Children with special health care needs

Patterns of safety restraint use, seating position, and risk of injury in motor vehicle crashes

Patty Huang, Michael J. Kalian, Joseph O'Neil, Marilyn J. Bull, Nathan J. Blum, Dennis R. Durbin

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

OBJECTIVES. Special health care needs associated with behavioral conditions may influence a child's safety in motor vehicle crashes. The aim of this study was to describe and compare variation in restraint use, seating position, and injury risk in motor vehicle crashes among children with and without special health care needs likely to affect behavior. PATIENTS AND METHODS. This study uses data collected between December 1, 1998, and November 30, 2002, in a cross-sectional study of children <16 years of age who were involved in crashes of State Farm-insured vehicles in 15 states. Parent reports via a validated telephone survey were used to define precrash special health care needs, restraint status, seating position, and the occurrence of clinically significant injuries by using a previously validated survey instrument. RESULTS. Complete data were collected for 14 654 children aged 4 to 15 years, representing 171 633 children in crashes. Of these, 152 children were reported to have a special need likely to affect behavior, representing 1883 children. A greater proportion of children with special needs likely to affect behavior were appropriately restrained, particularly among children aged 4 to 8 years. Drivers of children with special needs likely to affect behavior were more often restrained and more often were the child passenger's parent. There were no differences in the rates of front-row seating. There was no significant association between the presence of a special need likely to affect behavior and risk of injury, after adjustment for child/driver characteristics and crash severity. CONCLUSIONS. Despite a greater proportion of children with special needs likely to affect behavior using proper vehicle restraint, their injury risk was similar to that of children without these special needs. Primary care pediatricians providing best practices for vehicle safety should consider the unique riding experience and risk of injury among children with special health care needs likely to affect behavior.

Original languageEnglish (US)
Pages (from-to)518-523
Number of pages6
JournalPediatrics
Volume123
Issue number2
DOIs
StatePublished - Feb 2009
Externally publishedYes

Fingerprint

Motor Vehicles
Delivery of Health Care
Safety
Wounds and Injuries
Risk-Taking
Practice Guidelines
Telephone
Primary Health Care

Keywords

  • Behavior disorders/problems
  • Child passenger safety
  • Injury
  • Motor vehicle accidents

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Children with special health care needs : Patterns of safety restraint use, seating position, and risk of injury in motor vehicle crashes. / Huang, Patty; Kalian, Michael J.; O'Neil, Joseph; Bull, Marilyn J.; Blum, Nathan J.; Durbin, Dennis R.

In: Pediatrics, Vol. 123, No. 2, 02.2009, p. 518-523.

Research output: Contribution to journalArticle

Huang, Patty ; Kalian, Michael J. ; O'Neil, Joseph ; Bull, Marilyn J. ; Blum, Nathan J. ; Durbin, Dennis R. / Children with special health care needs : Patterns of safety restraint use, seating position, and risk of injury in motor vehicle crashes. In: Pediatrics. 2009 ; Vol. 123, No. 2. pp. 518-523.
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abstract = "OBJECTIVES. Special health care needs associated with behavioral conditions may influence a child's safety in motor vehicle crashes. The aim of this study was to describe and compare variation in restraint use, seating position, and injury risk in motor vehicle crashes among children with and without special health care needs likely to affect behavior. PATIENTS AND METHODS. This study uses data collected between December 1, 1998, and November 30, 2002, in a cross-sectional study of children <16 years of age who were involved in crashes of State Farm-insured vehicles in 15 states. Parent reports via a validated telephone survey were used to define precrash special health care needs, restraint status, seating position, and the occurrence of clinically significant injuries by using a previously validated survey instrument. RESULTS. Complete data were collected for 14 654 children aged 4 to 15 years, representing 171 633 children in crashes. Of these, 152 children were reported to have a special need likely to affect behavior, representing 1883 children. A greater proportion of children with special needs likely to affect behavior were appropriately restrained, particularly among children aged 4 to 8 years. Drivers of children with special needs likely to affect behavior were more often restrained and more often were the child passenger's parent. There were no differences in the rates of front-row seating. There was no significant association between the presence of a special need likely to affect behavior and risk of injury, after adjustment for child/driver characteristics and crash severity. CONCLUSIONS. Despite a greater proportion of children with special needs likely to affect behavior using proper vehicle restraint, their injury risk was similar to that of children without these special needs. Primary care pediatricians providing best practices for vehicle safety should consider the unique riding experience and risk of injury among children with special health care needs likely to affect behavior.",
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