IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i14p4974-d382800.html
   My bibliography  Save this article

Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa

Author

Listed:
  • Kate Hunter

    (The George Institute for Global Health, The University of New South Wales, Sydney 2042, Australia)

  • Amy Bestman

    (The George Institute for Global Health, The University of New South Wales, Sydney 2042, Australia)

  • Madeleine Dodd

    (The George Institute for Global Health, The University of New South Wales, Sydney 2042, Australia)

  • Megan Prinsloo

    (Burden of Disease Research Unit, South African Medical Research Council, Tygerberg, Cape Town 8000, South Africa)

  • Pumla Mtambeka

    (Woolworths Childsafe Research and Educational Centre, Cape Town 7701, South Africa)

  • Sebastian van As

    (Woolworths Childsafe Research and Educational Centre, Cape Town 7701, South Africa
    Department of Paediatric Surgery, University of Cape Town, Cape Town 7701, South Africa)

  • Margaret Mary Peden

    (The George Institute for Global Health UK, Oxford University, Oxford OX1 2BQ, UK
    School of Public Health and Community Medicine, University of New South Wales, Sydney 2052, Australia)

Abstract

(1) Background : Children in South Africa experience significant impacts from road injury due to the high frequency of road crashes and the low uptake of road safety measures (including the use of appropriate child restraints). The current study aimed to assess the feasibility of a child restraint program and to describe factors influencing child restraint use from the perspectives of clinicians, representatives of non-government agencies, and academics in Cape Town, South Africa. (2) Methods : Qualitative interviews were conducted with 13 experts from government, academic and clinical backgrounds. Findings were analyzed using the COM-B component of the Behaviour Change Wheel and were grouped by the layers of the social-ecological model (individual, relational, community and societal). (COM-B is a framework to explain behaviour change which has three key components; capability, opportunity and motivation), (3) Results : Experts believed that there was a need for a child restraint program that should be staged and multifactorial. Participants described knowledge gaps, perceptions of risk, mixed motivations and limited enforcement of child restraint legislation as key influences of restraint use. (4) Conclusions : The results demonstrate potential areas on which to focus interventions to increase child restraint use in Cape Town, South Africa. However, this will require a coordinated and consistent response across stakeholder groups.

Suggested Citation

  • Kate Hunter & Amy Bestman & Madeleine Dodd & Megan Prinsloo & Pumla Mtambeka & Sebastian van As & Margaret Mary Peden, 2020. "Overloaded and Unrestrained: A Qualitative Study with Local Experts Exploring Factors Affecting Child Car Restraint Use in Cape Town, South Africa," IJERPH, MDPI, vol. 17(14), pages 1-13, July.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4974-:d:382800
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/14/4974/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/17/14/4974/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Rice, T.M. & Anderson, C.L., 2009. "The effectiveness of child restraint systems for children aged 3 years or younger during motor vehicle collisions: 1996 to 2005," American Journal of Public Health, American Public Health Association, vol. 99(2), pages 252-257.
    2. Keay, L. & Hunter, K. & Brown, J. & Simpson, J.M. & Bilston, L.E. & Elliott, M. & Stevenson, M. & Ivers, R.Q., 2012. "Evaluation of an education, restraint distribution, and fitting program to promote correct use of age-appropriate child restraints for children aged 3 to 5 years: A cluster randomized trial," American Journal of Public Health, American Public Health Association, vol. 102(12), pages 96-102.
    3. Prasanthi Puvanachandra & Aliasgher Janmohammed & Pumla Mtambeka & Megan Prinsloo & Sebastian Van As & Margaret M. Peden, 2020. "Affordability and Availability of Child Restraints in an Under-Served Population in South Africa," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Kinga Szopińska & Agnieszka Cienciała & Agnieszka Bieda & Janusz Kwiecień & Łukasz Kulesza & Piotr Parzych, 2022. "Verification of the Perception of the Local Community concerning Air Quality Using ADMS-Roads Modeling," IJERPH, MDPI, vol. 19(17), pages 1-28, September.
    2. Shengchen Yin & Dena Kasraian & Pieter van Wesemael, 2022. "Children and Urban Green Infrastructure in the Digital Age: A Systematic Literature Review," IJERPH, MDPI, vol. 19(10), pages 1-18, May.
    3. Kristen Pammer & Melissa Freire & Cassandra Gauld & Nathan Towney, 2021. "Keeping Safe on Australian Roads: Overview of Key Determinants of Risky Driving, Passenger Injury, and Fatalities for Indigenous Populations," IJERPH, MDPI, vol. 18(5), pages 1-16, March.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Prasanthi Puvanachandra & Aliasgher Janmohammed & Pumla Mtambeka & Megan Prinsloo & Sebastian Van As & Margaret M. Peden, 2020. "Affordability and Availability of Child Restraints in an Under-Served Population in South Africa," IJERPH, MDPI, vol. 17(6), pages 1-13, March.
    2. Julie Brown & Jane Elkington & Kate Hunter & Judith L. Charlton & Lynne E. Bilston & Andrew Hayen & Lisa Keay, 2020. "A Process Evaluation Protocol for Examining the Impact of Instructions for Correct Use of Child Car Seats Designed through a Consumer-Driven Process and Evaluated in a Field-Based Randomised Controlle," IJERPH, MDPI, vol. 17(12), pages 1-10, June.
    3. Anderson, D. Mark & Sandholt, Sina, 2016. "Booster Seats and Traffic Fatalities among Children," IZA Discussion Papers 10071, Institute of Labor Economics (IZA).
    4. D. Mark Anderson & Sina Sandholt, 2019. "Are Booster Seats More Effective than Child Safety Seats or Seat Belts at Reducing Traffic Fatalities among Children?," American Journal of Health Economics, MIT Press, vol. 5(1), pages 42-64, Winter.
    5. Bae, Jin Yung & Anderson, Evan & Silver, Diana & Macinko, James, 2014. "Child passenger safety laws in the United States, 1978–2010: Policy diffusion in the absence of strong federal intervention," Social Science & Medicine, Elsevier, vol. 100(C), pages 30-37.
    6. Delia Hendrie & Greg Lyle & Max Cameron, 2021. "Lives Saved in Low- and Middle-Income Countries by Road Safety Initiatives Funded by Bloomberg Philanthropies and Implemented by Their Partners between 2007–2018," IJERPH, MDPI, vol. 18(21), pages 1-21, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:14:p:4974-:d:382800. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.