McCurdy S A, Farrar J A, Beaumont J J, Samuels S J, Green R S, Scott L C, Schenker M B
Department of Epidemiology and Preventive Medicine, University of California, Davis, California, USA.
J Agric Saf Health. 2004 May;10(2):103-19. doi: 10.13031/2013.16070.
We conducted a population-based telephone survey addressing farm-work-related (FWR) injuries among California farm operators. Of 1947 participants (80.4% response), 135 farm operators reported 160 FWR injuries in the preceding year, yielding a one-year cumulative incidence for any FWR injury of 6.9% (95% CI 5.8%-8.2%), or a mean 8.2 FWR injuries per 100 farmers in the preceding year (95% CI 6.8-9.7). Multiple injury events in the same individual occurred more frequently than predicted by chance. Sprains and strains (29.4%) were the most frequently reported injury and predominantly involved the back. Overexertion represented the most frequent external cause (24.2%), followed by machinery (14.3%), falls (13.0%), and animals (12.4%). Factors associated with FWR injury included white ethnicity (OR 3.19; 95% CI 1.38-7.36), increased annual hours worked on the farm, low levels of administrative work, and increased percentage of time working with livestock. FWR injury experience of California farm operators is comparable with that reported for other agricultural populations. Above-expected frequency of multiple injuries supports involvement of personal or environmental risk factors. Preventive efforts should focus on higher-risk groups and preventing overexertion and muscle strain and injury related to machinery, falls, and animals, especially livestock.
我们针对加利福尼亚州农场经营者开展了一项基于人群的电话调查，以了解与农场工作相关（FWR）的伤害情况。在1947名参与者中（应答率为80.4%），135名农场经营者报告在前一年发生了160起FWR伤害事件，任何FWR伤害的一年累积发病率为6.9%（95%置信区间5.8%-8.2%），即前一年每100名农民中平均有8.2起FWR伤害事件（95%置信区间6.8-9.7）。同一个体发生多次伤害事件的频率高于随机预期。扭伤和拉伤（29.4%）是报告最频繁的伤害类型，主要累及背部。过度劳累是最常见的外部原因（24.2%），其次是机械（14.3%）、跌倒（13.0%）和动物（12.4%）。与FWR伤害相关的因素包括白人种族（比值比3.19；95%置信区间1.38-7.36）、农场年工作时长增加、行政工作水平低以及与牲畜一起工作的时间百分比增加。加利福尼亚州农场经营者的FWR伤害经历与其他农业人群报告的情况相当。多次伤害事件高于预期的频率支持个人或环境风险因素的参与。预防措施应侧重于高风险群体，并预防过度劳累、肌肉拉伤以及与机械、跌倒和动物（尤其是牲畜）相关的伤害。
