Mongin S J, Jensen K E, Gerberich S G, Alexander B H, Ryan A D, Renier C M, Masten A S, Carlson K F
Health Studies Section, Regional Injury Prevention Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis 55455, USA.
J Agric Saf Health. 2007 Jul;13(3):295-310. doi: 10.13031/2013.23348.
The purpose of this study was to determine the magnitude and consequences of agricultural injuries, and to reveal potential risk factors among agricultural household members. The Regional Rural Injury Study (RRIS-II) collected injury and exposure data on agricultural households of 16,538 people in Minnesota, Wisconsin, North Dakota, South Dakota, and Nebraska for each six-month period of 1999. Adjusted injury rates, consequences, and potential risk factors were identified through analyses. Selection of variables for multivariate analyses was based on a causal model. Injuries reported here occurred while the individuals were involved in activities associated with their own farm or ranch, unless otherwise stated. Estimates of injury rates and the effects of various exposures were derived by Poisson and logistic regression. These models accounted for correlation within both subject and household, and were adjusted for non-response. The rate of agricultural injury to household members on their own operation was 74.5 injuries per 1,000 persons per year. Differences in rates due to age and gender diminished when rates were calculated according to hours worked. Although only 5% of injured persons required in-patient hospitalization, 28% required emergency department treatment, and 84% required some type of professional health care. Moreover, 47% of all injuries required time off from agricultural work, and 7% required time off from non-agricultural work. In multivariate analyses, decreased risks were associated with Minnesota, and increased risks were identified for those with prior injuries and for males.This study provides a basis for further research on agricultural injuries and their prevention.
本研究的目的是确定农业伤害的程度和后果，并揭示农业家庭成员中的潜在风险因素。区域农村伤害研究（RRIS-II）收集了1999年明尼苏达州、威斯康星州、北达科他州、南达科他州和内布拉斯加州16538名农业家庭成员每六个月期间的伤害和暴露数据。通过分析确定了调整后的伤害率、后果和潜在风险因素。多变量分析变量的选择基于因果模型。除非另有说明，此处报告的伤害发生在个人参与与其自己农场或牧场相关的活动期间。伤害率估计值和各种暴露的影响通过泊松回归和逻辑回归得出。这些模型考虑了个体和家庭内部的相关性，并针对无应答情况进行了调整。农业家庭成员在自己经营活动中的伤害率为每年每1000人中有74.5起伤害。根据工作小时数计算伤害率时，年龄和性别的差异减小。虽然只有5%的受伤者需要住院治疗，但28%需要急诊治疗，84%需要某种类型的专业医疗护理。此外，所有伤害中有47%需要请假停止农业工作，7%需要请假停止非农业工作。在多变量分析中，风险降低与明尼苏达州有关，而先前受伤者和男性的风险增加。本研究为进一步研究农业伤害及其预防提供了基础。
