Injuries and poisonings in out-of-home child care and home care
Article Abstract:
There are conflicting reports on the dangers of out-of-home child care (OHC), compared with those of home care (HC). Some studies have reported that OHC exposes children to a greater risk for accidents and injuries than HC, while others have found the opposite. This study examined the results of a national phone survey regarding injuries and poisonings of children in OHC and HC. A random sampling of 35,000 households was surveyed. A total of 1,775 households with 2,250 children under 5 years participated. Results showed the overall injury rate was 15.2 injuries per 100 child-years with rates of 7.3, 18.7, and 17.3 per 100 child years for children 6 weeks to 17 months, 18 months to 35 months, and 36 months to 59 months, respectively. Rates for children with only HC were 13.6 injuries per 100 child-years, compared with 17.8 injuries per 100 child-years for children with any exposure to OHC. Injury rate ratios of OHC injuries to HC injuries for the three age groupings were 0.77, 1.32, and 1.23, respectively. When adjustments were made for child hours, the OHC injury rate was 1.69 injuries per 100,000 child hours and 2.66 injuries per 100,000 child hours for HC. When ratios of OHC versus HC injury rates were adjusted for child hours, the ratios were 1.22, 0.40, and 0.65 for the three age groups. There were 171 reported poisonings; all of these accidents occurred at home, although the rate was higher in children who were exposed to OHC than in those only receiving HC. These results indicate that injury and poisoning rates are higher when children are in HC than when they are in OHC, but that rates are higher in children exposed to OHC than in those only exposed to HC. This may be a result of a less safe home environment for children who attend OHC than for those only receiving HC. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: American Journal of Diseases of Children
Subject: Health
ISSN: 0002-922X
Year: 1991
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Serious sports injuries requiring hospitalization seen in a pediatric emergency department
Article Abstract:
Teenage boys may be the children most likely to suffer serious sports injuries requiring emergency treatment and hospitalization. In 1989 and 1990, 142 children injured in sports accidents were treated in a pediatric emergency department and admitted to the hospital for further care. Eighty-two percent of these patients were male, and 54% were between the ages of 11 and 15. Fractures accounted for 77% of the injuries. Abdominal injuries, multiple trauma, cerebral contusions or hemorrhage and dislocations also resulted in hospitalizations. Almost half of the accidents involved team sports. Other activities with a high incidence of injury were roller-skating, skateboarding, sledding and ice skating.
Publication Name: American Journal of Diseases of Children
Subject: Health
ISSN: 0002-922X
Year: 1993
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