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Regional Rural Injury Study-II: Incidence, consequences, and etiology of agricultural injuries.

Gerberich-SG; Church-TR; Renier-CM; Gibson-RW; French-LR; Masten-A; Alexander-BH; Mongin-SJ; Ryan-AD; Ferguson-KR; Zhang-X
APHA 131st Annual Meeting and Exposition, San Francisco, California, November 15-19, 2003. Washington, DC: American Public Health Association, 2003 Nov; :71648
This study was conducted to determine the incidence and consequences of injuries for all persons and identify risk factors for agricultural operation-related injuries to persons <20 years of age. A cohort of agricultural operations was randomly selected in a five-state region; 16,538 persons (8,488 children <20 years) participated. Data were collected using a computer assisted telephone interview for the two six-month periods of 1999 to identify all injury events and relevant demographics for all household members. Agricultural exposures of interest were collected for those <20 years through the application of a simultaneous nested case-control study (cases=203; controls=755). Personal risk and injury event rates were adjusted for within-household correlation, non-response and unknown eligibility. Univariate and multivariate analyses were conducted for the case-control study. Relevant methods addressed eligibility, non-response and confounders. Logistic and Poisson regression were used to investigate the relation between exposures of interest and the occurrence of agricultural-related injuries. For those <20 and 20+ years of age, the respective overall annualized injury rates were 146 and 176 per 1,000 persons while the primary sources of agricultural injuries were animals (41%, 32%) and falls (31%, 23%); 17% and 14% identified >7 days of lost agricultural work time. Increased risks (ORs; 95%CIs) for those <20 years were: operating or riding in a motor vehicle (3.5; 2.1-6.1); riding on (2.1; 1.4-3.0) or operating a tractor (1.8; 1.1-2.8); operating large (1.7; 1.05-2.7) or small equipment (1.7; 1.1-2.6); and working with horses (2.4; 1.5-3.6), sheep (2.1; 1.1-4.0) or beef cattle (1.8; 1.2-2.7).
Age-factors; Age-groups; Agricultural-industry; Agricultural-machinery; Agricultural-processes; Agricultural-workers; Agriculture; Analytical-processes; Animals; Case-studies; Children; Data-processing; Demographic-characteristics; Equipment-operators; Ergonomics; Exposure-assessment; Exposure-levels; Exposure-methods; Families; Farmers; Injuries; Mathematical-models; Musculoskeletal-system; Occupational-accidents; Occupational-exposure; Occupational-hazards; Occupational-health; Quantitative-analysis; Risk-analysis; Risk-factors; Statistical-analysis; Tractors; Work-environment; Worker-health; Work-performance; Workplace-monitoring; Work-practices; Author Keywords: Children and Adolescents; Risk Factors
Kathleen R. Ferguson, School of Public Health, Division of Environmental and Occupational Health, Regional Injury Prevention Research Center, University of Minnesota, Mayo Mail Code 807, 420 Delaware Street S.E., Minneapolis, MN 55455
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APHA 131st Annual Meeting and Exposition, San Francisco, California, November 15-19, 2003
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University of Minnesota Twin Cities