CRICOS No. 00213J
Alexia Lennon 10th National Injury Prevention and Safety Promotion Conference
Brisbane November 2011
How effective is the new child restraint legislation in Queensland? A mixed methods evaluation
Acknowledgements
Queensland Injury Prevention Council Department of Main Roads and Transport,
Queensland
Colleagues who assisted with this project were Millie Darvell, Colin Edmonston, Lauren Shaw, Kylie Major-Oakley, Sarah Biggs, Angela Watson, Andrea McCrindle, Kim Smith.
Overview• Background
• Research interests
• Design
• The observational study
• Parent perspectives
• Conclusions
Background• Pre-2010
– restraint types only specified for infants (<12 mo)– no seating position requirements
• From March 2010– restraint type specified (0-7 year olds)– rear seating also required
• Prior to legislation high compliance • However, concerns about age-
appropriateness
Research interests– Are parents complying with the legislation?– Is this the same for urban, regional and rural
parents? Indigenous parents?– What difficulties do parents experience in
complying?– Do parents understand why the legislation was
put in place?– Have there been negative consequences for
other organisations or sectors of the community?
Design
• Three cross-sectional studies: – Observations (road-side; vehicles with
child passengers)
– Parent interviews (non-Indigenous)/focus group (Indigenous)
– Stakeholder interviews
Study 1: Observations• Road side in Brisbane, Sunshine Coast,
Mackay, Townsville; high child traffic (schools, shopping areas, major intersections)
• Included passenger vehicles w rear seat (n = 1922) carrying child passengers (n = 2791);
• Measures: – Number of child passengers; restraint type (RF,
FFCS, Booster seat, H harness, seatbelt) and seating position (front, rear); estimation of child age (0-2 y; 3-6 y; 7-12 y) based on seated height
Results: observations(1)
• Majority of vehicles (62%) only 1 child passenger;
• Around 1/3 (32%) of vehicles had a child in front seat
• 85% overall (0-12 y) ‘Appropriate’ restraint • 22% child passengers were in front seat • Restraint type of choice was seatbelt- 53% of
children overall; 23% forward-facing child seats; 17% in booster seats
Results: observations (2)
51% children estimated as target age (0-6 y)For target-aged children:– 73% ‘Appropriate’ restraint – 5.5% in front seats
For rear seated target-aged children– 73% dedicated child restraint; 15% seatbelt;
3.9% unrestrainedTarget-aged children more likely than older
children to be inappropriately restrained χ2
(2) = 307.83, p<.001, φc=.33
Appropriateness of restraint for 0-6 year olds by location (rear seat only)
Inappropriately restrained
n (%)
Appropriately restrained
n (%) N = 1313Location
Brisbane South 85 (21.9) 303 (78.1)
Brisbane North 41 (20.6) 158 (79.4)
Townsville 31 (14.6) 182 (85.4)
Mackay 62 (34.6) 117(65.4)
Sunshine Coast 53 (15.9) 281 (84.1) χ2 (4) = 31.16, p < .001, φc=.15
Study 2: Parent perspectives
• Convenience sample, shopping centres in same locations as obs (n = 490 parents of 769 children aged 0-7 y); Brief interview (<10 min)– Type of restraint for each child; awareness of
change in legislation; ease of compliance; support for changes
• Indigenous parents (n = 11) focus group, Woorabinda– understanding of new requirements; support for
changes in legislation; barriers to compliance
Results: parents(1)
• Non-Indigenous parents:– 56% of children reportedly using forward-
facing child seats; 31% booster seat; 1% seatbelt
– 90% children ‘appropriate’ restraint; 85% of parents ‘appropriate’ restraint practices
– 2-4 year old children significantly more likely to be deemed ‘inappropriately’ restrained (χ2 (3) = 38.15, p<.001, φc=.22)
Results: parents(2)
• Indigenous parents:– Supported the legislation change– Perceived the purpose as to protect children– Identified barriers to compliance:
• Cost• Belief that can’t legally use 2nd hand restraints• Confusion about whether age or weight is most
important in selecting restraints • Belief that don’t need restraints on short journeys (esp.
around town) • Retrofitting of anchor points to vehicles difficult (utes)• Lack of qualified installers
Conclusions• Legislation apparently effective both in
encouraging more appropriate restraint use and seating position for target-aged children
• More modest overall effect than desired• High parental awareness that requirements
have changed• Critical ages are still the transition ages• Significant barriers to compliance exist for
vulnerable groups
Questions?