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Int. J. Environ. Res. Public Health 2017, 14(10), 1206;

“He’s the Number One Thing in My World”: Application of the PRECEDE-PROCEED Model to Explore Child Car Seat Use in a Regional Community in New South Wales

The George Institute for Global Health, University of New South Wales, Sydney, NSW 2052, Australia
Australian Health Services Research Institute, University of Wollongong, Wollongong, NSW 2522, Australia
Neuroscience Research Australia and University of New South Wales, NSW 2052, Sydney, Australia
Prince of Wales Clinical School, University of New South Wales, Sydney, NSW 2052, Australia
Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006, Australia
Author to whom correspondence should be addressed.
Academic Editor: David A. Sleet
Received: 7 September 2017 / Revised: 30 September 2017 / Accepted: 2 October 2017 / Published: 10 October 2017
(This article belongs to the Special Issue Child Injury Prevention 2017)
Full-Text   |   PDF [307 KB, uploaded 10 October 2017]


We explored the factors influencing the use of age-appropriate car seats in a community with a high proportion of Aboriginal families in regional New South Wales. We conducted a survey and three focus groups with parents of children aged 3–5 years enrolled at three early learning centres on the Australian south-east coast. Survey data were triangulated with qualitative data from focus groups and analysed using the PRECEDE-PROCEED conceptual framework. Of the 133 eligible families, 97 (73%) parents completed the survey including 31% of parents who reported their children were Aboriginal. Use of age-appropriate car seats was reported by 80 (83%) of the participants, and awareness of the child car seat legislation was high (91/97, 94%). Children aged 2–3 years were less likely reported to be restrained in an age-appropriate car seat than were older children aged 4–5 years (60% versus 95%: χ2 = 19.14, p < 0.001). Focus group participants highlighted how important their child’s safety was to them, spoke of the influence grandparents had on their use of child car seats and voiced mixed views on the value of authorised child car seat fitters. Future programs should include access to affordable car seats and target community members as well as parents with clear, consistent messages highlighting the safety benefits of using age-appropriate car seats. View Full-Text
Keywords: Aboriginal; child; car seats Aboriginal; child; car seats
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

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Hunter, K.; Keay, L.; Clapham, K.; Brown, J.; Bilston, L.E.; Lyford, M.; Gilbert, C.; Ivers, R.Q. “He’s the Number One Thing in My World”: Application of the PRECEDE-PROCEED Model to Explore Child Car Seat Use in a Regional Community in New South Wales. Int. J. Environ. Res. Public Health 2017, 14, 1206.

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