{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T15:31:46Z","timestamp":1788363106460,"version":"build-2803163510"},"reference-count":27,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2016,7,1]],"date-time":"2016-07-01T00:00:00Z","timestamp":1467331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective.<\/jats:title>\n                    <jats:p>Acute exposure to pesticides is associated with nausea, headaches, rashes, eye irritation, seizures, and, in severe cases, death. We characterized pesticide-related hospitalizations in Texas among children and teenagers for 2004\u20132013 to characterize exposures in this population, which is less well understood than pesticide exposure among adults.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods.<\/jats:title>\n                    <jats:p>We abstracted information on pesticide-related hospitalizations from hospitalization data using pesticide-related International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) codes and E-codes. We calculated the prevalence of pesticide-related hospitalizations among children and teenagers aged \u226419 years for all hospitalizations, unintentional exposures, intentional exposures, pesticide classifications, and illness severity. We also calculated age- and sex-specific prevalence of pesticide-related hospitalizations among children.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results.<\/jats:title>\n                    <jats:p>The prevalence of pesticide-related hospitalizations among children and teenagers was 2.1 per 100,000 population. The prevalence of pesticide-related hospitalizations per 100,000 population was 2.7 for boys and 1.5 for girls. The age-specific prevalence per 100,000 population was 5.3 for children aged 0\u20134 years, 0.3 for children and teenagers aged 5\u201314 years, and 2.3 for teenagers aged 15\u201319 years. Children aged 0\u20134 years had the highest prevalence of unintentional exposures, whereas teenagers aged 15\u201319 years had the highest prevalence of intentional exposures. Commonly reported pesticide categories were organophosphates\/carbamates, disinfectants, rodenticides, and other pesticides (e.g., pyrethrins, pyrethroids). Of the 158 pesticide-related hospitalizations, most were coded as having minor ( n=86) or moderate ( n=40) illness severity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion.<\/jats:title>\n                    <jats:p>Characterizing the prevalence of pesticide-related hospitalizations among children and teenagers leads to a better understanding of the burden of pesticide exposures, including the type of pesticides used and the severity of potential health effects. This study found differences in the frequency of pesticide-related hospitalizations by sex, age, and intent (e.g., unintentional vs. intentional).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0033354916662218","type":"journal-article","created":{"date-parts":[[2016,8,4]],"date-time":"2016-08-04T18:52:51Z","timestamp":1470336771000},"page":"588-596","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Pesticide-Related Hospitalizations Among Children and Teenagers in Texas, 2004\u20132013"],"prefix":"10.1177","volume":"131","author":[{"given":"Amber B.","family":"Trueblood","sequence":"first","affiliation":[{"name":"Texas A&M University Health Science Center, School of Public Health, Department of Environmental & Occupational Health, College Station, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Shipp","sequence":"additional","affiliation":[{"name":"Texas A&M Transportation Institute, Center for Transportation Safety, College Station, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daikwon","family":"Han","sequence":"additional","affiliation":[{"name":"Texas A&M Health Science Center, School of Public Health, Department of Epidemiology & Biostatistics, College Station, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Ross","sequence":"additional","affiliation":[{"name":"Texas A&M Health Science Center, School of Public Health, Department of Public Health Studies, College Station, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie H.","family":"Cizmas","sequence":"additional","affiliation":[{"name":"Texas A&M University Health Science Center, School of Public Health, Department of Environmental & Occupational Health, College Station, TX"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2016,8,4]]},"reference":[{"key":"bibr1-0033354916662218","unstructured":"Environmental Protection Agency (US). Children are not little adults! [cited 2016 Jan 9]. Available from: http:\/\/www.epa.gov\/children\/children-are-not-little-adults"},{"key":"bibr2-0033354916662218","unstructured":"National Pesticide Information Center. Pesticides and children [cited 2016 Jan 9]. Available from: http:\/\/npic.orst.edu\/health\/child.html"},{"key":"bibr3-0033354916662218","unstructured":"Environmental Protection Agency (US). Environments and contaminants: indoor environments\u2014report contents [cited 2016 Jan 9]. Available from: http:\/\/www.epa.gov\/ace\/environments-and-contaminants-indoor-environments-report-contents"},{"key":"bibr4-0033354916662218","unstructured":"Environmental Protection Agency (US). Basic information about pesticide ingredients [cited 2016 Jan 9]. Available from: http:\/\/www.epa.gov\/ingredients-used-pesticide-products\/basic-information-about-pesticide-ingredients"},{"key":"bibr5-0033354916662218","unstructured":"Grube A, Donaldson D, Kiely T, Wu L. Pesticides industry sales and usage: 2006 and 2007 market estimates. Report No.: 733-R-11-001. Washington: Environmental Protection Agency (US); 2011."},{"key":"bibr6-0033354916662218","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcl.2006.11.005"},{"key":"bibr7-0033354916662218","doi-asserted-by":"publisher","DOI":"10.1016\/j.taap.2013.01.025"},{"key":"bibr8-0033354916662218","doi-asserted-by":"publisher","DOI":"10.3109\/15563650.2015.1102927"},{"key":"bibr9-0033354916662218","unstructured":"Centers for Disease Control and Prevention (US). ICD injury matrices: what are external cause of injury (E-code) codes? [cited 2016 Jan 9]. Available from: http:\/\/www.cdc.gov\/nchs\/injury\/injury_matrices.htm#external_codes"},{"key":"bibr10-0033354916662218","unstructured":"Centers for Disease Control and Prevention (US). International classification of diseases, ninth revision, clinical modification (ICD-9-CM) [cited 2016 Jan 9]. Available from: http:\/\/www.cdc.gov\/nchs\/icd\/icd9cm.htm"},{"key":"bibr11-0033354916662218","unstructured":"Centers for Medicare & Medicaid Services (US). ICD-9-CM diagnosis and procedure codes: abbreviated and full code titles [cited 2016 May 27]. Available from: https:\/\/www.cms.gov\/Medicare\/Coding\/ICD9ProviderDiagnosticCodes\/codes.html"},{"key":"bibr12-0033354916662218","doi-asserted-by":"publisher","DOI":"10.1177\/003335491012500315"},{"key":"bibr13-0033354916662218","doi-asserted-by":"publisher","DOI":"10.1300\/J096v11n02_10"},{"key":"bibr14-0033354916662218","volume-title":"Texas hospital inpatient discharge public use data file, 2004\u20132013","author":"Texas Department of State Health Services","year":"2016"},{"key":"bibr15-0033354916662218","volume-title":"Health care information user manual","author":"Texas Department of State Health Services","year":"2013"},{"key":"bibr16-0033354916662218","volume-title":"Pesticide-related illness and injury surveillance: a how-to guide for state-based programs. Report No.: DHHS publication number 2006-102","author":"National Institute for Occupational Safety and Health (US)","year":"2005"},{"key":"bibr17-0033354916662218","volume-title":"What are APR-DRGs? An introduction to severity of illness and risk of mortality adjustment methodology","author":"Averill R","year":"2003"},{"key":"bibr18-0033354916662218","unstructured":"Census Bureau (US). American FactFinder: 2010 Census summary file 1, table PCT12 [cited 2016 Jan 9]. Available from: http:\/\/factfinder.census.gov\/faces\/nav\/jsf\/pages\/index.xhtml"},{"key":"bibr19-0033354916662218","volume-title":"SAS \u00ae: version 9.4","author":"SAS Institute, Inc","year":"2014"},{"key":"bibr20-0033354916662218","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-2758"},{"key":"bibr21-0033354916662218","volume-title":"Exposure to highly hazardous pesticides: a major public health concern","author":"World Health Organization","year":"2010"},{"key":"bibr22-0033354916662218","unstructured":"American Foundation for Suicide Prevention. Suicide statistics [cited 2016 Jan 15]. 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In press."},{"key":"bibr27-0033354916662218","volume-title":"Pesticide Exposure Surveillance in Texas (PEST)","author":"Texas Department of State Health Services","year":"2016"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354916662218","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0033354916662218","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0033354916662218","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:33:12Z","timestamp":1777627992000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0033354916662218"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2016,7]]}},"alternative-id":["10.1177\/0033354916662218"],"URL":"https:\/\/doi.org\/10.1177\/0033354916662218","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}