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Factors Associated with Cell Phone Use While Driving: A Survey of Parents and Caregivers of Children Ages 4-10 Years - 21/09/18

Doi : 10.1016/j.jpeds.2018.06.003 
Catherine C. McDonald, PhD, RN, FAAN 1, 2, 3, 4, * , Erin Kennedy 1, 3, Linda Fleisher, MPH, PhD 2, 3, Mark R. Zonfrillo, MD, MSCE 5
1 Department of Family and Community Health, School of Nursing, University of Pennsylvania, Philadelphia, PA 
2 Department of Pediatrics, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA 
3 Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA 
4 Penn Injury Science Center, University of Pennsylvania, Philadelphia, PA 
5 Department of Emergency Medicine, Alpert Medical School of Brown University and Hasbro Children's Hospital, Providence, RI 

*Reprint requests: Catherine C. McDonald, PhD, RN, FAAN, School of Nursing, University of Pennsylvania, Claire Fagin Hall, 418 Curie Blvd, 414, Philadelphia, PA 19104.School of NursingUniversity of PennsylvaniaClaire Fagin Hall418 Curie Blvd414PhiladelphiaPA19104

Abstract

Objectives

To examine characteristics associated with cell phone use while driving by parents and caregivers of children ages 4-10 years.

Study design

National cross-sectional online survey with a convenience sample (March 2017-April 2017). Inclusion criteria: Parent/caregiver of a child age 4-10 years in their home, age ≥18 years, read and spoke English, and drove child ≥6 times in previous 3 months. Adjusted logistic regression analyses were modeled for outcome measures of previous 3-month self-report cell phone use while driving with the child.

Results

The analytic sample was n = 760. In the previous 3 months, 47% of parent/caregivers talked on a hand-held phone, 52.2% talked on a hands-free phone, 33.7% read texts, 26.7% sent texts, and 13.7% used social media while driving with their child in the vehicle. Compared with those who always used their typical child restraint system, participants who did not always use were more likely to talk on a hands-free phone (aOR 1.97, 95% CI 1.26-3.09), read a text (aOR 1.74, 95% CI 1.11-2.73), send a text (aOR 1.65, 95% CI 1.04-2.62), and use social media (aOR 2.92, 95% CI 1.73-4.94) while driving. Higher income, not wearing a seat belt (driver) on every trip, and driving under influence of alcohol also were associated with various types of cell phone use while driving.

Conclusions

Inconsistent child restraint system use, lack of seat belt use, and driving under the influence of alcohol are associated with parent/caregiver cell phone use while driving. Screening and education related to parental driving behaviors should include addressing multiple risk behaviors.

Le texte complet de cet article est disponible en PDF.

Keywords : alcohol, booster seat, car seat, cell phones, child restraint system, distracted driving, motor vehicle crash, seat belt

Abbreviations : CRSs, REF


Plan


 Sponsored by the National Science Foundation (NSF) Center for Child Injury Prevention Studies at the Children's Hospital of Philadelphia (CHOP). This material is also based upon work supported by the National Science Foundation (EEC-1460927). Data collection, analysis, interpretation, and the final manuscript including the writing and decision to submit for publication was the responsibility of the authors and does not necessarily represent the views of CHOP, the NSF or the Industry Advisory Board members. The authors declare no conflicts of interest.


© 2018  Elsevier Inc. Tous droits réservés.
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Vol 201

P. 208-214 - octobre 2018 Retour au numéro
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