Wang Li-min, Sun Yao-wu, Han Yun-feng, Xiang Huiyun, Stallones Lorann, Xue Hai-feng, Cheng Yu, Li Sheng-san
Department of Epidemiology and Statistics, School of Public Health, Qiqihar Medical University, Qiqihar 161061, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2009 Dec;30(12):1252-7.
To understand the incidence rates of agricultural profession-related injuries and the relationship to alcohol consumption.
A multistage sample of 2366 villagers was selected from Minority Nationality Villages, Heilongjiang province. Face-to-face interviews were conducted by trained interviewers during May 2008. 2198 (92.9%) of the eligible questionnaires were available.
Incidence rate of agricultural profession-related injury rate was 11.8% (260/2198) from May 2007 to April 2008. Higher proportions of injuries were seen for males, 30 - 49 year olds, farmers and among those people working on farms for 10 years or more, smoking during farm work, with sleeping disorder, using motor vehicles, and those using agricultural machinery. Rate of alcohol drinking was 29.1% (640/2198) in the month prior to the investigation. Results from logistic regression models showed that alcohol consumption patterns and other alcohol-related behavior were examined in separate logistic models because of collinearity by controlling the variables that were associated with agricultural profession-related injury including sex, age, years of farm work, driving a motor vehicle, and agricultural machinery use etc. In each model, the reference group was those villagers who did not drink in the past month. The odds of injury among villagers with history of past month drinking, who drank distilled spirits, and alcohol drinking at breakfast and lunch were 1.80 (95%CI: 1.24 - 2.62), 2.09 (95%CI: 1.38 - 3.15), 2.15(95%CI: 1.43 - 3.22) respectively. The odds of agricultural injury also significantly increased with greater average amounts of pure alcohol per day, with increased frequency of drinking per week, and reported years of drinking.
Intervention efforts should include increasing awareness about alcohol drinking as a major risk factor causing agricultural injuries as well as controlling alcohol drinking, improving knowledge about driving motor vehicle and using agricultural machinery.
了解农业职业相关伤害的发生率及其与饮酒的关系。
从黑龙江省少数民族村落中选取2366名村民作为多阶段样本。2008年5月，由经过培训的访谈员进行面对面访谈。获得了2198份（92.9%）符合条件的问卷。
2007年5月至2008年4月期间，农业职业相关伤害发生率为11.8%（260/2198）。男性、30 - 49岁人群、农民以及从事农业工作10年或更长时间的人群、在农活期间吸烟的人群、有睡眠障碍的人群、使用机动车的人群以及使用农业机械的人群中受伤比例较高。调查前一个月的饮酒率为29.1%（640/2198）。由于存在共线性，通过控制与农业职业相关伤害有关的变量（包括性别、年龄、农业工作年限、驾驶机动车和使用农业机械等），在单独的逻辑回归模型中检查饮酒模式和其他与酒精相关的行为。在每个模型中，参照组是过去一个月不饮酒的村民。过去一个月有饮酒史、饮用白酒以及在早餐和午餐时饮酒的村民受伤几率分别为1.80（95%CI：1.24 - 2.62）、2.09（95%CI：1.38 - 3.15）、2.15（95%CI：1.43 - 3.22）。农业伤害的几率也随着每天纯酒精平均摄入量的增加、每周饮酒频率的增加以及报告的饮酒年限的增加而显著增加。
干预措施应包括提高对饮酒是导致农业伤害的主要危险因素的认识，以及控制饮酒、提高驾驶机动车和使用农业机械的知识。
