Surveillance methods and interventions implemented in American Indian and Alaska Native communities to increase child restraint device and seat belt use in motor vehicles: a systematic review.

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  • Additional Information
    • Source:
      Publisher: BMJ Pub. Group Country of Publication: England NLM ID: 9510056 Publication Model: Electronic Cited Medium: Internet ISSN: 1475-5785 (Electronic) Linking ISSN: 13538047 NLM ISO Abbreviation: Inj Prev Subsets: MEDLINE
    • Publication Information:
      Original Publication: London : BMJ Pub. Group, c1995-
    • Subject Terms:
      American Indian or Alaska Native* ; Seat Belts* ; Child Restraint Systems*; Child ; Humans ; Accidents, Traffic/prevention & control ; Motor Vehicles
    • Abstract:
      Background: American Indian/Alaska Native (AI/AN) children are disproportionately affected by injuries and deaths related to motor vehicle crashes. We aimed to synthesise published evidence on surveillance methods and interventions implemented in AI/AN communities and analyse characteristics that make them successful in increasing child restraint devices and seat belt use.
      Methods: Studies were collected from the PubMed, Scopus, and TRID databases and the CDC Tribal Road Safety website, Community Guide, and Indian Health Service registers. Included studies collected primary data on AI/AN children (0-17) and reported morbidity/mortality outcomes related to child restraint devices or seat belt use. Studies with poor methodological quality, published before 2002, whose data were collected outside of the USA, or were non-English, were excluded. Checklists from the Joanna Briggs Institute were used to assess the risk of bias. In the synthesis of results, studies were grouped by whether a surveillance method or intervention was employed.
      Results: The final review included 9 studies covering 72 381 participants. Studies conducted surveillance methods, interventions involving law enforcement only and multipronged interventions. Multipronged approaches were most effective by using the distribution of child restraint devices combined with at least some of the following components: educational programmes, media campaigns, enactment/enforcement of child passenger restraint laws, incentive programmes and surveillance.
      Discussion: Although this review was limited by the number and quality of included studies, available resources suggest that we need multipronged, culturally tailored and sustainable interventions fostered by mutually beneficial and trusting partnerships. Continued investment in AI/AN road safety initiatives is necessary.
      Competing Interests: Competing interests: None declared.
      (© Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.)
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    • Grant Information:
      R49CE003090 United States ACL ACL HHS
    • Contributed Indexing:
      Keywords: Child; Indigenous; Interventions; Motor vehicle � Occupant; Restraints; Systematic Review
    • Publication Date:
      Date Created: 20240201 Date Completed: 20240322 Latest Revision: 20240617
    • Publication Date:
      20240617
    • Accession Number:
      PMC11114209
    • Accession Number:
      10.1136/ip-2023-045044
    • Accession Number:
      38302282