【摘要】 目的 了解0～3岁儿童家用车儿童安全座椅配备及使用情况，为促进儿童乘车安全提供依据。方法 于2024年5—7月在上海市黄浦区采用多阶段分层随机抽样方法抽取0～3岁儿童父母亲为调查对象，通过问卷调查收集一般人口学信息、乘车出行情况、家用车儿童安全座椅使用情况和儿童安全座椅使用健康信念等资料；采用多因素logistic回归模型分析儿童安全座椅使用的影响因素。结果 回收有效问卷514份，问卷有效率为96.98%。调查父亲122人，占23.74%；母亲392人，占76.26%。年龄M (QR)为34.00 (5.00)岁。配备儿童安全座椅446人，配备率为86.77%；使用儿童安全座椅169人，使用率为32.88%。多因素logistic回归分析结果显示，儿童年龄>1～2岁（OR=0.597,95%CI:0.366～0.973）、出行频率2～4次/月（OR=0.359,95%CI:0.213～0.607）或≤1次/月（OR=0.384,95%CI:0.202～0.729）和感知障碍得分高（OR=0.634,95%CI:0.486～0.827）的父母亲使用儿童安全座椅比例较低；儿童本市户籍（OR=2.506,95%CI:1.356～4.633）、出行距离5～<10 km (OR=1.887,95%CI:1.148～3.101；≥10 km (OR=2.319,95%CI:1.355～3.967)、总是使用安全带（OR=2.342,95%CI:1.212～4.524）、感知易感性得分高（OR=1.392,95%CI:1.091～1.778）和自我效能得分高（OR=1.413,95%CI:1.156～1.727）的父母亲使用儿童安全座椅比例较高。结论 家用车配备和使用儿童安全座椅可预防和减少0～3岁儿童交通伤害，建议加强宣传，提高儿童安全座椅使用率。更多还原

【Abstract】 Objective To investigate the availability and use of child safety seats among children aged 0-3 years, so as to provide the basis for improving riding safety for children. Methods Parents of children aged 0-3 years in Huangpu District, Shanghai Municipality, were recruited using the stratified multistage random sampling method from May to July2024. Demographic information, family travel patterns, the use of child safety seat and related health beliefs were collected using questionnaire surveys. Factors affecting the use of child safety seats were identified using a multivariable logistic regression model. Results Totally 514 valid questionnaires were recovered, with an effective rate of 96.98%. The respondents included 122 fathers(23.74%) and 392 mothers(76.26%), with a median age of 34.00(interquartile range,5.00) years. There were 446 families equipping with child safety seats, accounting for 86.77%; and 169 families using child safety seats, accounting for 32.88%. Multivariable logistic regression analysis showed that the parents who had children aged >1-2 years(OR=0.597, 95%CI: 0.366-0.973), travelled 2-4 times per month(OR=0.359, 95%CI: 0.213-0.607) or once per month or less(OR=0.384, 95%CI: 0.202-0.729), and scored high in perceived barrier(OR=0.634,95%CI: 0.486-0.827) were less likely to use child safety seats; the parents who had children with local household registration(OR=2.506, 95%CI: 1.356-4.633), travelled 5-<10 km(OR=1.887, 95%CI: 1.148-3.101) or ≥10 km(OR=2.319,95%CI: 1.355-3.967), always wore seat belts(OR=2.342, 95%CI: 1.212-4.524), scored high in perceived susceptibility(OR=1.392, 95%CI: 1.091-1.778) and self-efficacy(OR=1.413, 95%CI: 1.156-1.727) were more likely to use child safety seats. Conclusions Equipping family cars with child safety seats and using them can prevent and reduce traffic injuries among children aged 0-3 years. It is recommended to strengthen publicity to promote the use of child safety seats.更多还原