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Gregory R. Istre, MD, Mary A. McCoy, Katie N. Womack, MS, Linda Fanning, MS, Laurette Dekat, MD, MPH and Martha Stowe, MSW

Gregory R. Istre, Mary A. McCoy, Linda Fanning, and Martha Stowe are with Injury Prevention of Greater Dallas, Dallas, Tex. Gregory R. Istre is also with PID Associates, Dallas, Tex. Katie N. Womack is with the Texas Transportation Institute, College Station. Laurette Dekat is with the Department of Pediatrics and the Department of Community and Family Medicine, University of Texas Southwestern Medical Center, Dallas.

Correspondence: Requests for reprints should be sent to Gregory R. Istre, MD, Injury Prevention of Greater Dallas, PO Box 36067, Dallas TX 75235.

The use of restraints in motor vehicles is less common in minority and low-income populations than in the general population. A preliminary survey of Hispanic preschool-aged children in west Dallas, Tex, conducted in 1997 showed much lower child restraint use (19% of those surveyed) than among preschool children of all races in the rest of the city (62%).

Because there are few reports of successful programs to increase child restraint use among Hispanics, we undertook to implement and evaluate such a program. The program was conducted by bilingual staff and was tailored for this community. It was successful in increasing both child restraint use and driver seat belt use.

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