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Pediatric farm injuries involving non-working children injured by a farm work hazard: five priorities for primary prevention.

Authors
Pickett-W; Brison-RJ; Berg-RL; Zentner-J; Linneman-J; Marlenga-B
Source
Inj Prev 2005 Feb; 11(1):6-11
NIOSHTIC No.
20031995
Abstract
Objectives: To describe pediatric farm injuries experienced by children who were not engaged in farm work, but were injured by a farm work hazard and to identify priorities for primary prevention. Design: Secondary analysis of data from a novel evaluation of an injury control resource using a retrospective case series. Data Sources: Fatal, hospitalized, and restricted activity farm injuries from Canada and the United States. Subjects: Three hundred and seventy known non-work childhood injuries from a larger case series of 934 injury events covering the full spectrum of pediatric farm injuries. Methods: Recurrent injury patterns were described by child demographics, external cause of injury, and associated child activities. Factors contributing to pediatric farm injury were described. New priorities for primary prevention were identified. Results: The children involved were mainly resident members of farm families and 233/370 (63.0%) of the children were under the age of 7 years. Leading mechanisms of injury varied by data source but included: bystander and passenger runovers (fatalities); drowning (fatalities); machinery entanglements (hospitalizations); falls from heights (hospitalizations); and animal trauma (hospitalizations, restricted activity injuries). Common activities leading to injury included playing in the worksite (all data sources); being a bystander to or extra rider on farm machinery (all data sources); recreational horseback riding (restricted activity injuries). Five priorities for prevention programs are proposed. Conclusions: Substantial proportions of pediatric farm injuries are experienced by children who are not engaged in farm work. These injuries occur because farm children are often exposed to an occupational worksite with known hazards. Study findings could lead to more refined and focused pediatric farm injury prevention initiatives.
Keywords
Children; Injuries; Injury-prevention; Hazards; Farmers; Work-areas; Occupational-accidents; Occupational-hazards; Safety-measures; Safety-monitoring; Safety-practices; Agricultural-workers; Agricultural-industry; Agricultural-processes; Traumatic-injuries; Accident-prevention; Accident-rates; Accidents
Contact
Dr Barbara Marlenga, National Children's Center for Rural and Agricultural Health and Safety, 1000 North Oak Avenue, Marshfield, WI 54449, USA
Publication Date
20050201
Document Type
Journal Article
Email Address
marlenga.barbara@mcrf.mfldclin.edu
Funding Type
Grant
Fiscal Year
2005
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-004205
Issue of Publication
1
ISSN
1353-8047
Source Name
Injury Prevention
State
WI
Performing Organization
Marshfield Clinic Research Foundation
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