Assessing community child passenger safety efforts in three Northwest Tribes

摘要: Objective: To identify strengths and weaknesses in community based child passenger safety programs by developing a scoring instrument conducting observations of restraint use three Native American communities. Setting: The communities are autonomous Tribal reservations the Pacific Northwest. Their per capita incomes rates unemployment comparable. Methods: In each community, 100 children under 5 years old were observed for car seat use. A six item assessment tool (100 points maximum) awarded such items as type (primary or secondary) enforcement laws; availability seats from distribution programs; extent educational access to data on vehicle injuries. Results: For birth 4 years, rate ranged 12%–21%. Rates infants (71%–80%) far exceeded 1–4 year (5%–14%). Community scores 0 31.5 points. There was no correlation between One reason total lack laws. Conclusions: can highlight efforts. Linking with an objective measure impact be applied other injury problems, fire domestic violence. very process creating implementing enhance agency collaboration publicize evidence “best practices” prevention. Further study is needed address methodologic issues examine crash medical relation scores.