Sensitivity and Representiveness of the Massachusetts Teens At Work Injury Surveillance System

Sensitivity and Representativeness of the Massachusetts Teens At Work Injury Surveillance SystemMyDzung Chu, MSPH

Beatriz P. Vautin, MPHSangWoo Tak, ScD, MPHLetitia Davis, ScD, EdM

CSTE Applied Epidemiology FellowMassachusetts Department of Public Health

Funded through CSTE-CDCs Cooperative Agreement #5U38HM000414-5.1 and CDC-NIOSHs Cooperative Agreement #2U60OH008490

(1)This evaluation was supported in part by an appointment to the Applied Epidemiology Fellowship Program administered by the Council of State and Territorial Epidemiologists (CSTE) and funded by the Centers for Disease Control and Prevention (CDC) Cooperative Agreement Number 5U38HM000414-5.

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Designed by Shari Cot, 1st Place Winner of MAs 2013 Safe Jobs for Youth Poster Contest (3)

In MA, 900+ teens seek ER care for work injuries every year (2).Nearly 70 die from work-related injuries (2).Statement of problem:Nationally: CDC - 70 teens are killed and another 70,000 require hospital treatment each year due to work-related incidents.

State:MDPH- each year 900+ working teens in MA seek emergency room care due to work injuries; an estimated 2,400 are injured but don't seek medical treatment.

- Teens generally work in the retail, hotel and food services industries, which can be hazardous under certain circumstances. These types of jobs represent nearly 60 percent of employers for young workers. 2Teens At Work (TAW) Injury Surveillance System: Population and Sentinel (3,4)3Goal: Reduce the incidence of work-related (WR) injuries to young workers, by: Case definition: A traumatic injury to a person under age 18 while the person was working for pay,that was medically treated, orfor which a workers compensation lost-time claim has been filed, orthat was fatal.

Emphasize richness of sentinel data for many of TAWs activities

3Multi-source system4Data sourcesTAW surveillance activities

TAW background: multiple source system

- Some cases from burn registry as well but so few-do not include- The few fatal cases are from OHSPs Fatality Assessment and Control Evaluation (FACE) project45Targeted attributes (5)

Data quality

Predictive Value Positive (PVP)

Representativeness of sample ED cases

Macro SensitivityTAW Surveillance System Evaluation

5I. Representativeness of sample ED cases6Comparison of the data sourcesCharacteristicsSample ED data (n=9)Statewide ED data (N=68)Case definitionMedically treated cases