© 2009 American Public Health Association DOI: 10.2105/AJPH.2009.161158
Thomas M. Rice is with the Traffic Safety Center, School of Public Health, University of California, Berkeley. Craig L. Anderson is with the Department of Emergency Medicine and the Center for Trauma and Injury Prevention Research, University of California, Irvine. Correspondence: Requests for reprints should be sent to Thomas M. Rice, Traffic Safety Center, 2614 Dwight Way #7374, Berkeley, CA 94720-7374 (e-mail: tomrice@berkeley.edu).
Decker notes that the disparity between earlier findings1 of car seat effectiveness and those from our study2 may have resulted from interstudy variability or from progress made in other risk factor areas over the past 25 years. We agree with these assertions and add the following comments.
It seems likely that variability between study samples would account for some of the disparity, particularly given the limited data of the earlier study, which used 6 years of police data from 1 state. The estimated odds ratio for death (11) was based on 2 deaths of children using child restraints and would
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