Saar Peter E, Dimich-Ward Helen, Kelly Karen D, Voaklander Donald C
Northern Medical Program, University of Northern British Columbia, Prince George, BC.
Can J Public Health. 2006 Mar-Apr;97(2):100-4. doi: 10.1007/BF03405324.
Farming is considered to be one of the most dangerous occupations in Canada and internationally, as it often involves work in a high-risk environment due to exposure to such hazards as machinery, large animals and noxious chemicals. The objective of this study was to describe the incidence and nature of farm-related deaths and injuries on British Columbian farms from 1990-2000, with reference to Canadian averages.
British Columbian farm fatalities and farm injury hospitalizations data from Canadian Agricultural Injury Surveillance Program for 1990-2000 were analyzed in conjunction with the 1996 and 2001 Canada Census of Agriculture. The incidence and nature of farm injuries were quantified and described for age, gender, cause of injury, primary diagnosis and agent of injury.
There were 82 fatal injuries from 1990-2000 and 1,407 hospitalizations from 1991/92 to 1999/2000. No significant overall incidence trends were found during the study period. The rate of machinery-related injuries requiring hospitalization is lower in BC than in Canada as a whole. The net effect of higher than expected hospitalization rates in younger BC adults (age 20-49) and lower than expected hospitalization rates in older BC adults (age 70+) was a much slower increase in hospitalization rates as farmers get older.
The current data suggest that higher than expected non-machinery-related injuries result in higher hospitalization rates of young adult BC farmers. The potential impact of farm fatalities and injury in youth on loss of productivity and quality of life years emphasizes the need for education and prevention.
在加拿大乃至国际上，农业被认为是最危险的职业之一，因为它常常涉及在高风险环境中作业，会接触到诸如机械、大型牲畜和有害化学物质等危险。本研究的目的是参照加拿大的平均水平，描述1990年至2000年间不列颠哥伦比亚省农场与农业相关的死亡和受伤情况的发生率及性质。
将加拿大农业伤害监测项目1990年至2000年不列颠哥伦比亚省农场死亡和农场受伤住院数据，与1996年和2001年加拿大农业普查数据相结合进行分析。对农场受伤的发生率及性质按年龄、性别、受伤原因、初步诊断和致伤因素进行了量化和描述。
1990年至2000年有82起致命伤害，1991/92年至1999/2000年有1407起住院治疗案例。在研究期间未发现明显的总体发生率趋势。不列颠哥伦比亚省因机械相关受伤而需住院治疗的比例低于加拿大全国水平。不列颠哥伦比亚省年轻成年人（20至49岁）高于预期的住院率与年长成年人（70岁以上）低于预期的住院率共同作用的净效应是，随着农民年龄增长，住院率增长要缓慢得多。
目前的数据表明，高于预期的非机械相关伤害导致不列颠哥伦比亚省年轻成年农民住院率较高。农业中年轻人的死亡和受伤对生产力损失和生活质量年数的潜在影响凸显了教育和预防的必要性。
