Postel M W, Jaung M S, Chen G, Yu S, Stallones L, Xiang H
Center for Injury Research and Policy, The Ohio State University, Columbus 43205, USA.
J Agric Saf Health. 2009 Apr;15(2):129-42. doi: 10.13031/2013.26800.
Farm work-related injuries are considered an important issue facing rural area adolescents. However, little research has been done in developing countries, including China. This study evaluated agricultural work-related injuries among Chinese middle school adolescents, focusing on the potential association between farm work hours, sleep patterns, school-related stress, and farm work-related injuries. This cross-sectional study surveyed 1,551 middle school students in Hunan Province who reported working on farms. The surveys assessed their involvement in farm work, sleep patterns, school activities, and farm work-related injuries during a three-month recall period. The cumulative incidence of farm work-related injury was 15.6% among the 1187 students who reported working on a farm. Average days per month farming, number of pesticide applications per month, sleep disturbances, and school-related stress were significantly associated with farm work-related injuries (p < 0.05). Multivariable logistic regression analysis revealed that after adjusting for possible confounding effects of age, gender, and farm work days per month, sleep disturbance (less than 7 hours of sleep: OR = 2.36, 95% CI = 1.07-5.22; awakening at night and having trouble falling back to sleep: OR = 2.70, 95% CI = 1.36-5.37; having nightmares: OR = 2.24, 95% CI = 1.18-4.24) and school-related stress (difficult homework: OR = 2.45, 95% CI = 1.21-4.99; extra homework assigned often by parents: OR = 3.62, 95% CI = 1.88-6.97; and scolded/chastised by parents for poor school performance: OR = 2.53, 95% CI = 1.75-3.65) were statistically significant risk factors for farm work-related injuries (p < 0.05).
与农业劳动相关的伤害被认为是农村青少年面临的一个重要问题。然而，包括中国在内的发展中国家在这方面的研究很少。本研究评估了中国中学生中与农业劳动相关的伤害情况，重点关注农业劳动时间、睡眠模式、学业压力与农业劳动相关伤害之间的潜在关联。这项横断面研究调查了湖南省1551名报告从事农业劳动的中学生。调查评估了他们在三个月回忆期内参与农业劳动的情况、睡眠模式、学校活动以及与农业劳动相关的伤害。在报告从事农业劳动的1187名学生中，与农业劳动相关伤害的累积发生率为15.6%。每月平均务农天数、每月农药施用次数、睡眠障碍和学业压力与农业劳动相关伤害显著相关（p<0.05）。多变量逻辑回归分析显示，在调整年龄、性别和每月农业劳动天数等可能的混杂效应后，睡眠障碍（睡眠时间少于7小时：OR=2.36，95%CI=1.07-5.22；夜间醒来且难以再次入睡：OR=2.70，95%CI=1.36-5.37；做噩梦：OR=2.24，95%CI=1.18-4.24）和学业压力（作业困难：OR=2.45，95%CI=1.21-4.99；父母经常额外布置作业：OR=3.62，95%CI=1.88-6.97；因学业成绩差被父母责骂/惩罚：OR=2.53，95%CI=1.75-3.65）是与农业劳动相关伤害的统计学显著危险因素（p<0.05）。
