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Occupational injuries in Canadian youth: an analysis of 22 years of surveillance data collected from the Canadian Hospitals Injury Reporting and Prevention Program



Occupational injuries in Canadian youth: an analysis of 22 years of surveillance data collected from the Canadian Hospitals Injury Reporting and Prevention Program



Health Promotion and Chronic Disease Prevention in Canada 36(5): 89-98



Inexperience, inadequate training and differential hazard exposure may contribute to a higher risk of injury in young workers. This study describes features of work-related injuries in young Canadians to identify areas for potential occupational injury prevention strategies. We analyzed records for youth aged 10-17 presenting to Canadian Hospitals Injury Reporting and Prevention Program (CHIRPP) emergency departments (EDs) from 1991-2012. We classified work-related injuries into job groups corresponding to National Occupational Classification for Statistics 2006 codes and conducted descriptive analyses to assess injury profiles by job group. Age- and sex-adjusted proportionate injury ratios (PIRs) and 95% confidence intervals (CIs) were calculated to compare the nature of injuries between occupational and non-occupational events overall and by job group. Of the 6046 injuries (0.72% of events in this age group) that occurred during work, 63.9% were among males. Youth in food and beverage occupations (54.6% males) made up 35.4% of work-related ED visits and 10.2% of work-related hospital admissions, while primary industry workers (76.4% males) made up 4.8% of work-related ED visits and 24.6% of work-related hospital admissions. PIRs were significantly elevated for burns (9.77, 95% CI: 8.94-10.67), crushing/amputations (6.72, 95% CI: 5.79-7.80), electrical injuries (6.04, 95% CI: 3.64-10.00), bites (5.09, 95% CI: 4.47-5.79), open wounds (2.68, 95% CI: 2.59-2.78) and eye injuries (2.50, 95% CI: 2.20-2.83) in occupational versus non-occupational events. These were largely driven by high proportional incidence of injury types unique to job groups. Our findings provide occupation group-specific information on common injury types that can be used to support targeted approaches to reduce incidence of youth injury in the workplace. Accidents de travail impliquant des jeunes Canadiens : analyse de 22 années de surveillance des données recueillies à partir du Système canadien hospitalier d'information et de recherche en prévention des traumatismes. L’inexpérience, une formation inadéquate et une exposition accrue au danger sont susceptibles de contribuer à un risque plus élevé d’accidents chez les jeunes travailleurs. Cette étude décrit les caractéristiques des accidents de travail impliquant de jeunes Canadiens afin d’identifier les secteurs pour lesquels élaborer des stratégies de prévention en matière d’accidents de travail. Nous avons analysé le dossier des jeunes de 10 à 17 ans qui se sont présentés à un service des urgences (SU) faisant partie du Système canadien hospitalier d’information et de recherche en prévention des traumatismes (SCHIRPT) entre 1991 et 2012. Nous avons classé les accidents de travail en fonction de groupes d’emploi correspondant à la Classification nationale des professions (codes statistiques 2006) et nous avons effectué des analyses descriptives afin d’établir le profil des accidents en fonction de ces groupes d’emploi. Nous avons calculé des rapports proportionnels de blessures (RPB) en fonction de l’âge et du sexe ainsi que des intervalles de confiance à 95 % pour comparer la nature des blessures survenues en contexte professionnel et en contexte non professionnel, à la fois dans l’ensemble et par groupe d’emploi. Parmi les 6 046 blessures ayant eu lieu au travail (0,72 % des cas dans ce groupe d’âge), 63,9 % touchaient des garçons. Les jeunes (54,6 % de garçons) œuvrant dans l’industrie des aliments et des boissons ont formé 35,4 % des consultations aux SU en lien avec le travail et 10,2 % des admissions liées au travail, alors que les travailleurs du secteur primaire (76,4 % de garçons) représentaient 4,8 % des consultations aux SU liées au travail et 24,6 % des admissions liées au travail. Les RPB ont été significativement élevés pour les brûlures (9,77, IC à 95 % : 8,94 à 10,67), les blessures par écrasement et les amputations (6,72, IC à 95 % : 5,79 à 7,80), les blessures causées par l’électricité (6,04, IC à 95 % : 3,64 à 10,00), les morsures (5,09, IC à 95 % : 4,47 à 5,79), les plaies ouvertes (2,68, IC à 95 % : 2,59 à 2,78) et les lésions oculaires (2,50, IC à 95 % : 2,20 à 2,83) dans un contexte professionnel par rapport aux cas en contexte non professionnel. Ceci s’explique en bonne partie par l’incidence proportionnelle élevée de certains types de blessures spécifiques à des groupes d’emploi. Nos conclusions fournissent des renseignements relatifs à certains groupes professionnels sur des types de blessures courantes susceptibles de favoriser l’adoption d’approches ciblées à l’égard de la réduction de l’incidence des blessures chez les jeunes en milieu de travail.

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Accession: 058448068

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PMID: 27172126


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