Kimberly J. Rauscher

Workplace violence against adolescent workers in the US

BACKGROUND Workplace violence is a significant problem yet most research on this topic has focused on adults. Despite facing numerous employment conditions that raise their risk for workplace violence, adolescent workers have received inadequate attention. METHODS Survey data from 1,171 US students ages 14-17 were analyzed using descriptive statistics to investigate the incidence and perpetrators of physical attacks, verbal threats, and sexual harassment. RESULTS Nearly one-third of respondents experienced some form of workplace violence: 25% verbally threatened, 10% physically attacked, and 10% sexually harassed. Significant demographic differences were found. The most common perpetrators of physical attacks and verbal threats were customers while sexual harassment most often came from co-workers. CONCLUSIONS Many working adolescents, most with only a few years work experience, have already suffered workplace violence. As youth are likely to be more vulnerable to its effects, developing workplace violence prevention strategies that target adolescent workers should be made a priority.

US Child Labor Violations in the Retail and Service Industries: Findings From a National Survey of Working Adolescents

OBJECTIVES We investigated child labor violations among US adolescents working in the retail and service industries. METHODS We used interview data from a nationally representative sample of working adolescents, and investigated reports of select child labor violations (e.g., hours, equipment, and work permits). We computed weighted percentages of respondents reporting each type of discrete (and aggregated) violation. RESULTS Nearly 37% of respondents reported a violation of the hazardous occupations orders (i.e., prohibited jobs or use of equipment), and 40% reported a work permit violation. Fewer than 2% reported working more than the maximum weekly hours allowed during the school year, but 11% reported working past the latest hour allowed on a school night, and 15% reported working off the clock. CONCLUSIONS Significant numbers of US adolescents are employed in violation of the child labor laws and as a result are exposed to safety risks. Although our data did not allow for an analysis of enforcement, our findings demonstrate gaps in employer compliance with the law. We suggest that closer attention to enforcement policy and practice is needed.

A validity study of self-reported daily texting frequency, cell phone characteristics, and texting styles among young adults

BackgroundTexting is associated with adverse health effects including musculoskeletal disorders, sleep disturbances, and traffic crashes. Many studies have relied on self-reported texting frequency, yet the validity of self-reports is unknown. Our objective was to provide some of the first data on the validity of self-reported texting frequency, cell phone characteristics including input device (e.g. touchscreen), key configuration (e.g., QWERTY), and texting styles including phone orientation (e.g., horizontal) and hands holding the phone while texting.MethodsData were collected using a self-administered questionnaire and observation of a texting task among college students ages 18 to 24. To gauge agreement between self-reported and phone bill-derived categorical number of daily text messages sent, we calculated percent of agreement, Spearman correlation coefficient, and a linear weighted kappa statistic. For agreement between self-reported and observed cell phone characteristics and texting styles we calculated percentages of agreement. We used chi-square tests to detect significant differences (α = 0.05) by gender and study protocol.ResultsThere were 106 participants; 87 of which had complete data for texting frequency analyses. Among these 87, there was 26% (95% CI: 21–31) agreement between self-reported and phone bill-derived number of daily text messages sent with a Spearman’s rho of 0.48 and a weighted kappa of 0.17 (95% CI: 0.06-0.27). Among those who did not accurately report the number of daily texts sent, 81% overestimated this number. Among the full sample (n = 106), there was high agreement between self-reported and observed texting input device (96%, 95% CI: 91–99), key configuration (89%, 95% CI: 81–94), and phone orientation while texting (93%, 95% CI: 86–97). No differences were found by gender or study protocol among any items.ConclusionsWhile young adults correctly reported their cell phone’s characteristics and phone orientation while texting, most incorrectly estimated the number of daily text messages they sent. This suggests that while self-reported texting frequency may be useful for studies where relative ordering is adequate, it should not be used in epidemiologic studies to identify a risk threshold. For these studies, it is recommended that a less biased measure, such as a cell phone bill, be utilized.

Teen workers' exposures to occupational hazards and use of personal protective equipment

BACKGROUND Prior research indicates that working adolescents seek care for the toxic effects of on-the-job chemical and environmental hazard exposures. METHODS This cross-sectional survey of a nationally representative sample of 866 adolescent workers in the retail and service sector examines their exposures, personal protective equipment (PPE) use, and training. RESULTS Two-thirds of respondents were exposed to continuous, very loud noise, 55% to thermal hazards and 54% to chemical hazards. Few teens reported using any PPE, though those who had been trained reported somewhat higher usage. CONCLUSIONS Teens working in the retail and service sectors experience a variety of chemical, thermal, biologic and noise exposures. Efforts to eradicate such exposures need to be complemented by increased provision of PPE and appropriate training in their use by employers.

Parental Involvement With Their Working Teens

Adolescents work in varied environments and are exposed to hazards. Parents of these working adolescents have an opportunity to help them select jobs and address worker safety issues with employers. The present study conducted telephonic interviews among a national sample of 922 working adolescents along with one parent of each to examine the involvement of parents in their childrens employment and safety issues. Over 70% of parents were found who helped their children identify job opportunities, consider questions about work hours or tasks, fill out job applications, prepare for interviews, or handle difficult safety issues. Parents suggested stronger actions in response to hypothetical situations than when confronted with real problems. Mean level of parental involvement did not vary by the number of hazards reported by teen workers. Parents were involved in helping their teens with work. Further research should explore how to enhance parental effectiveness by making work safe for teens.

Adolescent Work Quality: A View From Today’s Youth

Adolescent employment is commonly valued in the United States for its ability to promote youths’ positive psychosocial development. Empirical research, however, suggests the extent to which youth reap such benefits from work is largely a function of work’s quality. This study investigated adolescent work quality by examining the extent to which characteristics associated with positive or negative psychosocial outcomes are found in the jobs adolescents hold today. Our findings from surveys and interviews with working youth show that contemporary adolescent jobs provide at least moderate levels of the characteristics that promote positive psychosocial outcomes and some of those that promote negative outcomes. Adolescent jobs have the greatest capacity to encourage positive psychosocial development by providing opportunities for youth to be helpful and, to a lesser extent, to be around supportive others and to learn new things. Improvements in other areas of work quality are needed to maximize work’s potential to contribute positively to adolescent psychosocial development.

Work-related fatalities among youth ages 11-17 in North Carolina, 1990-2008.

BACKGROUND Local and national surveillance systems are in place that identify occupational deaths. However, due to certain restrictions, they are limited in their ability to accurately count these deaths among adolescent workers. METHODS In this population-based study, we relied on primary data from the North Carolina medical examiner system to identify and describe all work-related fatalities among North Carolina youth under age 18 between 1990 and 2008. RESULTS We identified 31 work-related deaths among youth ages 11-17. The majority occurred between 1990 and 1999. Most occurred in construction and agriculture. Vehicles and guns were responsible for the majority of deaths. CONCLUSIONS Although the prevalence of adolescent work-related fatalities has seen a decline in North Carolina, the 31 deaths we detected signal a failure of the systems in place to prevent young worker fatalities. More remains to be done to protect the lives of adolescent workers.

Setting an Agenda for Advancing Young Worker Safety in the U.S. and Canada

Scholars and practitioners from multiple perspectives, including developmental science, sociology, business, medicine, and public health, have considered the implications of employment for young people. We summarize a series of meetings designed to synthesize information from these perspectives and derive recommendations to guide research, practice, and policy with a focus on young worker safety and health. During the first three meetings, participants from the United States and Canada considered invited white papers addressing developmental issues, public health data and findings, as well as programmatic advances and evaluation needs. At the final meeting, the participants recommended both research and policy directions to advance understanding and improve young worker safety.

Occupational health literacy and work-related injury among U.S. adolescents

Building on the concept of ‘health literacy’ used in the US, we developed an analogous measure specific to safety in the workplace labeled ‘occupational health literacy’ (OHL) and investigated whether OHL is a protective factor against work-related injury (WRI) among adolescents. Using cross-sectional survey data from 2262 14 to 18-year olds in five high schools across the US, we found that OHL (level of occupational safety and health (OSH) information and training received combined with knowledge and awareness of OSH information and concepts) is positively associated with WRI prevalence. This association appears to be largely driven by the OHL subscale on respondents’ receipt of safety training, which likely represents job hazardousness and may be overwhelming any protective effect of OHL on work injury. This exploratory study has shown that more precise measurement of OHL and confounding variables (job hazardousness) will be crucial in further studies exploring a OHL–WRI relationship.

Occupational fatalities among young workers in the United States: 2001-2012

BACKGROUND While adolescent workers in the United States (US) are protected by child labor laws, they continue to suffer fatal occupational injuries. This study was designed to provide a comprehensive profile of occupational fatalities among this sub-population of US workers. METHODS Using Census of Fatal Occupational Injuries data between 2001 and 2012, we calculated descriptive statistics and rates to examine the magnitude and nature of fatalities among workers under age 18. RESULTS During the study period, there were 406 fatalities among young workers which translated into 24,790 years of potential life lost; 12,241 of which were in agriculture alone. Rates declined since 2001 yet Hispanics, foreign-born workers, males, and those working in agriculture continued to suffer a disproportionate fatality burden. CONCLUSIONS Efforts to reduce young worker fatalities should focus on male Hispanics, particularly those who are foreign-born, as well as agricultural workers as these groups have the greatest fatality risks. Am. J. Ind. Med. 59:445-452, 2016.