title: Predictors of seat-belt use among school-aged children in two low-income Hispanic communities.
abstract: OBJECTIVE
  To examine the prevalence of seat belt use among school-aged children in low-income Hispanic communities.
  
  
  METHODS
  We conducted unobtrusive observations of school-aged children (aged 5 to 12 years) traveling to and from nine elementary schools in two communities. We documented vehicle type, and belted status and seating position of children, driver, and other passengers. Results are presented as percentages with 95% confidence intervals (CIs).
  
  
  RESULTS
  We observed 3651 children, of which restraint use could be determined for 2741. Overall, 29% of children were using seat belts. By seating location, 58% were in the front seat with 40% belted, and 42% were in the back seat with 14% belted. Children were most likely to be restrained when traveling in the front seat (40.0%, CI=37.6-42.5); traveling with a belted driver (42.4%, CI=40.0-44.8); or traveling without additional passengers (40.3%, CI=37.0-43.7)
  
  
  CONCLUSIONS
  Seat belt use among children from this study population was below the national average and was alarmingly low among children in the back seat. While traveling, being belted in the back seat provides the most protection in a collision. Prevention efforts need to be based on an understanding of the barriers to restraint use for children traveling in the back seat.
authors.affiliation: Division of General and Emergency Pediatrics, Harbor-University of California-Los Angeles Medical Center, Torrance, California, USA.
authors.forename: Elizabeth A
authors.initials: EA
authors.lastname: Edgerton
authors.forename: Naihua
authors.initials: N
authors.lastname: Duan
authors.forename: James S
authors.initials: JS
authors.lastname: Seidel
authors.forename: Steven
authors.initials: S
authors.lastname: Asch
mesh_terms: D002140:California; D002648:Child; D002669:Child Welfare; D002675:Child, Preschool; D016001:Confidence Intervals; D003625:Data Collection; D005260:Female; D015438:Health Behavior / Q000208:ethnology*; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D011204:Poverty Areas; D011237:Predictive Value of Tests; D011336:Probability; D012622:Seat Belts / Q000706:statistics & numerical data*; D014505:Urban Population