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Occupational injury deaths of 16- and 17-year-olds in the United States.

Data from the National Traumatic Occupational Fatalities surveillance system were used to analyze occupational injury deaths of civilian 16- and 17-year-olds during 1980 through 1989. There were 670 deaths; the rate was 5.11 per 100,000 full-time equivalent workers. The leading causes of death were incidents involving motor vehicles and machines, electrocution, and homicide. Workers 16 and 17 years old appear to be at greater risk than adults for occupational death by electrocution, suffocation, drowning, poisoning, and natural and environmental factors. Improved enforcement of and compliance with federal child labor laws, evaluation of the appropriateness of currently permitted activities, and education are encouraged.

Accidents, Occupational↗

Social correlates and coping measures of street-children: a comparative study of street and non-street children in south-western Nigeria.

OBJECTIVE: This paper sought to achieve two objectives: First, to identify the social correlates attributable to street-children in south-western Nigeria as well as predisposing factors to this behavior; second, it also tried to uncover the survival mechanisms of street children. METHOD: The study was carried out in Ibadan and Lagos metropoles in south-western Nigeria. A pilot study was first conducted to clarify issues like location of the children on the streets, time of the day suitable for interview, and adequacy of the instruments. The main study involving a comparative 202 and 201 street-children and non-street children, respectively, was carried out using the questionnaire and case study approach in the two cities. Data analytical procedures involved both quantitative and qualitative methods. RESULTS: Street-children are mostly males, have low-levels of education, are predominantly Yoruba, and come from families with five or more siblings. Parents of street-children commonly had low education and were mainly found in unskilled occupations: were in contract polygynous marriages which are also often characterized by marital disruption. Street children also left home because of parental/familial reasons, chiefly among which was the inability of their parents to meet with their expectations. They survive on the streets engaging in some income-yielding activities, and are also faced with many hazards. CONCLUSIONS: The findings revealed that polygyny, large family, family disruption, and child labor were all central issues and predisposing factors to living on the streets by children. The poverty factor clearly came out as a very important factor.

Adaptation, Psychological↗

The utility of Poison Control Center data for assessing toxic occupational exposures among young workers.

This study assessed the utility of Poison Control Center data for identifying and describing occupational toxic exposures to youth and the associated health outcomes of such exposures. The authors reviewed 1997 data from the American Association of Poison Control Centers' Toxic Exposure Surveillance System for occupational exposures to persons 6 to 19 years old. In 1997, there were 3442 reported occupational exposure cases among 6- to 19-year-olds. Exposure cases included underage workers, exposure to multiple substances, continuous or repeated exposure to the offending substance, and exposures occurring in the home. Poison Control Centers provide unique and valuable information on toxic workplace exposures to youth. Child labor laws may be violated in many cases, and risks exist with respect to industrial work done in the home. Prospective studies with immediate follow-back are needed.

Adolescent↗

Children at work: prevention of occupational injury and disease.

Because children are an isolated population that generally lacks a collective political voice, it is up to the rest of society to look after their well-being. The grim economic circumstances that plague impoverished nations around the world have resulted in many young children having to work to help their families survive. Often, these children have no choice but to work in dangerous places and under generally appalling conditions. Even in wealthy countries like the United States, the problems associated with child labor are a legitimate threat to our single most important investment for the future--the safety and health of our children.

Accidents, Occupational↗

Fostering youth leadership to address workplace and community environmental health issues: a university-school-community partnership.

Many communities of color are disproportionately exposed to workplace and community environmental hazards. This article presents the results of a pilot project designed by a university-school-community partnership to develop youth leadership to confront these exposures. Using a popular empowerment education approach, students applied peer education, research, and organizing skills learned in the classroom to community-based internships in a service-learning model. Evaluation results from pretests and posttests, focus groups, and in-depth interviews demonstrated that students shared what they learned about young workers' rights and environmental justice with family and friends. They developed a critical analysis of environmental inequities, created a citywide youth coalition that advocates around legal, educational, and environmental issues affecting youth, and implemented campaigns to enforce child labor laws and to prevent school construction on contaminated land. This multifaceted model can serve as an important foundation to develop youth leaders to influence environmental policies in a variety of communities.

Adolescent↗

Estimating the global burden of low back pain attributable to combined occupational exposures.

BACKGROUND: There is little information about the global burden of non-traumatic low back pain (LBP) attributable to the effects of physical and psychosocial occupational stressors. METHODS: Based on a review of the epidemiological evidence, occupation-specific relative risks were used to compute attributable proportions by age, gender, and geographical sub-region for the economically active population aged 15 and older. The reference group was professional/administrative workers; other risk categories were Low, clerical and sales; Moderate, operators (production workers) and service; and High, farmers. RESULTS: Worldwide, 37% of LBP was attributed to occupation, with twofold variation across regions. The attributable proportion was higher for men than women, because of higher participation in the labor force and in occupations with heavy lifting or whole-body vibration. Work-related LBP was estimated to cause 818,000 disability-adjusted life years lost annually. CONCLUSIONS: Occupational exposures to ergonomic stressors represent a substantial source of preventable back pain. Specific research on children is needed to quantify the global burden of disease due to child labor.

Adolescent↗

Child abuse in South Africa: an examination of how child abuse and neglect are defined.

OBJECTIVE: The purpose of this study was to explore which of 17 categories of child maltreatment South Africans evaluated as most serious and to determine if those working with abuse and neglect evaluated abuse and neglect differently from those who did not. METHOD: A revised version of Giovannoni and Becerra's [Giovannoni, J., & Becerra, R. (1979). Defining child abuse. New York: The Free Press] questionnaire exploring the definition of abuse and neglect was completed by 181 residents of Cape Town, South Africa. The new form had 17 categories of child maltreatment, including 4 categories of societal abuse. Respondents were social workers (n = 57), human service workers (n = 42), laypersons (n = 65), and members of the child protection unit of the South African Police (n = 18). ANOVA was used to compare the groups' responses. When significant differences among groups were found, a Bonferroni post hoc test was run to determine differences between groups. RESULTS: The respondents ranked sexual abuse and child prostitution as most serious and housing and child labor as least serious of the 17 categories. There was a significant difference (p < or = .01) between groups on nine categories. When post hoc tests were run, differences were found for eight categories with laypersons generally evaluating categories as significantly more serious than social workers. CONCLUSIONS: Reasons for the order of the rankings are discussed, but concern remains that differences in the evaluation of child maltreatment will lead to difficulty in implementing a protocol for identifying and responding to incidents of abuse and neglect.

Adult↗

Economic aspects of child fostering in Cote d'Ivoire.

"This paper examines the economic determinants of child fostering decisions in Cote d'Ivoire [Ivory Coast], where in 1985 one-fifth of non-orphaned children age 7-14 were living away from both natural parents. The economic determinants of both sending and receiving decisions are examined separately and evaluated with respect to their support for child labor and human capital explanations. The determinants for both sides of the fostering market are then estimated simultaneously, using a model of friction developed by Rosett (1959), so that the symmetry of fostering determinants can be formally tested."

Adolescent↗

[Child and adolescent psychiatry its problems and foresight].

Accompanying the fall in birth rate, problems pertaining to the child's mind such as school in attendance, bullying, violence in the school, intrafamilial violence, eating disorders, substance abuse, and child abuse have rocketed and diversified, in addition to affecting increasingly lower age groups. The importance of child and adolescent psychiatry has never been more profound, but our country, without a chair in Child and Adolescent Psychiatry in the medical school framework, and lacking recognition of Child and Adolescent Psychiatry as a clinical department has undoubtedly become an underdeveloped country in terms of child and adolescent psychiatric care. The medical schools have been in the process of review and reorganization these past few years. The range of mental science is wide, and despite being a major discipline constituting one of the two arms of medical science together with somatic medicine, it is regarded as a minor existence in our country. This is the time to re-establish mental science, with areas such as child and adolescent psychiatry, geriatric psychiatry, social psychiatry, and crime psychiatry placed on an equal footing with general psychiatry. Turning our eyes on the world, the children are being robbed of their mental health as refugees, through child labor, starvation, and civil war. The demand of this age is true symbiosis, surpassing differences in race, religion, language, and culture, which is probably the indispensable element in the quest for a happy future for the children of this age.

Adolescent↗

School nurses: a resource for young worker safety.

On average, 67 youths under age 18 die at work in the United States each year, and many more suffer work-related injuries. In 1998, an estimated 77,000 young workers suffered work injuries that required treatment in hospital emergency rooms. It is estimated that only one third of work-related injuries are seen in emergency departments; therefore, the National Institute for Occupational Safety and Health (NIOSH) estimates that nearly 230,000 youths suffer work-related injuries each year. Through NIOSH's Fatality Assessment and Control Evaluation (FACE) program, NIOSH investigators identified poor knowledge of child labor laws, lack of safety training and supervision, inappropriate job assignment, and lack of employer compliance with labor laws as factors contributing to young worker deaths. School nurses serve as a resource to other professionals, parents, employers, and students and can help foster safer working conditions for youth by providing these groups with young worker safety information.

Accidents, Occupational↗

Children's environment and health in Latin America: the Ecuadorian case.

Environmental health problems of children in Latin America and Ecuador are complex due to the close relationship that exists between social and environmental factors. Extended poverty and basic problems, such as the lack of drinking water and sanitation, are common. Infectious diseases are the greatest cause of morbidity and mortality among children. Development in industry and the introduction of chemical substances in agriculture add new risks including pesticide use, heavy metal exposure, and air pollution. Major problems can be divided into (a) lack of basic infrastructure, (b) poor living conditions, (c) specific environmental problems, and (d) child labor. Reproductive health disorders are frequent in developing countries like Ecuador. Issues related to children's health should consider new approaches, creative methodologies, and the search for independent predictors to separate environmental from social problems. Only with knowledge of the specific contribution of each factor, can it be possible to develop a strategy for prevention.

Child↗