Surveillance of the burden of injury and relevant risk factors among agricultural household members: Regional Rural Injury Study - II.
Gerberich-SG; Church-TR; Alexander-BH; Masten-AS; Renier-CM; Ferguson Carlson-K; Ryan-AD; Mongin-SJ
APHA 133rd Annual Meeting and Exposition, Philadelphia, Pennsylvania, December 10-14, 2005. Washington, DC: American Public Health Association, 2005 Dec; :101627
Background: This effort served as a model for surveillance among agricultural households, between 1999 and 2001, to: monitor changes in injury burden for all ages; identify risk factors for agriculture-related injuries among those less than 20 years (<20 years) of age. Methods: Data for all injury events and demographics were collected from a cohort of agricultural operation household members, in a five-state Midwest region, for 1999 and 2001. A nested case-control study collected exposure data for those <20 years. Injury rates were adjusted for within-household correlation. Adjustment analyses addressed potential biases. Case-control data were analyzed using multivariate methods. Results: For 1999 and 2001, respectively, 16,538 and 16,064 persons incurred 2,586 and 2,459 injury events; annualized injury rates per 1,000 persons for <20 and 20+ years, were: 146.0 and 176.0; 144.8 and 168.6. Primary sources of agriculture-related injuries, for each age group, by year, were: animals (41%, 32%; 32%, 37%) and falls (31%, 23%; 32%, 24%). Age groups, by year, identified >7 days of lost agricultural work time, associated with agriculture-related injuries (16%, 15%; 19%, 14%), and all other injuries (17%,15%; 19%, 26%). From case (n=203; 222) - control (n=755; 1131) data, in respective years, increased risks were identified for: operating/riding in a motor vehicle; riding on/operating a tractor; operating large/small equipment; working with horses, sheep, beef cattle, and dairy cattle. Conclusions: Identification of the total injury burden, on agricultural operations, and risk factors for agriculture-related injuries, suggest opportunities for interventions and further research.
Age-factors; Agricultural-industry; Agricultural-workers; Agriculture; Animals; Case-studies; Demographic-characteristics; Exposure-assessment; Families; Farmers; Injuries; Injury-prevention; Mathematical-models; Quantitative-analysis; Risk-analysis; Risk-factors; Safety-measures; Safety-practices; Statistical-analysis; Work-analysis; Work-capability; Work-environment; Worker-health; Work-operations; Work-organization; Work-performance; Workplace-monitoring; Workplace-studies; Work-practices;
Author Keywords: Surveillance; Injury Risk
Susan G. Gerberich, PhD, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, MMC 807, 420 Delaware Street SE, Minneapolis, MN 55455
APHA 133rd Annual Meeting and Exposition, Philadelphia, Pennsylvania, December 10-14, 2005
University of Minnesota Twin Cities