Rasmussen K, Carstensen O, Lauritsen J M
Department of Occupational Medicine, Herning Hospital, DK 7400 Herning, Denmark.
Am J Ind Med. 2000 Jul;38(1):82-9. doi: 10.1002/1097-0274(200007)38:1<82::aid-ajim9>3.0.co;2-q.
In Denmark, farming ranks as the industry with the highest incidence rate of fatal injuries. For nonfatal injuries, insufficient registration practices prevent valid comparisons between occupations. This study examines the occurrence of farm accidents and injuries, as well as work-specific factors, via weekly registration in a representative sample of 393 farms in one county during 1 year.
From a random sample of 794 farms, (10% of farms in the county of Ringkoebing, Denmark) 393 farms with 1,597 residents and employees participated in a 1-year self-registration of work-related unintentional incidents. The procedure included a detailed registration of hours spent on all main working tasks. Weekly recording of incident occurrence or nonoccurrence resulted in the completion of 19,782 registration forms. Three months after incident occurrence, a telephone interview was conducted about the related work situation and resulting injuries.
During the 12-month period, 479 occupational accidents were reported, of which 389 resulted in an injury. The absolute number of injuries increased with number of work hours, but there was no relative increase of incidence by work hours. Persons below the age of 50 had slightly less than a doubled risk compared with those over 50 years of age. No other marked, reliable age effect was found. There was, however, a seasonal variation, with summer and autumn having a double relative incidence compared with winter and spring. Among farm owners, 35% experienced at least one injury per year, while this was the case for 17% of farm laborers. When adjusting for work hours, the increased frequency of injuries among farm owners was reduced to a factor of 1.5. Animal-related work was the most common injury mechanism. Repair and maintenance work was found to be the most dangerous task relative to the number of task-specific work hours. Subgroups of tasks with a markedly increased injury rate were moving animals within the farm, veterinary procedures, and repair of field machinery and stable equipment.
Farm injuries occur among 32% of full-time farmers and farm laborers each year. A quarter of these require professional treatment. This area calls for preventive action.
在丹麦,农业是致命伤害发生率最高的行业。对于非致命伤害,登记做法不完善阻碍了不同职业间的有效比较。本研究通过对一个县393个农场的代表性样本进行为期1年的每周登记,调查农场事故和伤害的发生情况以及特定工作因素。
从794个农场的随机样本(丹麦灵克宾县10%的农场)中,393个有1597名居民和雇员的农场参与了为期1年的与工作相关的意外事件自我登记。该程序包括详细记录在所有主要工作任务上花费的时间。每周记录事件的发生与否,共完成19782份登记表。事件发生三个月后,就相关工作情况和由此造成的伤害进行电话访谈。
在12个月期间,报告了479起职业事故,其中389起导致受伤。受伤的绝对数量随工作小时数增加,但按工作小时数计算的发病率没有相对增加。50岁以下的人与50岁以上的人相比,风险略低于两倍。未发现其他明显、可靠的年龄效应。然而,存在季节性变化,夏季和秋季的相对发病率是冬季和春季的两倍。在农场主中,35%的人每年至少经历一次受伤,而农场工人中这一比例为17%。在调整工作小时数后,农场主受伤频率的增加降至1.5倍。与动物相关的工作是最常见的受伤机制。相对于特定任务的工作小时数,维修和保养工作被发现是最危险的任务。受伤率明显增加的任务子类别包括在农场内移动动物、兽医程序以及田间机械和畜舍设备的维修。
每年32%的全职农民和农场工人会发生农场伤害。其中四分之一需要专业治疗。该领域需要采取预防措施。