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Factors Influencing Booster Seat Use in a Multiethnic Community: Lessons for Program Implementation

University of Washington in Seattle, Washington

Elizabeth Bennett, MPH, CHES

Guest Services, Partnerships and Advocacy at Seattle Children's Hospital and Regional Medical Center, Seattle, Washington

Linda Quan, MD

University of Washington in Seattle, Washington

Denise Gonzalez-Walker, MA

Injury Free Coalition for Kids of Seattle in Seattle, Washington

Beth Crispin, MS

Center for Children with Special Needs at Children's Hospital and Regional Medical Center, Seattle, Washington

Beth Ebel, MD, MSc, MPH

University of Washington in Seattle, Washington

Based on the local incidence and severity of motor vehicle occupant injuries, the authors' community and hospital injury prevention partnership identified child passenger safety for 4-to-8-year-old children as a priority. They designed a booster seat promotion campaign using an integrated social cognition model of health behavior. A series of focus groups were held with low-income African American, Somali, and Vietnamese parents to understand determinants of booster seat use in these communities. Deficits in understanding about the purpose of booster seats were seen in all groups, and concerns about cost and self-efficacy varied in important ways. Although legislation is an important tool in motivating child passenger restraint, most families saw safety as the prime reason to use booster seats with their children. These results illustrate the use of qualitative data to adapt a theory-based intervention to the needs of specific communities.

Key Words: injury prevention • child passenger safety • motor vehicle injury • booster seat • focus group

This version was published on July 1, 2009

Health Promotion Practice, Vol. 10, No. 3, 411-418 (2009)
DOI: 10.1177/1524839908317743


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