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Sports and recreational injuries: Regional Rural Injury Study-II.

Kurszewski-LS; Gerberich-SG; Serfass-RC; Ryan-AD; Renier-CM; Mongin-SJ; Alexander-BH; Ferguson-KR; Masten-AS
APHA 132nd Annual Meeting and Exposition, Washington, DC, November 6-10, 2004. Washington, DC: American Public Health Association, 2004 Nov; :91615
Purpose: To identify the incidence and severity of, and potential risk factors for, sports and recreational (SR) injuries in a five-state rural, Midwest population. Methods: Computer assisted telephone interviews, that included questions regarding SR injuries, were completed for eligible, participating households for 1999; 16,538 persons participated, including 8,488 less than <20 years of age (<20). Rates and 95% confidence intervals were calculated; a causal model and directed acyclic graphs guided multivariate models. Results: From a total of 2,586 injuries, 1,301 (50%) were not related to agricultural activities. Of those, 733 (56%) were related to SR activities: 64%, multiple person sports; 19%, general play activities; 14%, single person sports. Football and basketball accounted for 19% and 22%, respectively. The total annualized rate was 46.4 injury events per 1,000 population per year; respectively, for males and females, rates were: <20 (99.4; 64.3); 20+ (11.9; 4.8.) For those <20 and 20+, 93% and 88% received health care, 44% and 45% were restricted for 7+ days, and 18% and 17% lost farm work time for 7+ days. Results of multivariate analysis included: for <20 - increased risks for residence in Nebraska; being male; and 10-14 or 15-19 years. For those 20+, increased risks were identified for males and those 20-24 years; decreased risks were identified for Nebraska residence and those 45-54 years. Conclusions: SR activities are an important source of injury morbidity and relevant consequences for this agricultural population that include significant restricted activity as well as restriction from agricultural work.
Age-factors; Age-groups; Agricultural-industry; Agricultural-workers; Agriculture; Case-studies; Children; Demographic-characteristics; Exposure-assessment; Families; Farmers; Health-care; Health-hazards; Health-standards; Injuries; Mathematical-models; Morbidity-rates; Quantitative-analysis; Risk-analysis; Risk-factors; Sports-injuries; Statistical-analysis; Work-capability; Work-environment; Worker-health; Work-operations; Work-performance; Workplace-monitoring; Workplace-studies
Deborah Merchant Langner, Occupational Injury Prevention Research Training Program, University of Minnesota, 717 Delaware Street SE, PO Box 9441, Minneapolis, MN 55440-9441
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APHA 132nd Annual Meeting and Exposition, Washington, DC, November 6-10, 2004
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University of Minnesota Twin Cities