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Jennifer Greenberg-Seth, MS, David Hemenway, PhD, Susan S. Gallagher, MPH, Julie B. Ross, MPH and Karen S. Lissy, MPH

Jennifer Greenberg-Seth, David Hemenway, and Karen S. Lissy are with the Harvard School of Public Health, Boston, Mass. Susan S. Gallagher and Julie B. Ross are with the Education Development Center, Inc, Newton, Mass.

Correspondence: Requests for reprints should be sent to David Hemenway, 677 Huntington Ave, Boston, MA 02115 (e-mail: hemenway{at}hsph.harvard.edu).

Objectives. We evaluated the short-term effect of a community-based effort to promote child rear seating in a low-income Hispanic community.

Methods. Child seating patterns were observed pre- and postintervention at intersections in 1 intervention and 2 control cities. Brief interviews assessed exposure to program messages.

Results. Child rear seating increased from 33% to 49% in the intervention city (P < .0001), which represented a greater increase than that in the control cities (P < .0001). The greatest improvement was observed in relatively higher-income areas. Rear seating was significantly correlated with reported program exposure. Incentives and exposure to the program across multiple channels seemed to have the greatest effect.

Conclusions. Independent of legislation, community-based programs incorporating incentives can increase child rear seating.

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