Michael D. Schulman

Adequacy of health and safety training among young Latino construction workers.

Objectives: This study aimed to assess the adequacy of safety training provided to young Latino immigrant construction workers. The study posited that, because of their youth and immigrant status, these workers would be less likely to receive adequate training. Methods: We interviewed 50 youths aged ≤21 who had worked at least 10 days in construction in the previous year. The in-person interview included 140 questions covering a range of construction work and health and safety experiences. Results: Participants reported performing a range of hazardous tasks, some while under the age of 18. Of these, 68% to 72% reported receiving some training, but median training time was only 1 hour. Only 24% reported receiving written training material. Those with less English ability received less training. Conclusions: Young Latino immigrants in this study received inadequate training given the hazardous work they performed. Clinical Significance: Results of this research, especially the relatively low level of English communication skills among young Latino workers, point to the need for increased bilingual services not just in worker safety training programs, but also in medical clinics and emergency rooms that treat Latino workers.

Teens at work: A statewide study of jobs, hazards, and injuries

PURPOSE Occupational injury is an ongoing and serious threat to American youth. However, little is known about the environments in which youth work or the hazards to which they are exposed. The purpose of this study was to document the patterns of work, exposures to hazardous equipment and situations, and work-related injury experiences of adolescents. METHODS We identified a statewide targeted sample of North Carolina households with teens age 14-17 years and interviewed those who had ever worked for pay or worked on a farm. RESULTS Five hundred sixty-two teens from 700 eligible households reported that they had worked non-farm jobs for pay. One-third were paid for work before age 14 years; two-thirds had held more than one paid job. Place of employment was most often someones home, a retail store, or a restaurant. Common jobs were lawn care worker, cashier, and dishwasher. Common hazards to which teens were exposed included ladders or scaffolding; forklifts, tractors or riding mowers; and working around loud noises. Over half were injured at least once while working a paid job, most often from being cut or burned. CONCLUSIONS Work among youth is common. Teens hold a variety of jobs, mostly in the retail trade and the service sector, exposing them to hazardous equipment and situations. Injuries at work are frequent and some are serious. This study supports the need to include an occupational history and work-related safety counseling in clinical encounters with adolescents.

Work-related hazards and workplace safety of US adolescents employed in the retail and service sectors

OBJECTIVE. Our goal was to examine the hazard exposures, work experiences, and workplace safety training of adolescents employed in retail and service jobs in the United States. METHODS. This was a cross-sectional telephone survey among working adolescents, 14 to 18 years old, in the continental United States. Data were collected in 2003. Survey items measured self-reported hazard exposures, training, and supervision experiences of working adolescents. RESULTS. Teens reported working an average of 16.2 hours per week during the school year, including working an average of 2.9 times per week after 7 pm on school nights and 2.6 nights per week after 9 pm. Thirty-seven percent of those under age 16 reported working after 7 pm on a school night, indicating employer violation of federal law. Teens typically perform multiple kinds of tasks in a given job. Higher proportions of females than males are involved in cash handling (84% vs 61%), whereas males are more likely than females to be involved in physically challenging tasks, such as lifting heavy objects (57% vs 22%) or working at heights (35% vs 17%). Despite federal regulations prohibiting teens under 18 from using certain types of dangerous equipment (eg, slicers, dough mixers, box crushers, paper balers) or serving or selling alcohol in places where it is consumed, 52% of males and 43% of females reported having performed ≥1 prohibited task. Although more males reported receiving safety training, they were also more likely to report working without supervision than their female counterparts. CONCLUSIONS. Teens are exposed to multiple hazards, use dangerous equipment despite federal prohibitions, and work long hours during the school week. They also lack consistent training and adult supervision on the job. It is important for adolescent medicine practitioners to become involved in prevention efforts through both anticipatory guidance and policy advocacy.

Risk factors for a farm vehicle public road crash

Driver, vehicle, public road, and farm enterprise characteristics were examined for their combined association with farm vehicle public road crash group membership. North Carolina farms experiencing a public road crash from 1992 to 2003 (n=200) were compared with a non-crash control group (n=185) for a 1:1 case:control ratio. Five characteristics were associated with increased odds of crash group membership in the combined model (likelihood ratio=175.95; d.f.=15; p<.001): use of non-English speaking drivers (OR=3.71); use of non-family hired help drivers (OR=4.25); types of non-farm vehicle public road use (OR=1.39); farm injury history (OR=1.33); and, use of younger farm vehicle drivers (OR=1.02). Farms reporting older farm vehicle drivers (OR=0.97), and low farm income (OR=0.29) were less likely crash group members. Recommendations are discussed for incorporating findings into farm vehicle crash prevention research and interventions.

Understanding the public health impacts of farm vehicle public road crashes in North Carolina

Discussions with groups of North Carolina farmers identified farm vehicle public road safety as their primary occupational health and safety concern. Findings of a mail survey of North Carolina growers participating in a North Carolina Department of Labor migrant housing inspection program indicated that over 97% of them felt less safe on North Carolina public roads now (1999) than five years prior (1995), and over 79% currently (1999) felt unsafe transporting farm vehicles on North Carolina public roads. Using both primary and secondary data, we explore the context of farm vehicle public road crashes, identify contributing individual and environmental risk factors, and estimate the public health cost. Recommendations and suggestions for future farm vehicle public road safety research and interventions are proposed.

Experiential Learning and Research Ethics: Enhancing Knowledge through Action

How can instructors use experiential learning strategies to enhance student understanding of research ethics and responsible research conduct? In this article, the authors review literature on using experiential learning to teach research ethics and responsible research conduct. They present a three-step exercise for teaching research ethics and responsible research conduct using experiential learning strategies. Their primary teaching and learning objective is to broaden student understanding of ethical behavior beyond notions of “right” and “wrong” to a conception of ethical behavior involving thinking critically about all stages of the research process. The authors present assessment data that suggest that participation in the exercise increased knowledge about ethical guidelines and broadened understandings of ethical behavior.

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.

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.

The farm crisis: An analysis of social psychological distress among North Carolina farm operators

Using data from a statewide survey of North Carolina farm operators collected during a period of economic and ecological crisis, the relationships between perceived social psychological distress, social support, and demographic, farm structure, and socioeconomic characteristics were analyzed. Younger operators showed higher distress levels, and age and social support interact so that social support lowered distress levels more for younger than for older operators. Results also showed that total family income has a curvilinear relationship with perceived distress: low and high income farm operators manifest higher levels of distress than middle income operators. By identifying the farm operators that show the highest levels of distress, the results have implications for policy intervention and farm crisis support programs.

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.