Erkal Sibel, Gerberich Susan G, Ryan Andrew D, Alexander Bruce H, Renier Colleen M
Department of Family and Consumer Sciences, Faculty of Economics and Administrative Sciences, University of Hacettepe, Ankara, Turkey.
J Rural Health. 2009 Fall;25(4):420-7. doi: 10.1111/j.1748-0361.2009.00254.x.
To determine the incidence, associated consequences, and potential risk factors for horse-related injuries among youth and adults residing in Midwestern agricultural households.
Demographic, injury, and exposure data were collected for 1999 and 2001 among randomly selected agricultural households within a 5-state region. A causal model facilitated survey design, data analysis, and interpretation of results; directed acyclic graphs guided multivariate modeling.
From 7,420 households (84% response of eligible), involving 32,601 persons, 5,045 total injury events were reported; 1,016 were animal-related injuries, of which 215 (21%) were horse-related (rate, 6.7 events per 1,000 persons per year). Seventy-seven percent (77%) required health care; comparing those under age 20 and those 20 and older, 49% and 54%, respectively, lost work time on their operation (28% and 26%, one week or more), as a result of injuries largely associated with horse riding activities (70% and 56%). Multivariate analysis for youths under age 20 indicated: increased risks in North and South Dakota, for >0 hours worked, and for having a history of prior agriculture-related injury; and decreased risks for males. For those 20 and older, increased risks were identified for a prior injury history and less than high school education.
Horse-related injuries, primarily associated with riding activities, are a significant problem among agricultural communities, and greatly impact their operations.
确定居住在中西部农业家庭中的青少年和成年人与马相关伤害的发生率、相关后果及潜在风险因素。
1999年和2001年，在一个5州地区随机抽取的农业家庭中收集人口统计学、伤害及暴露数据。一个因果模型有助于调查设计、数据分析及结果解读；有向无环图指导多变量建模。
在7420户家庭（符合条件者的84%做出回应）、32601人中，共报告了5045起伤害事件；其中1016起为与动物相关的伤害，其中215起（21%）与马相关（发生率为每年每1000人6.7起事件）。77%的此类伤害需要医疗护理；比较20岁以下和20岁及以上人群，分别有49%和54%的人因主要与骑马活动相关的伤害而在其农事上损失了工作时间（28%和26%损失一周或更长时间）。对20岁以下青少年的多变量分析表明：北达科他州和南达科他州的风险增加，工作时长>0小时以及有先前农业相关伤害史时风险增加；男性风险降低。对于20岁及以上人群，有先前伤害史和高中以下学历的风险增加。
与马相关的伤害，主要与骑马活动有关，是农业社区中的一个重大问题，并对其农事有很大影响。
