title: Child passenger safety: potential impact of the Washington State booster seat law on childcare centers.
abstract: OBJECTIVE
  To examine factors associated with compliance and with perceived readiness for the new Washington State booster seat law, and to identify perceived barriers to compliance among licensed childcare centers.
  
  
  METHODS
  Surveys were mailed to a random sample of 550 licensed childcare centers in Washington State, approximately nine months before the law was to go into effect.
  
  
  RESULTS
  Only 18% of centers reported being compliant with the law at the time of the survey. Factors associated with current compliance included awareness and knowledge of the law, and being comfortable asking staff and parents to use booster seats. A lack of center-owned booster seats was associated with a lower likelihood of compliance. Only 43% of centers had already started preparing for the law, and only 48% believed they would definitely be ready in time.
  
  
  CONCLUSIONS
  This study suggests that Washington State childcare centers need support and assistance to increase their knowledge of booster seats and reduce the financial costs of compliance.
authors.affiliation: Harborview Injury Prevention and Research Center, University of Washington Department of Pediatrics, Seattle 98104-2499, USA. changba@u.washington.edu
authors.forename: B A
authors.initials: BA
authors.lastname: Chang
authors.forename: B E
authors.initials: BE
authors.lastname: Ebel
authors.forename: F P
authors.initials: FP
authors.lastname: Rivara
mesh_terms: D000063:Accidents, Traffic / Q000331:legislation & jurisprudence / Q000517:prevention & control*; D001334:Automobile Driving / Q000331:legislation & jurisprudence*; D002648:Child; D002656:Child Day Care Centers / Q000458:organization & administration*; D002675:Child, Preschool; D006801:Humans; D015370:Infant Equipment / Q000706:statistics & numerical data*; D011482:Protective Devices; D012449:Safety; D012622:Seat Belts / Q000331:legislation & jurisprudence* / Q000706:statistics & numerical data; D014861:Washington / Q000453:epidemiology