Sehrish Fatima, Iram Manzoor, Aneeqa Mumtaz Joya, Shehzeen Arif, Sadia Qayyum
Stunting and associated factors in children of less than five years: A hospital-based study
Pakistan journal of medical sciences
study evaluated effectiveness series 1year multifaceted schoolbased programs aimed increasing booster seat use among urban children 47 years age economically disadvantaged areas 4 consecutive school years 20112015 give kids boost gkb program implemented total 8 schools similar demographics dallas county observational surveys conducted project schools project implementation p0 14 weeks completion project implementation p1 45 months later p2 changes booster seat use 3 time periods compared 8 project 14 comparison schools received intervention using nonrandomized trial process intervention included 1 trainthetrainer sessions teachers parents 2 presentations booster seat safety 3 tailored communication parents 4 distribution fact sheetsresources 5 walkaround education 6 booster seat inspections association gkb intervention proper booster seat use determined initially using univariate analysis association also estimated using generalized linear mixed model predicting binomial outcome booster seat use aged 4 7 years adjusted childlevel variables age sex raceethnicity carlevel variables vehicle type model incorporated effects clustering site collection date account possibility repeated sampling 8 project schools booster seat use children 47 years age increased average 209 percentage points p0 p1 p0 48 p1 257 odds ratio 69 95 confidence interval ci 55 87 p 001 remained level p2 time period p2 257 p 001 p0 vs p2 univariate analysis 14 comparison schools minimal change booster seat use multivariable model showed children project schools significantly likely properly restrained booster seat intervention 27 95 ci 22 33 compared p0 time period compared comparison schools despite study limitations gkb program positively associated increase proper booster seat use children 47 years age school settings among diverse populations economically disadvantaged areas increases persisted following school year majority project schools gkb model may replicable strategy increase booster seat use among schoolage children similar urban settings