Evidence map›Paper›PMID 34911478›Full record

Observational studyBMC pediatrics2021

A study of students' use of restraint systems in school transportation services in primary and secondary schools in northern Iran: an observational study.

Shahrokh Yousefzade-Chabok, Samira Azari, Leila Kouchakinejad-Eramsadati, Enayatollah Homaie Rad, Marjan Hosseinnia, Naema Khodadadi-Hassankiadeh

Abstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Shahrokh Yousefzade-ChabokNeuroscience Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Samira AzariGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Leila Kouchakinejad-EramsadatiGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Enayatollah Homaie RadSocial Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Marjan HosseinniaSchool of pharmacy, Department of Clinical and Administrative Sciences, Notre Dame of Maryland University, Baltimore, Maryland, USA.
Naema Khodadadi-HassankiadehGuilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran. n_khodadady@yahoo.com.ORCID 0000-0003-3005-0597

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTraffic accidents are one of the leading causes of death and severe injury among child occupants of vehicles in most countries. This has led to the consideration of how to use restraint systems for students in school buses. The purpose of the present study was to determine the percentage of students' use of restraint systems in school transportation services in 2020.

methodsIn the present cross-sectional observational study, seatbelt use was assessed in 400 students in school transport vehicles using a checklist. The observation team sat at their vehicle, at the nearest location on one of the three sides of the school's entrance: they had by manually registering the variable in the checklist. They focused on exactly the first vehicle parked next to the school entrance. There were two other observers to validate the observations. Data were analyzed by SPSS software (version 21).

resultsThe rate of using restraint systems was 11.3%, use of restraint systems in the Sport Utility Vehicles (SUVs) was significantly higher (P < 0.03), in areas with medium income (P < 0.009) and low income (p < 0.012) as well as when the students were sitting in the rear seats, using the seatbelt were significantly lower (P < 0.001). Seatbelt use in students was less in services driven by drivers over the age of 40 (P < 0.01) and more in vehicles driven by female drivers (P < 0.003) and newer vehicles (p < 0.001).

conclusionSchool authorities must enforce traffic safety rules for school transportation services. These rules should be taught to drivers, families, and students. A restraint system must be mandatory for all students. School officials must equip their buses with seatbelts and employ school bus assistants to encourage wearing seatbelts and prevent students from standing.

Indexed as

Accidents, TrafficSeat BeltsCross-Sectional StudiesFemaleHumansIranSchoolsStudentsAccidentsChild restraint systemsTrafficTransportation

Identifiers

PMID34911478
PMCPMC8672521

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.