Zwerling C, Merchant J A, Nordstrom D L, Stromquist A M, Burmeister L F, Reynolds S J, Kelly K M
Department of Occupational and Environmental Health, The University of Iowa, College of Public Health, Iowa City, Iowa 52242-5000, USA.
Am J Prev Med. 2001 Apr;20(3):230-3. doi: 10.1016/s0749-3797(00)00316-0.
Unintentional injuries represent a major cause of morbidity and mortality in rural communities. This study aimed to determine the distribution of injury risk factors in a rural Iowa community and to identify the rural subgroups at highest risk for injury.
We reported on 1583 participants, aged > or =25 years, from Round One of the Keokuk County Rural Health Study, a longitudinal panel study of a rural community. The self-reported data were collected during face-to-face interviews.
Our data suggested that several risk factors for injury are not uniformly distributed among rural populations. Male farmers were significantly less likely to wear their seatbelts than townspeople or rural nonfarmers. However, farm women were as likely to wear seatbelts as other women. Both male and female farmers were more likely to use all-terrain vehicles than townspeople or rural nonfarmers. In contrast, townspeople were more likely to ride bicycles than either farmers or rural nonfarmers. Townspeople were less likely to have firearms in their homes than either farmers or rural nonfarmers. Farmers were most likely to have fired a gun in the last year. Male farmers aged <65 years were less than half as likely as other men the same age to report a history of alcohol abuse. Binge drinking was equally frequent among farmers, rural nonfarmers, and townspeople.
These differences in risk behavior in a rural county suggest the possibility of targeting specific rural injury prevention interventions at those with the highest risk for dangerous behavior.
意外伤害是农村社区发病和死亡的主要原因。本研究旨在确定爱荷华州一个农村社区伤害危险因素的分布情况，并识别出伤害风险最高的农村亚组。
我们报告了基奥库克县农村健康研究第一轮中1583名年龄≥25岁的参与者，该研究是对一个农村社区的纵向跟踪研究。自我报告的数据是在面对面访谈期间收集的。
我们的数据表明，几种伤害危险因素在农村人口中分布并不均匀。男性农民系安全带的可能性明显低于城镇居民或农村非农民。然而，农场女性系安全带的可能性与其他女性相同。男性和女性农民使用全地形车的可能性都高于城镇居民或农村非农民。相比之下，城镇居民骑自行车的可能性高于农民或农村非农民。城镇居民家中有枪支的可能性低于农民或农村非农民。农民在过去一年中开枪的可能性最大。年龄<65岁的男性农民报告有酗酒史的可能性不到同龄其他男性的一半。酗酒在农民、农村非农民和城镇居民中同样常见。
这个农村县在风险行为上的这些差异表明，有可能针对危险行为风险最高的人群开展特定的农村伤害预防干预措施。
