Evaluation of Safety Training, Supervision, and Injury Among Working Teenagers.

描述(申请人提供)：每40秒就有一名青少年因工受伤，每五天就有一名青少年死亡。根据国家儿科创伤登记处和国家卫生统计中心的数据，在10至19岁的年轻人中，职业伤害是第四大死因；仅次于机动车碰撞、暴力和娱乐伤害。青少年受伤的可能性大约是成年人的两倍，导致工人索赔和急诊室就诊。安全培训和工作场所监管是预防青年工人职业伤害的重要内容。关于青少年工人的安全培训经验和工作场所监督的信息有限。大多数数据仅限于对青少年的调查所获得的流行率估计。这项由一名新调查员提出的试点研究将评估工作场所安全培训、工作场所监管、工作习惯和不同职业高中青少年群体的职业伤害。调查问卷将向肯塔基州杰斐逊县三所大型、多样化的公立高中的3500多名青少年发放。这些调查问卷将由调查人员通过焦点小组和对在职青少年的认知访谈来制定，在拨款期间将进行两次；一次在5月份，以记录青少年在学年就业期间的经历；另一次在9月份，以记录青少年在暑期的经历。问卷数据将用于实现三个具体目标：(1)描述青少年在当前就业期间接受的安全培训的性质和数量，并确定种族、性别、年龄和职业之间是否存在差异；(2)描述工作场所监管的性质，并确定种族、性别、年龄和职业之间是否存在差异；以及(3)确定接受过结构化安全培训和工作场所监管的青少年报告工伤的可能性是否较低。该项目有几个优势：(1)这是第一个也是唯一一个针对大样本青少年的安全培训和工作场所监管的研究；(2)它将是第一个评估青少年对安全培训的理解和经历的研究；(3)它将招收不同种族和民族的青少年，以便调查人员能够比较不同种族和民族以及性别和年龄的经历；(3)它将第一个解决安全培训和监管在工作场所伤害中的作用。到目前为止，还没有研究评估青少年的安全培训和监督经验，包括青少年定义的培训。安全培训和监督是预防工伤的重要内容。这项研究的信息可以用来开始根据青少年的需求和经验制定有效的计划。 公共卫生相关性：在职青年中的伤害是一个主要的公共卫生问题。国家儿科创伤登记和国家卫生统计中心报告称，在10至19岁的年轻人中，职业伤害在伤害中排名第四，仅次于机动车失事、暴力和娱乐伤害。安全培训和工作场所监管是预防职业伤害的两种有效方法。目前，有关青少年工人的安全培训和监督的信息有限。现有的关于安全培训的信息仅限于流行率估计，没有关于工作场所监督的信息。这项研究将首次对青少年工人的安全培训和监督进行深入评估。此外，还将首次评估安全培训和监管在工伤中发挥的作用。

DESCRIPTION (provided by applicant): A teenager is hurt on the job every 40 seconds and one dies every five days. According to the National Pediatric Trauma Registry and the National Center for Health Statistics, occupational injuries are the fourth leading cause of death among youth ages 10 to 19 years; led only by motor vehicle crashes, violence, and recreational injuries. Teenagers are about twice as likely as adults to suffer injuries resulting in workers' compensation claims and emergency room visits. Safety training and workplace supervision are important elements in preventing occupational injury in young workers. Limited information about the safety training experiences and workplace supervision exists for teen workers. Most of the data is limited to prevalence estimates captured by surveys of teens. The proposed pilot study, by a new investigator, will evaluate work-place safety training, workplace supervision, work habits, and occupational injury among a diverse group of working high school teenagers. Questionnaires will be administered to over 3,500 teens in three large, diverse public high schools in Jefferson Country, Kentucky. The questionnaires, which will be developed by the investigators using focus groups and cognitive interviews with working teens, will be administered two times during the grant period; once in May to capture teen's experiences during school-year employment and once in September to capture teen's experiences during the summer. The data from the questionnaires will be used to accomplish three specific aims: (1) delineate the nature and amount of safety training that the teenagers have received during their current employment and determine if differences exist between races, genders, ages, and occupations, (2) delineate the nature of workplace supervision and determine if differences exist between races, genders, ages and occupations, and (3) determine if teenagers with structured safety training and workplace supervision are less likely to report being injured at work. This project has several strengths including: (1) it is the first and only study to address safety training and workplace supervision among a large sample of teenagers, (2) it will be the first study to evaluate teen's understanding and experiences of safety training, (3) it will enroll a racially and ethnically diverse population of teens, so that the investigators will be able to compare experiences across race and ethnicity, as well as gender and age, (3) it will be the first to address the role of safety training and supervision in workplace injury. No studies to date have evaluated teenager's experiences with safety training and supervision, including what teens define as training. Safety training and supervision are important elements in preventing work-related injury. Information from this study can be used to begin developing an effective program based on teen's needs and experiences. Public Health Relevance: Injury among working youth is a major public health problem. The National Pediatric Trauma Registry and National Center for Health Statistics report that injuries due to occupation rank fourth in injuries among youth aged 10 to 19 years, led only by motor vehicle wrecks, violence, and recreational injuries. Safety training and workplace supervision are two methods useful in preventing occupational injury. Currently, there is limited information regarding safety training and supervision for teen workers. The information that does exist on safety training is limited to prevalence estimates and there is no information about workplace supervision. This study will be the first to conduct an in-depth assessment of safety training and supervision among teenage workers. In addition, it will be the first to evaluate the role safety training and supervision play in work-related injury.