1. CPS Webinar Series. Wednesday, August 24, 2016. Getting Buckle Up Messages to Minorities Sponsored by the Maryland Institute for Emergency Medical Services Systems with funding from the Maryland Department of Transportation’s Highway Safety Office.

2. Housekeeping Details Please put your phones on MUTE in order to minimize background noise, as the presentation is being recorded so that we can archive the slides & audio on our website. Please save questions/comments until the end of the presentation. Complete and mail back the evaluation form and the participant information form.

3. Nicole Booker, MPH, CPST ASPPH/NHTSA Public Health Fellow, Occupant Protection Division, NHTSA Emilie Crown, RN, CPST-I Coordinator, Safe Kids Montgomery County Coalition, Montgomery County Fire & Rescue Host: Susanne Ogaitis-Jones, MSPH, CPST-I Coordinator, MIEMSS’ CPS & OP Healthcare Project Speakers:

4. Nicole Booker Association of Schools and Programs of Public Health (ASPPH) Wednesday, August 24 th 2016

5. In 2014, there were 21,022 occupants of passenger vehicles killed in motor vehicle traffic crashes. For occupants where the restraint status was known, 49% were unrestrained at the time of the crash. National Center for Statistics and Analysis. (2016, April). Occupant Protection in Passenger vehicles: 2014 data (Traffic Safety Facts. Report No.DOT HS 812 262). Washington DC; National Highway Traffic Safety Administration.

6. #1 unintentional injury death for ages 5-24 #2 unintentional injury death for ages 1-4, 25-65+

7. When used properly, lap/shoulder seat belts reduce the risk of fatal injury to front- seat passenger car occupants by 45%. In 2014, seat belts saved an estimated 12,802 lives among passenger vehicle occupants 5 and older. Child safety seats reduce the risk of fatal injury by 71% for infants(>1 ) and by 54% for toddlers(1-4y/o) in passenger cars. National Center for Statistics and Analysis. (2016,April). Occupant Protection in Passenger vehicles: 2014 data (Traffic Safety Facts. Report No.DOT HS 812 262). Washington DC; National Highway Traffic Safety Administration.

8. Who are the 11.5%? Source: National Occupant Protection Use Survey How do we reach them?

9. AGE In 2014, 59% of the passenger vehicle occupants in age groups 13 to 15 and 25 to 34 who were killed in traffic crashes, were not using restraints- the highest percentage of all age groups. In 2014, there were 183 passenger vehicle occupant fatalities among children under 4; 22% were unrestrained. In age group 4-7 there were 213 fatalities; 32% were unrestrained. GENDER In 2014, almost twice as many male occupants were killed (13, 715) compared to female occupants (7,303). When restraint use was known, 53% of male fatalities were unrestrained and 40% of female fatalities were unrestrained. National Center for Statistics and Analysis. (2016,April). Occupant Protection in Passenger vehicles: 2014 data (Traffic Safety Facts. Report No.DOT HS 812 262). Washington DC; National Highway Traffic Safety Administration.

10.  64.5% of fatally injured Hispanic youth (aged 15-20) were unrestrained or otherwise incorrectly belted. (CDC,2011)  Latinos are one of the nation’s largest and fastest growing populations.  Latinos experience disproportionate risks of dying or being injured in traffic crashes compared to non-Latino Whites.  Fatally injured Hispanic children (age 4 and younger) are 35% less likely than White or Asian and Pacific Islander children to have used child safety seats. (NHTSA,2006)

11.  In 2013, more African Americans died from motor vehicle related injuries than any other unintentional injury. (WISQARS,2013)  Motor vehicle crashes are the leading cause of death for African American children aged 1-14. (WISQARS,2013)  Similar to Latinos, African Americans experience disproportionate rates of motor vehicle related fatalities and injuries.  As of 2013 only 81% of African Americans observed had regular belt use compared to the national average of 87%. ( Pickrell, T.M., & Liu, C (2015).

12. “As the United States’ minority population increases, it is essential to evaluate motor vehicle traffic fatalities by race and ethnicity. This evaluation will help to develop countermeasures that will reach those most at risk of death and injury in motor vehicle traffic crashes.” NHTSA’s National Center for Statistics and Analysis, Race and Ethnicity Traffic Safety Facts (2009)

14. What is Culture?

15. Family Structure

16. Shared Norms

17. Family Structure Shared Norms Mission and Goals

18. Family Structure Shared Norms Mission and Goals Shared Attitudes

19. Family Structure Shared Norms Mission and Goals Shared Attitudes Shared Info

20. Family Structure Shared Norms Mission and Goals Shared Attitudes Shared InfoHistory

21. Family Structure Shared Norms Mission and Goals Shared Attitudes Shared Info HistoryRituals

22. Family Structure Shared Norms Mission and Goals Shared Attitudes Shared Info HistoryRituals Culture

23. We all develop in some type of culture. Our environment determines what we learn, how we learn it, and the rules for living with others. These norms are transmitted from one generation to the next and are often adapted to the times and locale.

24. Why is it important to be culturally competent?

25.  To build communities that are powerful enough to attain significant change, we need large numbers of people working together.  Each cultural group has unique strengths and perspectives that the larger community can benefit from.  Understanding cultures will help us overcome and prevent racial and ethnic divisions.

26.  People from different cultures have to be included in decision-making processes in order for programs or policies to be effective.  An appreciation of cultural diversity goes hand-in- hand with a just and equitable society.  If we do not learn about the influences that cultural groups have had on our mainstream history and culture, we are all missing out on an accurate view of our society and our communities.

27. Reality Valuable Necessary

28. How do we connect cultural competence to traffic safety & occupant protection efforts?

29. Objective: Identify common attitudes and practices among recently emigrated Latinos regarding motor vehicle occupant restraint use and determine messages and strategies that will spur them to wear their seat belts “every trip, every time.” Objective: Identify common attitudes and practices among recently emigrated Latinos regarding motor vehicle occupant restraint use and determine messages and strategies that will spur them to wear their seat belts “every trip, every time.” Focus Groups (2) Community based toolkit

30.  Most people felt that seat belts were unnecessary unless they were driving great distances.  Many responded that they rarely rode in a single family vehicle; much of their transportation needs were met through buses, bicycles or walking.  Greatest motivator for underscoring the importance of using a seat belt every time immigrants rode in a vehicle were the emotions evoked by family. Focus group findings: Not accustomed to using SB in countries of origin; few had used seat belts before moving to the United States. Focus group findings: Not accustomed to using SB in countries of origin; few had used seat belts before moving to the United States.

31. https://www.youtube.com/watch?v=kPYcOsK8fEw Bilingual brochures, stickers, posters Bilingual PowerPoint presentation Bilingual radio PSA Video PSA

32. Promote & distribute at community events Download, print, and post Mark your calendars Post on website Incorporate into health and safety initiatives in your organization Conduct a seat belt survey

34. Quiz: What’s your seat belt IQ? 1-page Infographic Educational PowerPoint Presentation (w/ pop quizzes) 4 Fact Sheets 4 E-Blasts 2 Buckle Up Logos

35. Hispanic Buckle Up Toolkit African American Toolkit

37.  Develop baseline measure  Look for personal testimonies  Seek partnerships

38.  Directly engage  E.g. conduct a twitter poll  Credit responders (tag commenters)  Use images & emoji's  Use hashtags  Encourage likes, shares, and forwards!

39.  www.trafficsafetymarketing.gov www.trafficsafetymarketing.gov  www.thecommunityguide.org www.thecommunityguide.org  www.cdc.gov/injury www.cdc.gov/injury  www.ctb.ku.edu/en www.ctb.ku.edu/en

40. Nicole B. Booker, MPH ASPPH/NHTSA Public Health Fellow Occupant Protection Division 1200 New Jersey Ave, SE Washington, D.C. 20590 Nicole.booker.ctr@dot.gov Nicole.booker.ctr@dot.gov

41. GETTING BUCKLE UP MESSAGE TO MINORITIES Emilie Crown, RN Program Manager Montgomery County Fire & Rescue Service

42. WHAT WE DO IN MONTGOMERY COUNTY Spanish hotline number Flyers and handouts in English and Spanish Seat check events targeted to Hispanic community Spanish-speaking technicians

44. WHAT WE DO IN MONTGOMERY COUNTY CONTINUED  We use the Spanish Flip book reference guide developed by Kansas traffic Safety Resource Office / AAA/ Kansas DOT  Website with English and Spanish information

45. WHAT WE DO IN MONTGOMERY COUNTY CONTINUED  Partnerships with:  Fitzgerald Auto Malls  Early Head Start and Elementary Schools  Health and Human Services  Casa of Maryland  Spanish Media

46. IMPORTANT QUESTIONS TO ASK  What is child’s age and weight? What vehicle will be at this appointment? How many children ride in this vehicle? Will others be at this appointment with you?

50. We are not able to offer a CEUs for your technical continuing education requirement for CPST recertification but this webinar qualifies for 1 credit towards your community education (option 3). If you’d like a certificate, please complete and return the evaluation form that is on the same website; alternatively, contact cps@miemss.org and it will be emailed to you.cps@miemss.org The full presentation with audio will be available on our website in a couple of weeks, in case you wish to re-visit it, or refer a colleague to it.