those in front seat (OR 31.80; 95% CI 4.45 to 227.14; p=0.001), children occupants observed near entertainment places (OR 2.34; 95% CI 1.67 to 3.28; p<0.001) or near shopping malls (OR 1.86; 95% CI 1.36 to 2.55; p<0.001) compared with those near children’s hospitals and transportation in the morning compared with afternoon (OR 1.30; 95% CI 1.04 to 1.62; p=0.021).ConclusionsThe overall child safety restraint use rate was low in Shanghai. Our findings may shed light on monitoring child restraint practice and have implications for intervention programmes for children occupants with the identified risk factors, which may help to promote child restraint use in motor vehicles and prevent road traffic injuries or deaths.

scholarly journals Facilitators and barriers to child restraint use in motor vehicles: a qualitative evidence synthesis

2020 ◽  
Vol 26 (5) ◽  
pp. 478-493 ◽  
Author(s):  
Soumyadeep Bhaumik ◽  
Kate Hunter ◽  
Richard Matzopoulos ◽  
Megan Prinsloo ◽  
Rebecca Q Ivers ◽  
...  
Keyword(s):  
Linguistically Diverse ◽  
Motor Vehicles ◽  
Culturally And Linguistically Diverse ◽  
Child Safety ◽  
Qualitative Evidence Synthesis ◽  
Middle Income ◽  
Qualitative Evidence ◽  
Restraint Use ◽  
Child Restraint ◽  
Facilitators And Barriers

BackgroundRoad traffic collisions contribute a significant burden of mortality and morbidity to children globally. The improper or non-use of child restraints can result in children sustaining significant injuries in the event of a collision. Systematic reviews on the effectiveness of various interventions to increase the use of child restraints already exist but to the best of our knowledge, there has been no qualitative evidence syntheses on the facilitators and barriers to child restraint usage. This review aims to fill that gap.MethodsWe searched for qualitative studies, which focused on perceptions, values and experiences of children, parents/caregivers or any other relevant stakeholders on the use of restraints for children travelling in motor vehicles in PubMed, EMBASE and Global Health and screened reference lists of all included studies. We assessed the quality of included studies with the Critical Appraisal Skills Programme (CASP) checklist and used the PROGRESS Plus lens for an equity focused analysis.ResultsWe identified a total of 335 records from searching the databases and five records from other sources. After screening, we identified 17 studies that met our inclusion criteria. All but one study (which had children as participants) focused on the perceptions, attitudes and barriers of parents or caregivers. The included studies were from three high-income (n=14) and one upper-middle income (n=3) country. In addition, although many focused exclusively on participants from culturally and linguistically diverse minorities, the issue of equity was not well addressed. Five major themes emerged from the analysis. (1) perceived risk for injuries and perceived safety benefits of child restraint usage varies in different settings and between different types of caregivers; (2) practical issues around the use of child restraints is a major barrier to its uptake as a child safety measure; (3) restraint use is considered as a mechanism to discipline children rather than as a safety device by parents and as children became older they actively seek opportunities to negotiate the non-usage of restraints; (4) adoption and enforcement of laws shape perceptions and usage in all settings and (5) perceptions and norms of child safety differ among culturally and linguistically diverse groups.ConclusionThe results of this systematic review should be considered when designing interventions to promote the uptake of child restraints. However, there is a need to conduct qualitative research around the facilitators and barriers to child restraint usage in low-income and middle-income countries. Furthermore, there is a need for more evidence conducted in semiurban and rural areas and to involve fathers, policy-makers, implementers and enforcement agencies in such studies.

scholarly journals P4.004 Child restraint use in Shanghai: A multi-round cross-sectional observational study

2021 ◽  
Author(s):  
Ting Chen ◽  
Juanjuan Peng ◽  
Yan Yu ◽  
Abdulgafoor Bachani ◽  
Qingfeng Li
Keyword(s):  
Observational Study ◽  
Cross Sectional ◽  
Restraint Use ◽  
Child Restraint ◽  
Round Cross

Prothrombin Complex Concentrate Utilization in Children's Hospitals

2021 ◽  
Author(s):  
Jeffrey E. Lutmer ◽  
Christian Mpody ◽  
Eric A. Sribnick ◽  
Takaharu Karube ◽  
Joseph D. Tobias
Keyword(s):  
Risk Factors ◽  
Critically Ill ◽  
Health Information System ◽  
Bleeding Risk ◽  
Cross Sectional Study ◽  
Critically Ill Children ◽  
Children's Hospitals ◽  
Cross Sectional ◽  
Medical Coding ◽  
Children’S Hospitals

AbstractProthrombin complex concentrates (PCCs) are used to manage bleeding in critically ill children. We performed a repeat cross-sectional study using the Pediatric Health Information System registry to describe PCC utilization in the U.S. children's hospitals over time and determine the relationship between PCC use and specific risk factors for bleeding. We included children < 18 years who received three-factor or four-factor PCC during hospital admission between January 2015 and December 2020 to describe the association between PCC therapy, anticoagulation therapies, and inherited or acquired bleeding diatheses. PCC use steadily increased over the 6-year study period (from 1.3 to 4.6 per 10,000 encounters). Patients exhibited a high degree of critical illness, with 85.0% requiring intensive care unit admission and a mortality rate of 25.8%. PCCs were used in a primarily emergent or urgent fashion (32.6 and 39.3%, respectively) and more frequently in surgical cases (79.0% surgical vs. 21.0% medical). Coding analysis suggested a low rate of chronic anticoagulant use which was supported by review of concomitant anticoagulant medications. PCC use is increasing in critically ill children and does not correlate with specific anticoagulant therapy use or other bleeding risk factors. These findings suggest PCC use is not limited to vitamin K antagonist reversal. Indications, efficacy, and safety of PCC therapy in children require further study.

scholarly journals The Relationship between Demographical Characteristic and Central Obesity with Hypertension

2018 ◽  
Vol 6 (1) ◽  
pp. 43
Author(s):  
Desy Amanda ◽  
Santi Martini
Keyword(s):  
Risk Factors ◽  
Statistical Analysis ◽  
Observational Study ◽  
Central Obesity ◽  
Chi Square ◽  
Cross Sectional ◽  
Independent Variables ◽  
Obesity Status ◽  
Observational Study Design ◽  
The Relationship

Background: The prevalence of hypertension in Indonesia was 25,80% in 2013 found in people aged above 18 years old. One of the risk factors is obesity. Purpose: This study aimed to analyze the relationship between the demographical characteristic and central obesity with the risk of hypertension in the health center of Sidoarjo. Methods: This analytical observational study design was cross sectional. There were 50 respondents selected through accidental sampling. The independent variables of this study were respondents’ characteristic and central obesity status. However, the dependent variable was hypertension. Overall, respondents were divided into two groups based on sex (female and male) and age (> 59 years old and ≤ 59 years old). Data were analyzed with chi-square statistical analysis. Results: Respondents with central obesity had a higher risk to get hypertension, with majority male respondents aged above 59 years old. Conclusion: There was a correlation between age and hypertension (p = 0,01), sex and hypertension (p = 0,04), also between central obesity status and hypertension (p = 0,01). 

Seatbelt and child restraint use among vehicle occupants in Ho Chi Minh City: an observational study in Vietnam

2020 ◽  
Vol 27 (3) ◽  
pp. 319-326
Author(s):  
Oluwarantimi Adetunji ◽  
Qingfeng Li ◽  
Cuong Viet Pham ◽  
Ngan Tran Thi ◽  
Abdulgafoor M. Bachani
Keyword(s):  
Observational Study ◽  
Ho Chi Minh City ◽  
Restraint Use ◽  
Child Restraint

scholarly journals 922 Child restraint use in the state of Qatar: findings from an observational study

2016 ◽  
Vol 22 (Suppl 2) ◽  
pp. A328.2-A328
Author(s):  
Rafael Consunji ◽  
Katharine A Allen ◽  
Ruben Peralta ◽  
Rania Abdelhamid ◽  
Shahnaz Malik ◽  
...  
Keyword(s):  
Observational Study ◽  
The State ◽  
Restraint Use ◽  
Child Restraint

scholarly journals Correlations Between Hospitals’ Social Media Presence and Reputation Score and Ranking: Cross-Sectional Analysis (Preprint)

2017 ◽  
Author(s):  
Justin D Triemstra ◽  
Rachel Stork Poeppelman ◽  
Vineet M Arora
Keyword(s):  
Social Media ◽  
Correlation Coefficients ◽  
Children's Hospitals ◽  
Cross Sectional ◽  
Cross Sectional Analysis ◽  
Children’S Hospitals ◽  
Reputation Score ◽  
The Us ◽  
Social Media Presence ◽  
Sectional Analysis

BACKGROUND The US News and World Report reputation score correlates strongly with overall rank in adult and pediatric hospital rankings. Social media affects how information is disseminated to physicians and is used by hospitals as a marketing tool to recruit patients. It is unclear whether the reputation score for adult and children’s hospitals relates to social media presence. OBJECTIVE The objective of our study was to analyze the association between a hospital’s social media metrics and the US News 2017-2018 Best Hospital Rankings for adult and children’s hospitals. METHODS We conducted a cross-sectional analysis of the reputation score, total score, and social media metrics (Twitter, Facebook, and Instagram) of hospitals who received at least one subspecialty ranking in the 2017-2018 US News publicly available annual rankings. Regression analysis was employed to analyze the partial correlation coefficients between social media metrics and a hospital’s total points (ie, rank) and reputation score for both adult and children’s hospitals while controlling for the bed size and time on Twitter. RESULTS We observed significant correlations for children’s hospitals’ reputation score and total points with the number of Twitter followers (total points: r=.465, P<.001; reputation: r=.524, P<.001) and Facebook followers (total points: r=.392, P=.002; reputation: r=.518, P<.001). Significant correlations for the adult hospitals reputation score were found with the number of Twitter followers (r=.848, P<.001), number of tweets (r=.535, P<.001), Klout score (r=.242, P=.02), and Facebook followers (r=.743, P<.001). In addition, significant correlations for adult hospitals total points were found with Twitter followers (r=.548, P<.001), number of tweets (r=.358, P<.001), Klout score (r=.203, P=.05), Facebook followers (r=.500, P<.001), and Instagram followers (r=.692, P<.001). CONCLUSIONS A statistically significant correlation exists between multiple social media metrics and both a hospital’s reputation score and total points (ie, overall rank). This association may indicate that a hospital’s reputation may be influenced by its social media presence or that the reputation or rank of a hospital drives social media followers.

Sign in / Sign up

Export Citation Format

Share Document