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Factors That Contribute to Injuries Among Elementary & Middle School-Aged Children
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The most common behaviors that contribute to injuries among elementary and middle school-aged children include (YRBSS 2003)[i]:
  • Falls
  • Inappropriate playground equipment type for age
  • Poor quality or condition of playground equipment
  • Inappropriate playground fall surface materials
  • Unsupervised school playgrounds  
  • Motor Vehicle Occupant
  • Not being properly restrained in a child safety seat, booster seat, or lap/shoulder belt. Approximately 60% of motor vehicle occupant fatalities could be prevented with appropriate and proper use of a safety seat, booster seat, or lap/shoulder belt.[ii]
  • Pedestrian-Motor Vehicle
  • Walking too close towards a school bus and standing too close to the curb at the bus stop. This is due to visibility issues with smaller sized children in blind spots of the bus.
  • Walking between cars and school buses in school drop off zones.
  • Not obeying traffic pedestrian laws when walking to school.
  • Bicycle-Motor Vehicle
  • Not wearing a bicycle helmet. Approximately 65%-88% of bicycle-related brain injuries[iii], as well as facial fractures and lacerations could be prevented with the proper use of an approved bicycle helmet.[iv]
  • Homicide
  • While homicides and accidental shootings are not within the top five causes of injury hospitalizations, access to a firearm is a contributing factor to 78% of homicides and 60% of suicides among middle school aged children.[v] It has been estimated that for every firearm-related fatality among individuals 24 years and younger, four more youth are hospitalized due to firearm incidents.[vi] Further, only 40% of homes with both children and firearms, store firearms locked and unloaded.  Thus, 60% of homes where there are both children and firearms leave the firearms either unlocked or loaded.[vii]
[i] Trends in the prevalence of behaviors that contribute to violence, National Youth Risk Behavior Survey, 1991-2003, Centers for Disease Control and Prevention
[ii] National Highway Traffic Safety Administration. Benefits of safety belts and motorcycle helmets: report to Congress, February 1996. Washington, DC: US Department of Transportation, National Highway Traffic Safety Administration, 1996
[iii] Thompson RS, Rivara FP, Thompson DC. A case-control study of the effectiveness of bicycle safety helmets. New Engl J Med 1989;320:1361--7
[iv] Thompson DC, Nunn ME, Thompson RS, Rivara FP. Effectiveness of bicycle safety helmets in preventing serious facial injury. JAMA 1996;276:1974--5
[v] Annest JL, Mercy JA, Gibson DR, Ryan GW. National estimates of nonfatal firearm-related injuries: beyond the tip of the iceberg. JAMA 1995;273:1749--54
[vi] Annest JL, Mercy JA, Gibson DR, Ryan GW. National estimates of nonfatal firearm-related injuries: beyond the tip of the iceberg. JAMA 1995;273:1749--54
[vii] Stennies G, Ikeda R, Leadbetter S, Houston B, Sacks J. Firearm storage practices and children in the home, United States, 1994. Arch Pediatr Adolesc Med 1999;153:586--90

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Last modified on 09/26/2008 .

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