北美儿童农业任务指南在减少儿童期农业伤害方面的成效。
Efficacy of the North American guidelines for children's agricultural tasks in reducing childhood agricultural injuries.
作者信息
Gadomski Anne, Ackerman Susan, Burdick Patrick, Jenkins Paul
机构信息
Research Institute, Bassett Healthcare, One Atwell Rd, Cooperstown, NY 13326, USA.
出版信息
Am J Public Health. 2006 Apr;96(4):722-7. doi: 10.2105/AJPH.2003.035428. Epub 2006 Feb 28.
OBJECTIVES
We assessed whether active dissemination of the North American Guidelines for Children's Agricultural Tasks (NAGCAT) reduced childhood agricultural injuries.
METHODS
In this randomized controlled trial, lay educators visited intervention farms to review NAGCAT. New York State farms with resident or working children were randomized. Control farms were visited only to collect baseline data. Data on childhood injuries, tasks, and hours worked were obtained quarterly for 21 months. Injury rates per farm were compared between the treatment and control groups, along with time span to occurrence of an injury and to violation of NAGCAT age guidelines.
RESULTS
Intervention farms were less likely than control farms to violate NAGCAT age guidelines in the areas of all-terrain-vehicle use and tractor and haying operations. Cox proportional hazards regression models showed a significant protective effect of the intervention on preventable injuries after adjustment for important covariates.
CONCLUSIONS
Our results showed that dissemination of NAGCAT reduced rates of work-related childhood agricultural injuries. A comprehensive public health approach is needed to reduce non-work-related childhood injuries.
目的
我们评估了积极传播《北美儿童农业任务指南》（NAGCAT）是否能减少儿童农业伤害。
方法
在这项随机对照试验中，非专业教育工作者走访干预农场以审查NAGCAT。对有常住或工作儿童的纽约州农场进行随机分组。对照农场仅接受走访以收集基线数据。在21个月的时间里，每季度获取有关儿童伤害、任务和工作时长的数据。比较了治疗组和对照组每个农场的伤害率，以及受伤发生时间和违反NAGCAT年龄指南的时间跨度。
结果
在全地形车使用以及拖拉机和干草作业领域，干预农场比对照农场更不容易违反NAGCAT年龄指南。Cox比例风险回归模型显示，在对重要协变量进行调整后，干预措施对可预防伤害具有显著的保护作用。
结论
我们的结果表明，传播NAGCAT降低了与工作相关的儿童农业伤害发生率。需要采取全面的公共卫生方法来减少与工作无关的儿童伤害。
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