CSN Discuss Bulletin
Rural Injury Prevention
September 2004
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This bulletin comes to you from the Children’s Safety Network through CSN Discuss, an electronic forum for the discussion of child and adolescent injury and violence prevention and related issues.
TABLE OF CONTENTS
A Question from CSN
News and Developments
Articles and Reports
- Report: Creating Safe Play Areas on Farms
- Article: Motor vehicle occupant safety in a rural state
- Article: Urban/rural variation in children’s bicycle-related injuries
- Article: On-farm falls among youth less than 20 years old in the U.S.
- Article: Pediatric farm-related Injuries: A series of 96 hospitalized patients.
- Report: The National Survey on Drug Use and Health: Underage drinking in rural areas
Rural Injury Resource from CSN
AVAILABILITY
Copies of many items can be delivered to state Maternal and Child Health and state public health staff upon request. Articles available by e-mail are so indicated. Some other articles can be faxed or mailed. To request an article or other publication, e-mail jhudson@edc.org with the item name, delivery preference (e-mail, fax number, or mailing address). This service is restricted to state Maternal and Child Health and state public health staff. Restricted time and resources forbids us from delivering articles to others.
URLs of publications that can be downloaded from the web are included in the bibliographic information.
A Question from CSN
The Iowa Department of Public Health devotes a portion of its Preventive Health Services Block Grant to activities that enhance agricultural safety. We are interested in learning how other states promote agricultural safety and how these activities are funded (e.g. MCH, Preventive Health Services, etc.).
Please respond to Lisa Decker at Decker.Lisa@mcrf.mfldclin.edu
News and Developments
- National Rural and Frontier EMS Agenda for the Future
The National Rural and Frontier Emergency Medical Services Agenda for the Future addresses the needs and priorities for EMS in rural areas. The Agenda will be officially rolled out at the National Association of State EMS Directors meeting on October 8, 2004. PowerPoint presentations for state and local audiences, a guide for EMS service chiefs, and other materials are being developed for use in promoting the Agenda’s recommendations. The final draft of the Agenda is available on the National Rural Health Association’s website at http://www.nrharural.org/EMSagenda/index.html.
Articles and Reports
- National Children's Center for Rural and Agricultural Health and Safety.
Creating Safe Play Areas on Farms.
Marshfield, WI: Marshfield Clinic.
Creating Safe Play Areas on Farms was developed by the National Children’s Center for Rural and Agricultural Health and Safety for safety professionals, farm and rural community leaders, and farm owners who want to understand how to create safe play areas for children who live on or visit farms. This publication provides the first comprehensive guidelines for designing and building a safe outdoor play area on a farm. Creating Safe Play Areas on Farms can be downloaded or ordered from the National Farm Medicine Center at http://www.marshfieldclinic.org/research/children/safePlay/ - Lundell JA.
Motor vehicle occupant safety in a rural state.
Texas Journal of Rural Health. 2003; 21(4): 2-10.
This article describes the results of an annual observational survey of child passenger and driver occupant restraint usage in Iowa and compares rates in rural and urban locations. It also addresses the location of the child in the vehicle and relates placement trends to the increasing awareness of dangers involving air bags.
Availability: E-mail or Hard Copy - Macpherson AK, To TM, Parkin PC, Moldofsky B, Wright JG, Chipman ML, Macarthur C.
Urban/rural variation in children’s bicycle-related injuries.
Accident Analysis and Prevention. 2004 July; 36(4): 649-654.
This study examined bicycle-related injury rates for children living in urban and rural areas. Data on all Canadian children hospitalized because of bicycling-related injuries were obtained. The average annual incidence rate for bicycle-related head injuries in children was 18.49 per 100,000 for children living in rural areas compared to 10.93 per 100,000 for those in urban areas. The study explained this variation by differences in bicycling exposure, helmet use, hospital admission criteria, and road environments.
Availability: Hard Copy Only - Hendricks KJ, Goldcamp EM, Myers JR.
On-farm falls among youth less than 20 years old in the U.S.
Journal of Agricultural Safety and Health. 2004 January; 10(1): 27-38.
This article examines the magnitude and characteristics of fall-related injuries on U.S. farms for youth less than 20 years old. Findings indicate that falls are an important contributor to on-farm injuries among youth. Strategies such as providing safe play areas for young children and efforts to prevent extra riders on farm equipment can help reduce fall hazards.
Availability: E-mail or Hard Copy - Smith GA, Scherzer DJ, Buckley JW, Haley KJ, Shields BJ.
Pediatric farm-related injuries: A series of 96 hospitalized patients.
Clinical Pediatrics (Phila). 2004 May; 43(4): 335-342.
This study of 96 children admitted to a pediatric level 1 trauma center for treatment of farm-related injuries revealed that 39 patients had an animal-related injury, 37 had farm machinery-related injuries, and falls accounted for injuries to 12 patients. Head trauma accounted for 36.4 percent of all cases. Five children died, and one child with a severe brain injury was discharged to a long-term rehabilitation facility. Animals, especially horses, accounted for a large percentage of farm-related injuries for this population.
Availability: E-mail or Hard Copy - Substance Abuse and Mental Health Services Administration.
Underage drinking in rural areas.
The NSDUH Report. 2004 August 27.
This report presents comparisons from the 2002 National Survey on Drug Use and Health on the prevalence of drinking and binge alcohol use among persons below the legal drinking age (12 to 20 years). The report can be found on the Substance Abuse and Mental Health Services Administration website at http://oas.samhsa.gov/2k4/ruralYouthAlc/ruralYouthAlc.htm
Rural Injury Resource from CSN
- National Children's Center for Rural and Agricultural Health and Safety.
ATV (All-Terrain Vehicle) resource packet.
Marshfield, WI : Marshfield Clinic.
An updated CSN ATV resource packet will include an ATV fact sheet, a list of organizations involved in ATV safety, resources for safe ATV operation, and information on ATV safety initiatives. The ATV resource packet will be available on the National Children's Center for Rural and Agricultural Health and Safety website http://research.marshfieldclinic.org/children/ starting November 1, 2004.
Next month's CSN Discuss Bulletin will focus on disparities in injury rates among various populations.
Please direct questions about this bulletin to Lisa Decker at:
Children's Safety Network
National Children's Center for Rural and Occupational Health and Safety
1000 N. Oak Ave.
Marshfield, WI 54449
715-389-7723
715-389-4996 fax
800-662-6900
