Department of Community Health and Epidemiology, Queen's University, Kingston, Canada.
Accid Anal Prev. 2010 Jul;42(4):1226-31. doi: 10.1016/j.aap.2010.01.016. Epub 2010 Feb 20.
Agricultural machinery is a major source of injury on farms. The importance of machinery safety practices as potential determinants of injury remains incompletely understood. We examined two such safety practices as risk factors for injury: (1) the presence of safety devices on machinery and (2) low levels of routine machinery maintenance. Our data source was the Saskatchewan Farm Injury Cohort baseline survey (n=2390 farms). Factor analysis was used to create measures of the two operational safety practices. The farm was the unit for all analyses and associations were evaluated using multiple Poisson regression models. Limited presence of safety devices on machinery during farm operations was associated with higher risks for injury (RR 1.94; 95% CI 1.13-3.33; p(trend)=0.02). Lower routine maintenance scores were associated with significantly reduced risks for injury (RR 0.54; 95% CI 0.29-0.98; p(trend)=0.05). The first finding implies that injury prevention programs require continued focus on the use of safety devices on machinery. The second finding could indicate that maintenance itself is a risk factor or that more modern equipment that requires less maintenance places the operator at lower risk. These findings provide etiological data that confirms the practical importance of operational safety practices as components of injury control strategies on farms.
农业机械是农场伤害的主要来源。机械安全实践作为伤害潜在决定因素的重要性仍不完全清楚。我们研究了两种安全实践作为伤害的危险因素:(1)机械上安全装置的存在,(2)机械常规维护水平低。我们的数据来源是萨斯喀彻温省农场伤害队列基线调查(n=2390 个农场)。因子分析用于创建这两种操作安全实践的衡量标准。农场是所有分析的单位,使用多泊松回归模型评估关联。在农场作业中,机械上安全装置的存在有限与更高的伤害风险相关(RR 1.94;95%CI 1.13-3.33;p(趋势)=0.02)。较低的常规维护评分与显著降低的伤害风险相关(RR 0.54;95%CI 0.29-0.98;p(趋势)=0.05)。第一个发现意味着伤害预防计划需要继续关注机械上安全装置的使用。第二个发现可能表明维护本身就是一个危险因素,或者需要更少维护的更现代设备使操作人员面临的风险更低。这些发现提供了病因学数据,证实了操作安全实践作为农场伤害控制策略组成部分的实际重要性。