Abstract
Although unstructured physical play is helpful to child development and physical activity is important to obesity prevention, up-to-date information about playgrounds and playground bazards in urban areas is limited. Local data are needed to identify problems and target interventions. The aim of this study was to describe the hazards in playgrounds located in low-income (median $28,728–38,915) and very low-income (median $18,266–18,955) Chicago neighborhoods. Using a standardized on-site survey (National Program for Playground Safety), two investigators reviewed seventy-eight public playgrounds for hazards related to playground design, safe surfaces, supervision, and equipment design and maintenance. The design of 56 playgrounds (72%) posed no hazards. One playground lacked protection from motor vehicles, and 21 had minor flaws. One playground had an asphalt surface; all others had protective surfaces, usually wood chips. The chips were too thin in many places, and in 15 playgrounds (19%), at least one concrete footing was exposed. Trash was a common surface hazard (68%). Although most equipment was safe (swings of soft materials and appropriate platform barriers), many pieces needed repairs. Equipment maintenance hazards included gaps (44%) and missing (38%) or broken parts (35%). In 13 of 39 playgrounds (33%) where children were observed playing, one or more were unsupervised. Playgrounds in very low-income neighborhoods more often had trash in the fall zone and exposed footings (P<01 for each); there were no differences between low and very low-income neighborhoods in playground design or equipment maintenance. We conclude that playgrounds in low-income Chicago neighborhoods are of good design and have appropriate surfaces. Needed improvements include attention to wood chip depth, the removal of trash from the fall zone, and equipment repairs. Greater adult supervision is warranted.
Keywords: Playground, Poverty, Urban
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References
- 1.National Association of the Early Years of Childhood. Early years are learning years, #98/8. Available at: http://www.naeyc.org/resources/eyly/1998/08.htm. Accessed August 12, 2003.
- 2.The Surgeon General’s Call to Action to Prevent and Decrease Overweight and Obesity. Rockville, MD: US Department of Health and Human Services, Public Health Service, Office of the Surgeon General; 2001. [PubMed] [Google Scholar]
- 3.American Academy of Pediatrics Prevention of pediatric overweight and obesity. Pediatrics. 2003;112:424–430. doi: 10.1542/peds.112.2.424. [DOI] [PubMed] [Google Scholar]
- 4.Northridge ME, Sclar ED, Biswas P. Sorting out the connections between the built environment and health: a conceptual framework for navigating pathways and planning healthy cities. J Urban Health. 2003;80:556–568. doi: 10.1093/jurban/jtg064. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Tinsworth D, McDonald J. Special Study: Injuries and Deaths Associated with Children’s Playground Equipment. Washington, DC: U.S. Consumer Product Safety Commission; 2001. [Google Scholar]
- 6.Centers for disease control and prevention Playground safety-United States, 1998–1999. MMWR Morb Mortal Wkly Rep. 1999;48:329–332. [PubMed] [Google Scholar]
- 7.Sacks JJ, Brantley MD, Holmgreen P, Rochat RW. Evaluation of an intervention to reduce playground hazards in Atlanta child-care centers. Am J Public Health. 1992;82:429–431. doi: 10.2105/ajph.82.3.429. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Sibert JR, Mott A, Rolfe K, et al. Preventing injuries in public playgrounds through partnership between health services and local authority: community intervention study. BMJ. 1999;318:1595–1595. doi: 10.1136/bmj.318.7198.1595. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Roseveare CA, Brown JM, Barclay-McIntosh JM, Chalmers DJ. An intervention to reduce playground equipment hazards. Inj Prev. 1999;5:124–148. doi: 10.1136/ip.5.2.124. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Handbook for Public Playgrond Safety. Washington, DC: US Government Printing Office; 1991. [Google Scholar]
- 11.Suecoff SA, Avner JR, Chou KJ, Crain EF. A comparison of New Your City playground hazards in Rhigh-and low-income areas. Arch Pediatr Adolesc Med. 1999;153:363–366. doi: 10.1001/archpedi.153.4.363. [DOI] [PubMed] [Google Scholar]
- 12.Chicago Area Geographic Information Study, Census 2000, Social, Economic, and Housing Data in one file for all 77 Community Areas in the city of Chicago. Available at: http://www.cagis.uic.edu. Accessed August 12, 2003.
- 13.Mack MG, Hudson S, Thompson D. A descriptive analysis of children’s playground injuries in the United States, 1990–4. Inj Prev. 1997;3:100–103. doi: 10.1136/ip.3.2.100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Chalmers DJ, Marshall SW, Langley JD, et al. Height and surfacing as risk factors for injury in falls from playground equipment: a case-control study. Inj Prev. 1996;2:98–104. doi: 10.1136/ip.2.2.98. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Macarthur C, Hu X, Wesson DE, Parkin PC. Risk factors for severe injuries associated with falls from playground equipment. Accid Anal Prev. 2000;32:377–382. doi: 10.1016/S0001-4575(99)00079-2. [DOI] [PubMed] [Google Scholar]
- 16.Lewis LM, Naunheim R, Standeven J, Naunheim KS. Quantitation of impact attenuation of different playground surfaces under various environmental conditions using a tri-axial accelerometer. J Trauma. 1993;35:932–935. doi: 10.1097/00005373-199312000-00020. [DOI] [PubMed] [Google Scholar]
- 17.Playground Surfacing. Washington, DC: US Government Printing Office; 1990. [Google Scholar]
- 18.Sosin DM, Keller P, Sacks JJ, Kresnow M, Dyck PC. Surface specific fall injury rates on Utah school playgrounds. Am J Public Health. 1993;83:733–735. doi: 10.2105/AJPH.83.5.733. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Forest S, Robitaille Y, Lesage D, Dorval D. Surface characteristics, equipment height, and the occurrence and severity of playground injuries. Inj Prev. 2001;7:35–40. doi: 10.1136/ip.7.1.35. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.CitySpace Document: An Open Space Plan for Chicago. Chicago, IL: City of Chicago, Chicago Park District, Forest Preserve District of Cook County and Friends of the Parks; January 1998.