Using participant event monitoring in a cohort study of unintentional injuries among children and adolescents

Am J Public Health. 2007 Feb;97(2):283-90. doi: 10.2105/AJPH.2005.077172. Epub 2006 Dec 28.

Abstract

Objectives: We conducted a 3-year cohort study of 407 youths aged 9 to 18 years to develop multivariable risk prediction models of agriculture-related injuries.

Methods: Data were obtained via participant event monitoring, with youths self-reporting injuries and exposures in daily diaries over a 13-week period. We evaluated data quality by comparing injury self-reports with other injury data.

Results: Semilogarithmic plots of rates of all unintentional injuries combined (US data from 2000) as well as of agriculture-related injuries (US and Canadian data from 19 previous studies) graphed as a function of injury severity exhibited linearity, as did plots based on the present results. Severity-specific unintentional injury rates were 1.4- to 4.3-times higher than national rates, suggesting that our methodology can significantly reduce injury underreporting. In addition, at each severity level, estimated agriculture-related injury rates were 5.8- to 9.3-times higher than rates from previous national, regional, and state-based studies.

Conclusions: Our approach to participant event monitoring can be implemented with youths aged 9 to 18 years and will yield reliable daily data on unintentional injuries.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidents, Occupational / statistics & numerical data*
  • Adolescent
  • Agriculture / statistics & numerical data*
  • Canada / epidemiology
  • Child
  • Cohort Studies
  • Employment / statistics & numerical data*
  • Female
  • Humans
  • International Classification of Diseases
  • Male
  • Medical Records*
  • Multivariate Analysis
  • Population Surveillance / methods*
  • Risk Assessment
  • Risk Factors
  • Trauma Severity Indices
  • United States / epidemiology
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / etiology