Dunn K A, Runyan C W
Department of Emergency Medicine, East Carolina University School of Medicine, Greenville, NC.
Am J Dis Child. 1993 Oct;147(10):1044-7. doi: 10.1001/archpedi.1993.02160340030008.
To identify and describe all nonmilitary on-the-job injury fatalities in North Carolina among persons younger than 20 years over 10 years, with special attention to potential violations of the Fair Labor Standards Act.
Historical, population-based case series, with cases identified by the computerized files of the North Carolina Office of the Chief Medical Examiner.
Persons younger than 20 years who died of injuries received on the job in North Carolina between January 1, 1980, and December 31, 1989.
We identified 71 cases. Decedents ranged in age from 11 to 19 years, with 41% aged 17 years or younger. Cases were disproportionately male (90%), white (80%), and injured during June, July, and August (44%). Farm or field was the most frequent place of injury (27%). More than 50% of injuries involved a motorized vehicle, frequently a tractor. Similar to studies in adults, homicide was the leading cause of fatal occupational injury for females. At the time of injury, 86% of workers younger than 18 years were involved in activities that appeared to violate the Fair Labor Standards Act of 1938.
This study raises questions about the adequacy of federal child labor policies as minors continue to work under conditions that place them at risk for fatal injuries.
识别并描述北卡罗来纳州10年间20岁以下人群的所有非军事在职伤害死亡情况，特别关注《公平劳动标准法》可能存在的违规行为。
基于人群的历史病例系列研究，病例通过北卡罗来纳州首席法医办公室的计算机文件识别。
1980年1月1日至1989年12月31日期间在北卡罗来纳州因在职受伤死亡的20岁以下人群。
我们识别出71例病例。死者年龄在11岁至19岁之间，41%为17岁及以下。病例中男性（90%）、白人（80%）比例过高，且受伤多发生在6月、7月和8月（44%）。农场或田地是最常见的受伤地点（27%）。超过50%的伤害涉及机动车，常见的是拖拉机。与成人研究类似，凶杀是女性致命职业伤害的主要原因。受伤时，86%的18岁以下工人参与的活动似乎违反了1938年的《公平劳动标准法》。
随着未成年人继续在使其面临致命伤害风险的条件下工作，本研究对联邦童工政策的充分性提出了质疑。
