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Surveillance of injury burden and risk factors for agricultural injury among children and youth: Regional Rural Injury Study - II.
Gerberich SG; Church TR; Alexander BH; Masten AS; Renier CM; Carlson KF; Ryan AD; Mangin SJ
Am J Epidemiol 2005 Jun; 161(11)(Suppl):S64
This surveillance effort was conducted among agricultural households to: determine the injury burden for all injuries and risk factors for agriculture-related injury, among persons less than 20 (<20) years of age; and monitor changes, between 1999 and 2001. Data for all injury events and demographics were collected by computer-assisted telephone interview, from a cohort of agricultural operation household members, in a five-state Midwest region. Exposure data were collected, simultaneously, through a nested case-control study. Injury rates were adjusted for within-household correlation. Adjustment analyses addressed potential biases. Case-control data were analyzed using multivariate methods. For 1999 and 2001, respectively, 8, 3 13 and 7,812 persons incurred 1,191 and 1,138 injury events. Annualized injury rates per 1,000 persons for <20 years, were 146.0 and 144.8. Primary sources of agriculture-related injuries were: animals (41%; 32%) and falls (31%; 32%); in 1999 and 2001, 16% and 19%, respectively, identified >7 days of lost agricultural work time, associated with agriculture-related injuries and 17% and 15% for other injuries. From case (n=203; 222) - control (n=755; 1131) data, in respective years, increased risks (ORs and 95% CIs) were: operating/riding in a motor vehicle (3.7, 2.2-6.2; 2.8, 1.7- 4.8); riding on (1.8, 1.2-2.6; 1.3,0.9-1.9) or operating a tractor (1.6, 1.02-2.5; 2.0, 1.2-3.1); operating large (1.5, 0.9-2.3; 1.6, 1.0-2.6) and small (1.4, 0.9-2.1; 1.7, 1.1-2.7) equipment; working with horses (2.3, 1.5-3.4; 2.0, 1.3-3.0), sheep (2.3, 1.2-4.3; 2.0, 1.2- 3.3), beef cattle (2.0, 1.4-2.9; 2.1 , 1.4-2.9) and dairy cattle (1.4, 0.9-2.2; 1.5, 0.9-2.5). Identification of the total injury burden, on agricultural operations, and risk factors for agriculture-related injuries, suggest opportunities for interventions and further research.
Agricultural-industry; Agricultural-processes; Agricultural-workers; Agriculture; Analytical-processes; Children; Demographic-characteristics; Exposure-assessment; Exposure-levels; Exposure-methods; Families; Farmers; Injuries; Injury-prevention; Occupational-exposure; Occupational-hazards; Quantitative-analysis; Risk-factors; Statistical-analysis
Issue of Publication
American Journal of Epidemiology
University of Minnesota Twin Cities
Page last reviewed: May 5, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division