title: Pediatricians' self-reported knowledge, attitudes, and practices about child passenger safety.
abstract: OBJECTIVE
  To evaluate pediatricians' self-reported knowledge, attitudes, and dissemination practices regarding the new American Academy of Pediatrics' (AAP) child passenger safety (CPS) policy recommendations.
  
  
  METHODS
  A cross-sectional survey was distributed to pediatric primary care physicians via AAP e-mail distribution lists. Knowledge, attitudes, and practices related to current AAP CPS recommendations and the revised policy statement were ascertained.
  
  
  RESULTS
  There were 718 respondents from 3497 physicians with active e-mail addresses, resulting in a 20.5% response rate, of which 533 were eligible based on the initial survey question. All 6 CPS knowledge and scenario-based items were answered correctly by 52.9% of the sample; these respondents were identified as the "high knowledge" group. Pediatricians with high knowledge were more likely to be female (P < .001), to have completed a pediatrics residency (vs medicine-pediatrics) (P = .03), and have a child between 4 and 7 years of age (P = .001). CPS information was distributed more frequently at routine health visits for patients 0-2 years of age vs those 4-12 years of age. Those with high knowledge were less likely to report several specific barriers to dissemination of CPS information, more likely to allot adequate time and discuss CPS with parents, and had greater confidence for topics related to all CPS topics.
  
  
  CONCLUSIONS
  Although CPS knowledge is generally high among respondents, gaps in knowledge still exist. Knowledge is associated with attitudes, practices, barriers, and facilitators of CPS guideline dissemination. These results identify opportunities to increase knowledge and implement strategies to routinely disseminate CPS information in the primary care setting.
authors.affiliation: Division of Emergency Medicine, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. Electronic address: zonfrillo@email.chop.edu.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Zonfrillo
authors.affiliation: Home, Recreation, and Transportation Branch, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA.
authors.forename: Erin K
authors.initials: EK
authors.lastname: Sauber-Schatz
authors.affiliation: Department of Pediatrics, Oregon Health & Science University Doernbecher Children's Hospital, Portland, OR.
authors.forename: Benjamin D
authors.initials: BD
authors.lastname: Hoffman
authors.affiliation: Division of Emergency Medicine, Center for Injury Research and Prevention, The Children's Hospital of Philadelphia, Philadelphia, PA; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
authors.forename: Dennis R
authors.initials: DR
authors.lastname: Durbin
mesh_terms: D002648:Child; D057207:Child Restraint Systems; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007223:Infant; D008297:Male; D058007:Physicians, Primary Care / Q000706:statistics & numerical data*; D057566:Self Report; D014481:United States