000000829 001__ 829 000000829 005__ 20260420131812.0 000000829 0247_ $$2DOI$$a10.6083/M4GX48KX 000000829 037__ $$aETD 000000829 245__ $$aCharacteristics associated with motor vehicle restraint use in American Indian children: an analysis to guide meaningful interventions 000000829 260__ $$bOregon Health and Science University 000000829 269__ $$a2007 000000829 336__ $$aThesis 000000829 502__ $$bM.P.H. 000000829 520__ $$aAmerican Indian and Alaska Native (AI/AN) children experience the highest motor vehicle injury mortality rates in the United States, yet child restraint use in Northwest tribal communities is not well characterized. This study examined child, driver, and vehicle factors associated with proper, incorrect, and non-use of restraints among AI/AN children aged 1–8 years using data from the 2003 Northwest Tribal Child Safety Seat Project. Observations and driver interviews from six tribes were analyzed using logistic regression with clustering adjustments. Only 29% of children were properly restrained, while 41% were unrestrained. Proper restraint use was strongly associated with seat eligibility, driver seat belt use, parental drivers, and seat belt laws. Results highlight substantial risk due to incorrect and non-restraint use and underscore the need for targeted, community-based child passenger safety interventions in tribal communities. 000000829 540__ $$fCC BY 000000829 542__ $$fIn copyright - single owner 000000829 650__ $$aSeat Belts$$025816 000000829 650__ $$aWounds and Injuries$$028003 000000829 650__ $$aParents$$023608 000000829 650__ $$aMotor Vehicles$$031258 000000829 650__ $$aChild Restraint Systems$$038898 000000829 650__ $$aChild$$016462 000000829 650__ $$aAlaska Natives$$012110 000000829 650__ $$aAmerican Indian or Alaska Native$$035484 000000829 691__ $$aSchool of Medicine$$041369 000000829 692__ $$aDepartment of Public Health and Preventive Medicine$$041444 000000829 7001_ $$aHoldaway Smith, Nicole$$uOregon Health and Science University$$041354 000000829 7201_ $$aRomero, Francine$$uOregon Health and Science University$$041354$$7Personal$$eMentor 000000829 8564_ $$9a0810e70-e321-45ea-9649-2bb023541d8c$$s2731869$$uhttps://digitalcollections.ohsu.edu/record/829/files/832_etd.pdf$$ePublic$$2005610776c13c1fe68f8cec291d8ab3c$$31 000000829 901__ $$a<p>These documents are archival records. They are retained for historical reference only. </p><p><b>Need an accessible version? Use the ‘Get Accessible Copy’ link above.</b></p> 000000829 905__ $$a/rest/prod/qf/85/nb/33/qf85nb331 000000829 909CO $$ooai:digitalcollections.ohsu.edu:829$$pstudent-work 000000829 956__ $$aGet Accessible Copy$$uhttps://ohsu.libwizard.com/f/requestaccessibledocument 000000829 980__ $$aTheses and Dissertations