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Children with Special Physical Health Care Needs: Restraint Use and Injury Risk in Motor Vehicle Crashes

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Abstract

Physical disabilities may affect a child passenger’s fit within a conventional motor vehicle restraint. The aim of this study is to describe and compare injury risk in motor vehicle crashes (MVC) among children with and without special physical health care needs (SPHCN). This analysis, conducted in 2007–2008, utilizes data collected between December 1998 and November 2002 in a cross-sectional study of children ≤15 years old involved in crashes of State-Farm insured vehicles in 15 states and the District of Columbia. Parent reports via telephone survey were used to define pre-crash SPHCN, restraint status, and occurrence of significant injuries using a validated survey. Complete data were collected for 18,852 children aged 0–15 years; 159 children were reported to have a SPHCN (0.8% and 0.7% of children aged 0–8 and 9–15 years, respectively). A greater proportion of children with SPHCN aged 0–8 years were appropriately restrained (P < 0.001), but there was no significant difference in restraint use among children with and without SPHCN aged 9–15 years. There was no significant association between the presence of a SPHCN and injury risk in either age group, after adjustment for child/driver characteristics (children aged 0–8 years: OR 1.27, 95% CI: 0.48–3.33; children aged 9–15 years: OR 1.51, 95% CI: 0.38–6.11). Children with and without SPHCN have similar injury risk in MVC, despite increased age-appropriate restraint usage among children aged 0–8 years. When counseling families about vehicle safety, practitioners should consider the fit of a child with SPHCN in a restraint system.

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Acknowledgments

The authors would like to acknowledge the commitment and financial support of State Farm Mutual Automobile Insurance Company® for the creation and ongoing maintenance of the Partners for Child Passenger Safety (PCPS) program, the source of data for this study. The authors also thank the many State Farm® policyholders who consented to participate in PCPS. The results presented in this report are the interpretation solely of the author(s) and are not necessarily the views of State Farm®.

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Authors and Affiliations

  1. Division of Child Development and Rehabilitation Medicine, The Children’s Hospital of Philadelphia, 3550 Market St., Philadelphia, PA, 19104, USA

    Patty Huang & Nathan J. Blum

  2. Center for Clinical Epidemiology and Biostatistics, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Michael J. Kallan & Dennis R. Durbin

  3. Center for Injury Research and Prevention, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA

    Michael J. Kallan & Dennis R. Durbin

  4. Department of Pediatrics, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, IN, USA

    Joseph O’Neil & Marilyn J. Bull

  5. Department of Pediatrics, The Children’s Hospital of Philadelphia, University of Pennsylvania School of Medicine, Philadelphia, PA, USA

    Dennis R. Durbin

Authors
  1. Patty Huang
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  2. Michael J. Kallan
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  3. Joseph O’Neil
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  4. Marilyn J. Bull
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  5. Nathan J. Blum
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  6. Dennis R. Durbin
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Correspondence to Patty Huang.

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Huang, P., Kallan, M.J., O’Neil, J. et al. Children with Special Physical Health Care Needs: Restraint Use and Injury Risk in Motor Vehicle Crashes. Matern Child Health J 15, 949–954 (2011). https://doi.org/10.1007/s10995-009-0539-1

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  • DOI: https://doi.org/10.1007/s10995-009-0539-1

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