Bassett Research Institute, Bassett Healthcare Network, Cooperstown, New York, USA.
Am J Ind Med. 2013 Aug;56(8):845-55. doi: 10.1002/ajim.22150. Epub 2012 Dec 27.
Northeast farmworkers are a small, widely dispersed, and isolated population. Little is known about their occupational injury and illness risk.
Researchers conducted chart reviews in migrant health centers across the Northeast, and calculated incidence-density for agricultural morbidity based on a new method for estimating total worker hours at risk, and adjusting for cases seen at other sources of care.
An estimated annual average of 1,260 cases translated to an incidence of 30.27 per 10,000 worker weeks, (12.7 per 100 FTEs). Straining/spraining events (56% cases) was the most common occurrence (16.8 per 10,000 worker weeks), and lifting (21.5% cases) was the leading contributing factor. Incidence by crop category ranged from 12.95 (ground crop) to 29.69 (bush crop) per 10,000 weeks. Only 2.8% filed for Workers' Compensation.
The predominance of straining/spraining events affecting the back, and their association with lifting suggests that Northeastern farmworker occupational health programs should focus on ergonomics, and specifically on safe lifting.
东北的农民工是一个规模小、分布广且孤立的群体。对于他们的职业伤害和疾病风险，我们知之甚少。
研究人员在东北地区的移民健康中心进行了病历回顾，并根据一种新的方法来估计总工人风险工作时间，计算了基于农业发病率的密度，同时调整了在其他护理来源就诊的病例。
估计每年平均有 1260 例病例，发病率为每 10000 个工人周 30.27 例（每 100 个 FTE 为 12.7 例）。拉伤/扭伤事件（56%的病例）是最常见的事件（每 10000 个工人周 16.8 例），而举重物（21.5%的病例）是主要的致病因素。按作物类别划分，发病率从每 10000 个工人周 12.95 例（大田作物）到 29.69 例（灌木作物）不等。只有 2.8%的人申请了工人赔偿。
背部拉伤/扭伤事件的高发率及其与举重的关联表明，东北农民工职业健康计划应侧重于人体工程学，特别是安全举重。
