Original Article

Work-related Injury among South Texas Middle School Students: Prevalence and Patterns

Authors: Nancy F. Weller, BSN, DRPH, Sharon P. Cooper, PHD, Susan R. Tortolero, PHD, Steven H. Kelder, PHD, MPH, Sohela Hassan, PHD

Abstract

BackgroundWork experiences among early adolescents are largely undocumented. Our purpose was to document the prevalence of work and work-related injury among lower-income Hispanic South Texas middle school students.MethodsAnonymous surveys were conducted in classrooms of sixth- through eighth-grade students, and 3,008 students reported current or recent employment.ResultsThe prevalence of work was 56%; mean weekly work hours were 7.7. Increasing weekly work hours were significantly related to work injury (11–20 hours, odds ratio [OR], 1.5; 95% confidence interval [CI], 1.1–1.9; 21+ hours, OR, 2.4; 95% CI, 1.8–3.2, compared with 1–10 hours). The odds of injury were highest for agriculture (OR, 4.4; 95% CI, 3.3–6.0), followed by restaurant (OR, 3.8; 95% CI, 2.7–5.4), construction (OR, 3.6; 95% CI, 2.4–5.2), and yard work (OR, 1.7; 95% CI, 1.4–2.2).ConclusionWorking more than 20 hours weekly increased the likelihood of injury among middle school students. Parents and professionals should monitor weekly school-year work hours.

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References

1. Texas Workforce Commission. Employment of children. 51 Tex. Labor Code subtitle B, subchapter B, § 51.011 (Acts 1993, 73rd Leg, ch 269, § 1, effective September 1, 1993).
 
2. U.S. Department of Labor, Employment Standards Administration, Wage and Hour Division. Child Labor Requirements in Nonagricultural Occupations Under the Fair Labor Standards Act. Washington, DC, U.S. Department of Labor, 1990.
 
3. Bellamy C (ed): United Nations Children’s Fund (UNICEF). The State of the World’s Children 1997. New York, Oxford University Press, 1997.
 
4. Steinberg L, Cauffman E. The impact of employment on adolescent development, in Vasta R (ed): Annals of Child Development. London, Jessica Kingsley Publishers, 1995, vol 11, pp 131–166.
 
5. Committee on the Health and Safety Implications of Child Labor, Board on Children, Youth, and Families, Commission on Behavioral and Social Sciences and Education, National Research Council, Institute of Medicine. Protecting Youth at Work: Health, Safety, and Development of Working Children and Adolescents in the United States. Washington, DC, National Academy Press, 1998.
 
6. Dunn KA, Runyan CW, Cohen LR, et al. Teens at work: A statewide study of jobs, hazards, and injuries. J Adolesc Health 1998; 22: 19–25.
 
7. Evensen CT, Schulman MD, Runyan CW, et al. The downside of adolescent employment: Hazards and injuries among working teens in North Carolina. J Adolesc 2000; 23: 545–560.
 
8. Miller M. Occupational Injuries among Adolescents in Washington State, 1988–1991: A Review of Workers’ Compensation Data(Tech. Rep. 35-1-1995). Olympia, WA, Safety and Health Assessment and Research for Prevention, Washington State Department of Labor and Industries, 1995.
 
9. Frone MR. Predictors of work injuries among employed adolescents. J Appl Psychol 1998; 83: 565–576.
 
10. Runyan CW, Zakocs RC. Epidemiology and prevention of injuries among adolescent workers in the United States. Annu Rev Public Health 2000; 21: 247–269.
 
11. Castillo DN, Landen DD, Layne LA. Occupational injury deaths of 16- and 17-year-olds in the United States. Am J Public Health 1994; 84: 646–649.
 
12. Coleman PJ, Sanderson LM. Surveillance of occupational injuries treated in hospital emergency rooms: United States, 1982. Morb Mortal Wkly Rep Surveill Summ 1983; 32( 2): 31SS–37SS.
 
13. Cooper SP, Burau KD, Robison TB, et al. Adolescent occupational injuries: Texas, 1990–1996. Am J Ind Med 1999; 35: 43–50.
 
14. Cooper SP, Rothstein MA. Health hazards among working children in Texas. South Med J 1995; 88: 550–554.
 
15. Steinberg L, Dornbusch SM. Negative correlates of part-time employment during adolescence: Replication and elaboration. Dev Psychol 1991; 27: 304–313.
 
16. Steinberg L, Fegley S, Dornbusch SM. Negative impact of part-time work on adolescent adjustment: Evidence from a longitudinal study. Dev Psychol 1993; 29: 171–180.
 
17. Greenberger E, Steinberg L. When Teenagers Work: The Psychological and Social Costs of Adolescent Employment. New York, Basic Books, 1986.
 
18. Rowlett JD, Fairchild VR, Rowlett JD. Adolescents and the workplace. Adolesc Med 2001; 12: 539–550.
 
19. Bachman JG, Schulenberg J. How part-time work intensity relates to drug use, problem behavior, time use, and satisfaction among high school seniors: Are these consequences or merely correlates? Dev Psychol 1993; 29: 220–235.
 
20. Bachman J, Schulenberg J. Part-time Work by High School Seniors: Sorting Out Correlates and Possible Consequences(Monitoring the Future Occasional Paper 32). Ann Arbor, MI, Institute for Social Research, 1991.
 
21. U.S. General Accounting Office. Child labor: Characteristics of Working Children(Publication GAO/HRD-91-83BR). Washington, DC, U.S. General Accounting Office, June 1991.
 
22. National Safe Workplace Institute. Sacrificing America’s Youth: The Problem of Child Labor and the Response of Government. Chicago, National Safe Workplace Institute, 1992.
 
23. Children’s Safety Network National Injury and Violence Prevention Resource Center. Protecting Working Teens: A Public Health Resource Guide. Newton, MA, Children’s Safety Network, Education Development Center, Inc., 1995.
 
24. Texas Education Agency. Snapshot ’93: 1992–1993 School District Profiles(Doc. GE417001). Austin, TX, Texas Education Agency, 1993.
 
25. Brener ND, Collins JL, Kann L, et al. Reliability of the Youth Risk Behavior Survey Questionnaire. Am J Epidemiol 1995; 141: 575–580.
 
26. Parker DL, Carl WR, French LR, et al. Nature and incidence of self-reported adolescent work injury in Minnesota. Am J Ind Med 1994; 26: 529–541.
 
27. Massachusetts Department of Public Health. Newsletter from the Teens at Work: Injury Surveillance and Prevention Project. Boston, Occupational Health Surveillance Program, Massachusetts Department of Public Health, 1998, pp 1–8.
 
28. Parker DL, Clay RL, Mandel JH, et al. Adolescent occupational injuries in Minnesota: A descriptive study. Minn Med 1991; 74: 25–28.
 
29. Mueller BA, Mohr DL, Rice JC, et al. Factors affecting individual injury experience among petroleum drilling workers. J Occup Med 1987; 29: 126–131.
 
30. Brooks DR, Davis LK, Gallagher SS. Work-related injuries among Massachusetts children: A study based on emergency department data. Am J Ind Med 1993; 24: 313–324.
 
31. Schober SE, Handke JL, Halperin WE, et al. Work-related injuries in minors. Am J Ind Med 1988; 14: 585–595.
 
32. Layne LA, Castillo DN, Stout N, et al. Adolescent occupational injuries requiring hospital emergency department treatment: A nationally representative sample. Am J Public Health 1994; 84: 657–660.
 
33. Parker DL, Merchant D, Munshi K. Adolescent work patterns and work-related injury incidence in rural Minnesota. Am J Ind Med 2002; 42: 134–141.
 
34. Reskin B. Sex segregation in the workplace. Annu Rev Sociol 1993; 19: 241–270.
 
35. American Academy of Pediatrics, Committee on Injury and Poison Prevention and Committee on Community Health Services. Prevention of agricultural injuries among children and adolescents. Pediatrics 2001; 108: 1016–1019.
 
36. Bowling JM. Training to reduce hazards in youth work: Results from the Brockton survey of teenage occupational safety. Presented at the National Occupational Injury Research Symposium, National Institute for Occupational Health and Safety, October 16, 1997, Morgantown, WV.