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Open AccessArticle

Barriers and Enablers to Enacting Child and Youth Related Injury Prevention Legislation in Canada

Faculty of Health-School of Kinesiology & Health Science, Norman Bethune College, York University, 4700 Keele St., Room 337, Toronto, ON M3J 1P3, Canada
Department of Pediatrics, University of British Columbia, Vancouver, BC V6T 1Z4, Canada
BC Injury Research and Prevention Unit, Child and Family Research Institute at BC Children’s Hospital, Room F505, 4480 Oak St., Vancouver, BC V6H 3V4, Canada
Injury Prevention Centre, School of Public Health, University of Alberta, 8308 114 St. NW, Edmonton, AB T6G 2E1, Canada
Faculty of Health and Social Development, School of Nursing, The University of British Columbia, Okanagan, 1147 Research Rd., ART 360, Kelowna, BC V1V 1V7, Canada
Knowledge Transfer & Stakeholder Relations, Parachute 150 Eglinton Ave East Suite 300, Toronto, ON M4P 1E8, Canada
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2016, 13(7), 656;
Received: 26 February 2016 / Revised: 29 March 2016 / Accepted: 7 April 2016 / Published: 7 July 2016
(This article belongs to the Special Issue Child Injury Prevention 2015)
PDF [2254 KB, uploaded 8 July 2016]


Injury prevention policy is crucial for the safety of Canada’s children; however legislation is not adopted uniformly across the country. This study aimed to identify key barriers and enablers to enacting injury prevention legislation. Purposive snowball sampling identified individuals involved in injury prevention throughout Canada. An online survey asked respondents to identify policies that were relevant to them, and whether legislation existed in their province. Respondents rated the importance of barriers or enablers using a 5-point Likert type scale and included open-ended comments. Fifty-seven respondents identified the most common injury topics: bicycle helmets (44, 77%), cell phone-distracted driving (36, 63%), booster seats (28, 49%), ski helmets (24, 42%), and graduated driver’s licensing (21, 37%). The top enablers were research/surveillance, managerial/political support and professional group consultation, with much variability between injury topics. Open-ended comments emphasized the importance of a united opinion as an enabler and barriers included costs of protective equipment and inadequate enforcement of legislation. The results highlighted the importance of strategies that include research, management and community collaboration and that injury prevention topics should be addressed individually as information may be lost if topics are considered together. Findings can inform the process of turning injury prevention evidence into action. View Full-Text
Keywords: children; youth; legislation; enablers; barriers children; youth; legislation; enablers; barriers

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Rothman, L.; Pike, I.; Belton, K.; Olsen, L.; Fuselli, P.; Macpherson, A. Barriers and Enablers to Enacting Child and Youth Related Injury Prevention Legislation in Canada. Int. J. Environ. Res. Public Health 2016, 13, 656.

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