Injury as a Result of Children and Adolescent Labor—An Association with Ethnicity and Peripherality: A Retrospective Cohort Study Based on the Israeli Trauma Registry

Author:

Savitsky Bella12ORCID,Radomislensky Irina2,Katorza Eldad2345,Kaim Arielle6

Affiliation:

1. Department of Nursing, School of Health Sciences, Ashkelon Academic College, Yitshak Ben Zvi 12, Ashkelon 7821100, Israel

2. Israel National Center for Trauma & Emergency Medicine Research, The Gertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262100, Israel

3. School of Medicine, Tel Aviv University, Tel Aviv 6139001, Israel

4. Antenatal Diagnostic Unit, Department of Obstetrics and Gynecology, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262100, Israel

5. Arrow Program for Medical Research Education, Chaim Sheba Medical Center, Tel-Hashomer, Ramat Gan 5262100, Israel

6. Department of Emergency and Disaster Management, School of Public Health, Faculty of Medicine, Tel Aviv University, Tel Aviv 6139001, Israel

Abstract

Background: Working children and adolescents face a heightened risk of work-related injuries. This research aimed to assess the rate of hospitalizations resulting from work-related injuries among children and adolescents in Israel, with a specific focus on disadvantaged populations. Methods: This nationwide retrospective cohort study utilized The Israeli National Trauma Registry (INTR). It included 642 children and adolescents aged 13–17 hospitalized due to work-related injuries from 2015–2022. Results: Arab children had over five times the risk of hospitalization due to work-related injuries compared to Jewish (RR = 5.5, 95% CI: 4.7–7.4). Despite the 2018 law prohibiting young people from entering this type of work, the most common type of work leading to hospitalization was construction, accounting for 40.2% of Arab and 11.9% of Jewish injuries (p < 0.001). After adjustment, road traffic accidents and falls presented the highest odds of at least severe injury. Arabs had three times significantly higher odds of at least moderate injury compared to Jews. Conclusions: Prioritizing the creation of safe job opportunities for Arab teenagers is imperative. Strict enforcement measures, particularly within the construction industry, especially among Arab youth and during night shifts, are essential. These initiatives should focus on establishing secure and sustainable employment opportunities for children and young individuals, effectively reducing the risks associated with hazardous labor practices. In addition, the implementation of educational programs in the school curriculum covering essential aspects of youth employment is vital.

Publisher

MDPI AG

Reference48 articles.

1. The International Labor Organization (2023, February 07). What is Child Labour. Available online: https://www.ilo.org/ipec/facts/lang--en/index.htm.

2. Rosati, F.C. (2022). Handbook of Labor, Human Resources and Population Economics, Springer International Publishing.

3. The global child labor problem: What do we know and what can we do?;Basu;World Bank Econ. Rev.,2003

4. UNICEF (2023, February 07). The State of the World’s Children 2016. Available online: https://www.unicef.org/reports/state-worlds-children-2016.

5. UNICEF (2023, February 08). Minimum Age for Employment. Available online: https://www.unicef-irc.org/php/Thesaurus/Glossary_Display.php?GLOSS_ID=302&PoPuP=No.

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