Inj Prev. 2002 Sep;8(3):248-51. doi: 10.1136/ip.8.3.248.
How old is that child? Validating the accuracy of age assignments in observational surveys of vehicle restraint use.
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
S Moeller, L Berger, J G Salvador, D Helitzer
Affiliations
Affiliations
- Office of Evaluation, Department of Family and Community Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131, USA.
PMID: 12226127
PMCID: PMC1730877 DOI: 10.1136/ip.8.3.248
Abstract
OBJECTIVES: Many large scale observational studies of child restraint usage require observers to estimate the ages of the vehicle occupants. The accuracy of age assignments were assessed and possible methods to improve observational accuracy in research and field studies of child restraint use were identified.
METHODS: The validation study was performed at fast food restaurants in a metropolitan area. Three, two person teams observed 449 occupants of vehicles with at least one child passenger. The drivers were then interviewed to obtain the actual ages of the vehicle occupants. The primary outcome measure was the per cent of age assignments that were correct by age category (infant, toddler, school age, teen, adult). The observers had previously conducted a statewide child restraint observation study and were trained in estimating age categories.
RESULTS: A total of 391 (87%) of the 449 occupants were assigned to their correct age categories. Incorrect assignments were more common among infants (22% incorrect), but few infants (nine) were observed. The most frequent error was classifying adults (19 years and older) as teenagers (13-18 years).
CONCLUSION: Trained, experienced observers approached 90% accuracy in their assignment of children to specific age categories. Additional study is required to determine whether these results are applicable to different age categories and observers. It is recommended that the National Highway Traffic Safety Administration, the Centers for Disease Control and Prevention, state and local agencies, and other sponsors of observational surveys consider observer competence as an important variable. The validity of age assignments can be assessed by randomly interviewing a sample of drivers. More accurate age estimates will improve decisions regarding prevention programs, funding, and policies.
References
- J Med Assoc Thai. 2000 Apr;83(4):333-41 - PubMed
- JAMA. 1999 Jun 9;281(22):2070-2 - PubMed
- Am J Public Health. 2001 Feb;91(2):311-3 - PubMed
- Accid Anal Prev. 2001 Nov;33(6):793-7 - PubMed
- JAMA. 2001 Oct 3;286(13):1593-8 - PubMed
- Inj Prev. 2001 Dec;7(4):286-91 - PubMed
- Inj Prev. 2001 Dec;7(4):292-6 - PubMed
- Am J Public Health. 1981 Feb;71(2):163-5 - PubMed
- Am J Public Health. 1981 Jul;71(7):742-3 - PubMed
- N Z Med J. 1982 Oct 27;95(718):740-2 - PubMed
- Can J Public Health. 1986 Jan-Feb;77(1):28-32 - PubMed
- Pediatrics. 1986 Dec;78(6):1079-84 - PubMed
- Accid Anal Prev. 1988 Apr;20(2):109-15 - PubMed
- Public Health. 1993 Nov;107(6):429-35 - PubMed
- Accid Anal Prev. 1994 Oct;26(5):667-73 - PubMed
- Perception. 1995;24(9):1059-73 - PubMed
- Accid Anal Prev. 1996 May;28(3):403-7 - PubMed
- Accid Anal Prev. 1997 Jan;29(1):125-32 - PubMed
- Inj Prev. 1997 Mar;3(1):17-22 - PubMed
- Ir Med J. 1997 Apr-May;90(3):103-4 - PubMed
- Inj Prev. 1996 Mar;2(1):67-9 - PubMed
- Arch Dis Child. 1998 Apr;78(4):335-9 - PubMed
- MMWR Morb Mortal Wkly Rep. 1998 Jul 10;47(26):541-4 - PubMed
- Perception. 1998;27(3):295-312 - PubMed
- Am J Prev Med. 1999 Jan;16(1 Suppl):12-22 - PubMed
- Am J Prev Med. 1999 Jan;16(1 Suppl):23-9 - PubMed
- Pediatrics. 2000 Jun;105(6):1179-83 - PubMed
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