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Effect of an educational leaflet on the frequency of seat belt use and the rate of motor vehicle accidents during pregnancy in Japan in 2018 : a prospective, non-randomised control trial with a questionnaire survey

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Title: Effect of an educational leaflet on the frequency of seat belt use and the rate of motor vehicle accidents during pregnancy in Japan in 2018 : a prospective, non-randomised control trial with a questionnaire survey
Authors: Morikawa, Mamoru Browse this author →KAKEN DB
Yamada, Takashi Browse this author →KAKEN DB
Kogo, Hiromasa Browse this author
Sugawara, Masaki Browse this author
Nishikawa, Akira Browse this author →KAKEN DB
Fukushi, Yoshiyuki Browse this author
Kato Hirayama, Emi Browse this author
Ishioka, Shin-ichi Browse this author →KAKEN DB
Watari, Hidemichi Browse this author →KAKEN DB
Keywords: leaflet
seatbelt
pregnancy
traffic accidents
Issue Date: Sep-2019
Publisher: BMJ Publishing Group
Journal Title: BMJ Open
Volume: 9
Issue: 9
Start Page: e031839
Publisher DOI: 10.1136/bmjopen-2019-031839
Abstract: Objective To determine whether an educational leaflet had any effect on seat belt use, seat preference and motor vehicle accidents rate during pregnancy in Japan. Design Prospective, non-randomised control trial with a questionnaire survey. Setting Eight obstetric hospitals in Sapporo, Japan. Participants 2216 pregnant women, of whom 1105 received the leaflet (intervention group) and 1111 did not (control group). Interventions Distribution of an educational leaflet on seat belt use to women in the intervention group. Primary outcome measures The effect of an educational leaflet on seat belt use, each pregnant woman's seat preference and the women's rates of motor vehicle accidents rate during their pregnancies. To evaluate the effects, the intervention group's responses to the questionnaires were compared with those of the control group. Results The proportion of subjects who always used seat belts during pregnancy was significantly higher in the intervention group (91.3%) than in the control group (86.7%; p=0.0005). Among all subjects, the percentage of women who preferred the driver's seat was lower during pregnancy (27.0%) than before pregnancy (38.7%), and the percentage of women who preferred the rear seat was higher during pregnancy (28.8%) than before pregnancy (21.0%). These two rates did not differ between two groups. Seventy-one women (3.2%) reported experiencing a motor vehicle accident during pregnancy. The motor vehicle accident rate for the intervention group (3.3%) was similar to that for the control group (3.2%). Conclusions An educational seat belt leaflet was effective in raising the rate of consistent seat belt use during pregnancy, but it did not decrease the rate of motor vehicle accidents. The wearing of seat belts should be promoted more extensively among pregnant women to decrease rates of pregnancy-related morbidity and mortality from motor vehicle accidents.
Rights: https://creativecommons.org/licenses/by-nc/4.0/
Type: article
URI: http://hdl.handle.net/2115/76381
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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