Related Experiment Video

Updated: Jun 21, 2025

Four Temporary Waterslide Designs Adapted to Different Slope Conditions to Encourage Child Socialization in Playgrounds
06:00

Four Temporary Waterslide Designs Adapted to Different Slope Conditions to Encourage Child Socialization in Playgrounds

Published on: December 9, 2022

1.9K

How state firework restrictions affect the incidence of paediatric firework injuries in the USA

Nicholas Tranchitella1, Emily Wilson1, Thomas Geiger2

  • 1Medical University of South Carolina, Charleston, South Carolina, USA.

Injury Prevention : Journal of the International Society for Child and Adolescent Injury Prevention
|July 13, 2024
PubMed

Insights

States with fewer firework restrictions see more child injuries. Restricting fireworks could help protect children from these injuries. This study analyzed pediatric firework injuries across the USA.

Area of Science:

  • Public Health
  • Pediatric Injury Prevention
  • Health Law Policy

Background:

  • State laws vary significantly regarding access to consumer fireworks in the USA.
  • The impact of these differing state laws on pediatric firework injuries remains under-investigated.
  • Previous research has not quantitatively linked firework legislation to injury incidence in children.

Purpose of the Study:

  • To investigate the association between state firework laws and the incidence of pediatric firework-related injuries.
  • To test the hypothesis that states with less restrictive firework laws experience a higher rate of child injuries.
  • To provide evidence for policy changes aimed at reducing pediatric firework injuries.

Main Methods:

  • Retrospective analysis of pediatric patients (age <18) with firework injuries from 2012-2020 using the Pediatric Health Information System.
  • Classification of states into 'unrestrictive' and 'restrictive' categories based on permitted fireworks.
  • Negative binomial regression and Mann-Whitney tests were employed to compare injury rates between state categories, controlling for population.

Main Results:

  • A total of 2299 pediatric firework injuries were recorded during the study period.
  • After normalizing for state pediatric population, a statistically significant higher percentage of injuries occurred in 'unrestrictive' states (p=0.002).
  • Unrestrictive states showed a significantly higher mean number of firework injury cases per million children compared to restrictive states (p=0.003).

Conclusions:

  • States with more lenient firework regulations exhibit a greater incidence of firework-related injuries among children.
  • Implementing stricter firework laws may serve as an effective measure to enhance child safety and prevent injuries.
  • Policy recommendations should consider the direct correlation between firework accessibility and pediatric injury rates.
Abstract

Keywords:
Blast/ExplosionBurnChild

More Related Videos

Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

17.5K
Maintenance of a Lateral Fluid Percussion Injury Device05:16

Maintenance of a Lateral Fluid Percussion Injury Device

Published on: April 21, 2023

897

Related Concept Videos

Standards of Care I01:22

Standards of Care I

Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
674
Types of Reports II: Incident or Occurrence Report01:21

Types of Reports II: Incident or Occurrence Report

An Incident or Occurrence Report in a healthcare setting is a crucial document used to record any unexpected occurrence that may or may not have affected a patient, employee, or visitor. Such reports are critical to improving patient safety and include all details leading up to and including the event.
Purposes:
In the healthcare industry, reports play a crucial role in documenting incidents within an agency. The primary objective of these reports is to ensure patient safety, uphold the...
816
Healthcare Agencies II01:17

Healthcare Agencies II

There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
694
Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
54