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儿童和青少年劳动导致的伤害——与种族和边缘性的关联:一项基于以色列创伤登记处的回顾性队列研究

Injury as a Result of Children and Adolescent Labor-An Association with Ethnicity and Peripherality: A Retrospective Cohort Study Based on the Israeli Trauma Registry.

作者信息

Savitsky Bella, Radomislensky Irina, Katorza Eldad, Kaim Arielle

机构信息

Department of Nursing, School of Health Sciences, Ashkelon Academic College, Yitshak Ben Zvi 12, Ashkelon 7821100, Israel.

Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262100, Israel.

出版信息

Eur J Investig Health Psychol Educ. 2023 Dec 31;14(1):133-147. doi: 10.3390/ejihpe14010009.

DOI:10.3390/ejihpe14010009
PMID:38248129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10814780/
Abstract

BACKGROUND

Working children and adolescents face a heightened risk of work-related injuries. This research aimed to assess the rate of hospitalizations resulting from work-related injuries among children and adolescents in Israel, with a specific focus on disadvantaged populations.

METHODS

This nationwide retrospective cohort study utilized The Israeli National Trauma Registry (INTR). It included 642 children and adolescents aged 13-17 hospitalized due to work-related injuries from 2015-2022.

RESULTS

Arab children had over five times the risk of hospitalization due to work-related injuries compared to Jewish (RR = 5.5, 95% CI: 4.7-7.4). Despite the 2018 law prohibiting young people from entering this type of work, the most common type of work leading to hospitalization was construction, accounting for 40.2% of Arab and 11.9% of Jewish injuries ( < 0.001). After adjustment, road traffic accidents and falls presented the highest odds of at least severe injury. Arabs had three times significantly higher odds of at least moderate injury compared to Jews.

CONCLUSIONS

Prioritizing the creation of safe job opportunities for Arab teenagers is imperative. Strict enforcement measures, particularly within the construction industry, especially among Arab youth and during night shifts, are essential. These initiatives should focus on establishing secure and sustainable employment opportunities for children and young individuals, effectively reducing the risks associated with hazardous labor practices. In addition, the implementation of educational programs in the school curriculum covering essential aspects of youth employment is vital.

摘要

背景

童工和青少年面临与工作相关伤害的风险更高。本研究旨在评估以色列儿童和青少年因工作相关伤害导致的住院率,特别关注弱势群体。

方法

这项全国性回顾性队列研究使用了以色列国家创伤登记处(INTR)。它纳入了2015年至2022年期间因工作相关伤害住院的642名13至17岁的儿童和青少年。

结果

与犹太儿童相比,阿拉伯儿童因工作相关伤害住院的风险高出五倍多(相对风险 = 5.5,95%置信区间:4.7 - 7.4)。尽管2018年有法律禁止年轻人从事这类工作,但导致住院的最常见工作类型是建筑工作,在阿拉伯人受伤案例中占40.2%,在犹太人受伤案例中占11.9%(P < 0.001)。调整后,道路交通事故和跌倒导致至少重伤的几率最高。与犹太人相比,阿拉伯人至少中度受伤的几率显著高出三倍。

结论

当务之急是优先为阿拉伯青少年创造安全的就业机会。必须采取严格的执法措施,特别是在建筑行业,尤其是针对阿拉伯青年以及夜班期间。这些举措应侧重于为儿童和年轻人建立安全和可持续的就业机会,并有效降低与危险劳动做法相关的风险。此外,在学校课程中实施涵盖青年就业重要方面的教育计划至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/10814780/02bdaf52dd68/ejihpe-14-00009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/10814780/57fc16f357be/ejihpe-14-00009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/10814780/02bdaf52dd68/ejihpe-14-00009-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/10814780/57fc16f357be/ejihpe-14-00009-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5dde/10814780/02bdaf52dd68/ejihpe-14-00009-g002.jpg

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