Running an Orderly House

Abstract

Urban renewal in the UK has led to town and city centres offering young people a lively night life. Unfortunately, it is also connected with drink-related crimes. Many people do not use pubs and bars because they feel threatened. In order to attract such customers, the owners and managers need to act positively to prevent unacceptable behaviour. The use of properly trained door staff and participation in a local Pubwatch scheme, which can ban trouble makers from all pubs and bars in the locality, have provedto be helpful. Such information mightbe useful to some US outlets.     

Analysis of the promotion of cigarettes at the point of sale and its attractiveness to children

Smoking habit seriously affects public health in a number of direct and indirect ways. The study reported here took place in Brazil and examined the promotional activities of the tobacco industry at the point of sale, with particular reference to their impact on children. Tobacco control policies are generally in place in developed countries, and smokers typically develop the habit while still young. Trained researchers visited a stratified sample of 429 retail outlets in the city of São Paulo, comprising the local equivalents of bars, snack bars, luncheonettes and pubs. Data for analysis were collected by direct observation at the point of sale and interviews with the person deemed to be in charge of the outlet visited. The results indicate that the tobacco industry is displaying its products within full view of children and making use of the sales' incentives offered to the retailer. The findings contribute significantly to the study of the effect of promotion at the point of sale on young smokers and can inform the policy debate on the increasing regulation of tobacco marketing promotional methods.     

Jumping children: a review of the literature

Abstract

A review of the literature on forces exerted by jumping people is presented. The actual goal was to collect data on jumping children, but only very limited research has been reported on this age group. Data were found on various jumping techniques as well as various influential factors such as body height, footware, properties of the substrate and the forces exerted in association with the different phases of a jumping movement. This study resulted in an experimental investigation which will be reported separately.     

Child-resistant cigarette lighters in the United States

Abstract

On July 12,1993, the U.S Consumer Product Safety Commission (CPSC) published a mandatory safety standard requiring disposable and novelty cigarette lighters to be child-resistant. Annually in the United States, children under 5 years of age playing with lighters cause more than 5,000 residential fires, resulting in approximately 150 deaths and more than 1,000 injuries. The standard is expected to prevent about 100 of those fire-related deaths each year. The standard includes labeling, testing, recordkeeping, and reporting requirements for manufacturers and importers. The standard applies to lighters manufactured in the United States or imported after July 11, 1994.

A study of actual child-play fire incidents was conducted as part of the initial work on the project to develop a safety standard. The major objectives of the study were:

1) to determine the age and sex of the children starting the fires, 2) to establish the methods the children used to operate the lighters, and 3) to identify the types of lighters involved. The study was conducted by CPSC field staff with the help of fire departments around the United States. Two hundred seventy-seven fires were investigated. Major findings of the study included

? Disposable butane lighters were involved in the majority of the fires.

? The children starting the fires were primarily 3 and 4 years old.

? Male children starting the fires outnumbered female children by a ratio of 4 to 1.

? Most children used two hands to operate the lighters.

Based on the analysis of the study results, the CPSC staff concluded that child-resistant lighters could be an effective means of addressing the risk of injury and death associated with child-play fires.     

Epidemiology of squash injuries requiring hospital treatment

Abstract

A review of the literature revealed that data on the actual forces that children can exert on products is practically non-existent. For a number of situations, the loads resulting from actions by adults are known. The ratio between body weight and load may be used for estimating the forces that can be exerted by children. The object of the present study was two-fold

to verify the approach of estimating forces by using the body mass of children;

to fill in some of the blanks where no data is available, even for adults

Four different types of peak forces that children can exert on products were selected for the purpose of this study

standing: a push against a horizontal bar

standing: a tug at the bar

sitting: a push with the hands against the bar when sitting with the back against a support

sitting: a push with the feet against the bar when sitting with the back against a support

A total of 203 children participated, ranging from 4 to 12 years of age The methods and equipment used to measure forces are described in the paper. Forces measured and force ratios calculated for different age groups are presented. Some conclusions are:

children can exert higher forces than anticipated, especially when pushing with the feet;

boys are a bit stronger than girls, especially in the higher age groups;

the correlation between weight and forces was high enough in all cases to use body weight as a force indicator;

the ratio between force and body weight is lower in lower age groups.     

Advertising and Children

Abstract

This article reviews the debate regarding the issue of growing obesity in society in terms of issues and possible policy options. The issue is most focused on children though having obvious ramifications for adults in many economies around the world. Policy solutions such as advertising bans or taxes that have been proposed in several countries seem to be based on insufficient evidence—i.e., there is no empirical evidence to substantiate the claimed causal effect between marketing communication practices directed at children and nutrition. These solutions, if enacted in policy, could be both inequitable and ineffective. While the study is couched and framed from a New Zealand context, nonetheless it serves to illuminate issues and policies of wider relevance.     

Targeting the over Sixty-Five Vote in Political Campaigns

Abstract

Older voters are demonstrated to be more Republican and more interested in politics than younger voters. In Arizona, they are also more likely to contribute to political campaigns, particularly when candidate-oriented direct mail appeals are used. Campaign strategies that assume people over 65 are dramatically different in the way they react to persuasive messages may dilute their effectiveness. Age is seen to be an important factor in processing campaign communications when the candidates or issues are clearly perceived as having relevance for older people.     

Parents of preschool fire setters: perceptions of the child-play fire hazard

The present study sought to learn about risk perceptions held by parents of preschool fire-setters. A 41-item survey was distributed to 60 parents whose children, aged 6 years and younger, had previously set fires and who were involved in intervention programmes throughout the US. Most parents did not think their children would play with matches/lighters, or knew how to use these items, although some had witnessed their children playing with matches/lighters previously. Most parents reported having taken precautions to keep matches/lighters out of reach and also educating their children about fire. Regardless, children not only set fires, but in 40% of cases climbed to access the match/lighter. Parents' perceptions of their children's proclivity for fire play were not consistent with their actual fire-play behaviour. Parents underestimated the likelihood that their children would play with matches/lighters. Although most reportedly undertook preventative measures aimed at thwarting fire play, these strategies were ineffective. Traditionally relied upon precautionary techniques, such as storing lighters out of reach and discussing the dangers of fire, were not sufficient to stem interest and resultant fire play.     

Incidence and characteristics of unintentional injuries among children in a resource limited setting in Kampala,Uganda

ABSTRACT

Given that little is known about the epidemiology of unintentional injuries in children in low-income countries, this study sought to determine the incidence and characteristics of unintentional injuries among children aged ≤18 years in a slum community in Uganda. From a household survey, the incidence and odds ratios for factors associated with unintentional injury characteristics were calculated. Of 1583 children, 706 had suffered 787 unintentional injuries yielding an annual incidence rate of 497 injuries per 1000 children. Commonest injuries were cuts, bites or open wounds (30.6%) and bruises or superficial injuries (28.6%) with majority (75.5%) occurring at home. Boys were more likely to be injured at school (AOR 4.34; 95% CI 1.22–15.54) and to be injured from falls (AOR 1.41; 95% CI 1.01–1.96). Older children (12–18 years) were more likely to suffer from fractures (AOR 2.37; 95% CI 1.26–4.43), concussions and organ system injuries (AOR 3.58; 95% CI 1.03–12.39) and cuts, bites or open wounds (AOR 2.05; 95% CI 1.21–3.48). Older children were less likely to suffer burns or scalds as compared to the young children (AOR: 0.23; 95% CI 0.11–0.50). Unintentional injury incidence rate was high among children with most occurring in the homes.     

Parents of preschool fire setters: perceptions of the child-play fire hazard

The present study sought to learn about risk perceptions held by parents of preschool fire-setters. A 41-item survey was distributed to 60 parents whose children, aged 6 years and younger, had previously set fires and who were involved in intervention programmes throughout the US. Most parents did not think their children would play with matches/lighters, or knew how to use these items, although some had witnessed their children playing with matches/lighters previously. Most parents reported having taken precautions to keep matches/lighters out of reach and also educating their children about fire. Regardless, children not only set fires, but in 40% of cases climbed to access the match/lighter. Parents' perceptions of their children's proclivity for fire play were not consistent with their actual fire-play behaviour. Parents underestimated the likelihood that their children would play with matches/lighters. Although most reportedly undertook preventative measures aimed at thwarting fire play, these strategies were ineffective. Traditionally relied upon precautionary techniques, such as storing lighters out of reach and discussing the dangers of fire, were not sufficient to stem interest and resultant fire play.     

Accidental injuries among the elderly within the Vienna community: Epidemiology,risk factors and preventive measures

Abstract

Unintentional injuries ('accidents’) among elderly people are a significant burden in public health because such accidents happen frequently and because the proportion of older age groups in the population will continue to rise during the coming decades. One aim of this study, which was done in Vienna, the capital of Austria, was to broaden the preventive concept, adding lifestyle and living conditions to already well-known risk factors following the health promotion approach. Furthermore, characteristics that predispose older residents to accidents should be identified in order to design preventive measures for reducing injuries in this age group.

809 interviews with people 60 years of age and over were conducted, concerning accidents, outcomes of accidents, physical fitness, drug intake, type of house or dwelling, equipment in the household incorporating safety features, psychological well-being and social relations. The information collected was used to draw cross-sectional comparisons between participants who reported having experienced at least one accident in the previous 12 months and those who did not. Furthermore, the accident incidents were classified into 2 groups: incidents without injuries and injurious accidents. The latter served as a base for the epidemiology of injuries for people 60 years of age and over within the Vienna community.

20% of all senior citizens suffer at least one unintentional injury every year, in addition to which 8% experience critical incidents (mostly falls) without injury. Most accidents occur at home or involve pedestrians in public traffic areas. Over 90% of all accidents are falls, and 20% result in fractures. The most important risk factors for accidents in the elderly are gender, increasing age, poor physical fitness and low physical activity, the type of household and household equipment, poor psychological well-being, low income and loneliness.

The findings regarding falls suggest some possible opportunities for reducing the risk of falls by improving buildings and dwellings of the elderly. A promising attempt at practical implementation of these findings is being conducted by the Vienna-based Austrian Institute for Home and Leisure Safety in cooperation with the Vienna City Council. These two organizations are implementing a long-term program that aims at mobilizing institutions and organizations involved in working with the elderly.     

Perceived hazardousness of child-care products and the effectiveness of safety information

Abstract

In the present study, the hazardousness of child-care products as perceived by parents of young children between o and 4 years of age was investigated. Some related factors, such as perceived likelihood of injury, perceived severity of injury, and familiarity with the product, were also studied. Perceived hazardousness is strongly related to the effectiveness of safety information. The results indicate that parents do not think of child-care products as hazardous, and they appear to be very familiar with most of the products investigated. Perceived hazardousness was found to be most strongly related to perceived likelihood of injury and somewhat less strongly to perceived severity of injury. No relationship was found between either perceived hazardousness and familiarity or between perceived hazardousness and objective accident frequencies. It was concluded from this study that, because the perceived hazardousness of child-care products is low, the effectiveness of safety information provided with these products will also be low. Recommendations for improving the effectiveness of safety information are provided.     

Benzodiazepines and falling injuries in the elderly

Abstract

Objective: To investigate the use of benzodiazepines (BD) in relation to the risk of falling injuries in an elderly population (65 yrs. or older)

Design: An unmatched case-control study. Setting: The town of Pori, Finland

Participants: 380 subjects aged 65 years or over, who presented for medical treatment due to a fall during the 12 months from Sept. 1987 to Aug. 1988, and 342 controls, 65 years or older, selected from the population register. The control subjects were examined according to a schedule that corresponded in time (time of day, day of the week and month) to the time-distribution of falls in an earlier study

Outcome measure: All falls leading to medical treatment. BD use was determined from the serum, and the type of BD was determined by interviews and controlled from patient records

Results: We found a tendency toward a dose-response relationship between the serum BD concentration and the occurrence of falling injury. The risk of faling injury related to short-acting BDs was increased 5-fold and that for other BDs 2-fold compared to the risk among those without any BD in the serum. Conclusion: The results indicate that BD use is associated with falls in the elderly, and that short-acting BDs seem to be associated with falls more often. The results suggest caution in the use of BDs in the elderly.     

An Exploratory Assessment of Voter and Governmental Interface on Pertinent Issues Facing American Children and Youth

SUMMARY

The strength of the social fabric of a country is determined, to a large extent, by the quality and potential of its children. While parents are expected to bear the primary responsibility for the well-being of their children, various other institutions including the government exist in a society to provide the support structure through which the quality of life for its children can be enhanced. In recent years, considerable attention has been drawn to the problems that children and young adults face in the U.S. However, more than ever, Americans view government-sponsored programs and their ability to help troubled youth of the country with skepticism. Using an open systems paradigm within the context of the resource exchange theory, this research empirically investigates the attitudes of the voting public towards the problems facing children and youth in a sample population of the U.S. It also evaluates the perceptions of the respondents regarding the efficacy of government-sponsored programs targeted at children as well as public-policy and social marketing implications of these findings.     

Current activites in the field of child safety within CEN aand ISO

Abstract

Many countries have implemented safety and performance requirements for children's products. There is, however, a need to harmonize existing legislation and standards to facilitate a uniform flow of trade. At the same time, it is essential to extend existing requirements to restrict certain hazards which have not been covered in the past.

In CEN, the European Committee for standardization, several technical committees are developing European Standards for products to be used by or for children. On a global level as well, within ISO, there are standardization projects covering such products.

Child safety is the main objective for the standardization work on:

?Safety of toys (CENATC 52, ISO/TC 181)

? Child use and care articles (CEN/TC 252)

?Playground equipment for children LCEN/TC 136/SC 1)

? Children's furniture (CEN/TC 207, ISO/TC 136(

?Child-resistant packaging (CEN/TC 261/SC 2, ISO/TC 122) Children's products constitute a group of consumer products with large variations between the different products. Nevertheless, since they all come in contact with children (and their parents), several hazards associated with these products are similar for the various products. This is reflected in the work of CEN/TC 252, Child use and care articles, established in 1990.

To establish a horizontal framework for the hazard-based approach, CEN/ TC 252 created a working group with the task to specify general and common safety requirements (WG 6). Five working groups started the elaboration of product standards in parallel.

The traditional concept of a standardization project was found inadequate and other solutions were sought. Finally, it was decided to combine the results from working group 6 into one guidance document, to be published as a CEN Report.     

Swing accidents within the European region

Abstract

This study was conducted to gain greater awareness and understanding of the issues and events which lead to swing accidents; in particular, to provide indices for determining preventive measures concerning swing accidents by means of analyzing accident data. A secondary objective was to find out the potential use for data collected by means of the European Home and Leisure Accident Surveillance System (EHLASS)

All twelve Member States of the European Community in 1993 were asked for information on accidents involving swings recorded by EHLASS. Eight countries provided information on a total of more than 5,000 accidents. Based on this information it was concluded that every year in the European Community about 70,000 people have to be treated at an Accident and Emergency Department for an injury due to a swing, i.e. eleven victims per 10,000 children up to fifteen years of age. On average, half of the accidents involving playground equipment refer to swings. Swing accidents result in general in more severe injuries (based on the proportion of hospital admissions and fractures) than other home and leisure accidents recorded by EHLASS. Three quarters of the accidents refer to falls from a height. The location varies largely from country to country. The most common injuries are arm fractures and contusions of the head. The paper also goes into the differences noted for the countries included in the analyses. It is concluded that accidents involving swings result in severe injuries and form a serious problem, especially for children up to fifteen years of age. Many similarities between the countries were noted, except for the location of the accident. EHLASS has a considerable potential to make a substantial contribution to consumer safety in Europe     

Equal Dreams: The One Child Policy and the Consumption of Education in Urban China

This study explores the effect that China's one child birth policy is having on gender equality in urban areas of China, as viewed through patterns of consumption. Specifically, differential access to education by gender is examined through an analysis of the investments of urban parents in their children's education. The results of the study show that there are few important differences in the aspirations of parents for daughters versus sons. In addition, educational expenditures, including tuition, private lessons, books, and other educational products, show no significant differences by gender. These results seem to indicate that, in an important departure from a long history of unequal access to education by females in China, urban children are receiving full and equitable investments in their futures by their families, regardless of their gender. The results have important implications for the effects that public policies can have on gender equality.     

Elderly Latinos in the U.S.: What Do They Know and Think About HIV/AIDS?

ABSTRACT

Previous research on efforts to change health related behaviors indicates that such change may be affected by an individual's knowledge and attitudes, sense of self-efficacy and of susceptibility, and the norms of his or her reference group. This paper presents results from analysis of responses to the National Health Interview Survey's questions about AIDS knowledge, attitudes, susceptibility and behavior, comparing older Latinos both to older non-Latino Americans and to younger Latinos. Data from the NHIS 1994 survey is analyzed; questions on AIDS knowledge and attitudes are investigated and the effects of age and ethnicity are compared.

The results demonstrate significant differences by ethnicity and age. While substantial majorities of all groups know the basic information about HIV transmission, of the four, older Latinos have the highest proportion of people with some inaccurate information.