Landsteiner Adrienne M K, McGovern Patricia M, Nyman John A, Alexander Bruce H, Lindgren Paula G, Williams Allan N
a Center for Occupational Health and Safety , Minnesota Department of Health , St. Paul , Minnesota , USA.
b School of Public Health, University of Minnesota , Minneapolis , Minnesota , USA.
J Agromedicine. 2016;21(2):171-7. doi: 10.1080/1059924X.2016.1143904.
Only 2% of Minnesota's employed population worked in agriculture between the years 2005 and 2012. However, this small portion of the state's employed population accounted for 31% of total work-related deaths in the state during that same time period. During a similar time period, 2007-2013, the contribution of agriculture to Minnesota's gross domestic product increased from approximately 1.5% to about 2.3%. This article describes the economic impact of injuries related to farm work between the years 2004 and 2010. Using hospital discharge data and the Census of Fatal Occupational Injuries (CFOI), estimates of the number of injuries and fatalities related to agricultural work were compiled. A cost of illness model was applied to these injury and fatality estimates to calculate the related indirect and direct costs in 2010 dollars. Estimated total costs, in 2010 dollars, ranged between $21 and $31 million annually over the 7-year study period. The majority of the costs were attributable to indirect costs, such as lost productivity at work and home. Fatal injuries accrued the largest proportion of the estimated costs followed by hospitalized and nonhospitalized injuries. A sensitivity analysis was performed to evaluate the impact each selected data source had upon the cost estimate. The magnitude of the costs associated with these injuries argues for better surveillance of injury related to agriculture to prioritize resources and evaluate intervention and prevention programs.
2005年至2012年间，明尼苏达州只有2%的就业人口从事农业工作。然而，该州就业人口的这一小部分却占了同一时期该州与工作相关总死亡人数的31%。在2007 - 2013年的类似时间段内，农业对明尼苏达州国内生产总值的贡献从约1.5%增至约2.3%。本文描述了2004年至2010年间与农业工作相关伤害的经济影响。利用医院出院数据和致命职业伤害普查（CFOI），汇编了与农业工作相关的伤害和死亡人数估计值。将疾病成本模型应用于这些伤害和死亡估计值，以计算按2010年美元计算的相关间接和直接成本。在为期7年的研究期内，按2010年美元计算的估计总成本每年在2100万至3100万美元之间。大部分成本归因于间接成本，如工作和家庭中的生产力损失。致命伤害在估计成本中所占比例最大，其次是住院和非住院伤害。进行了敏感性分析，以评估每个选定数据源对成本估计的影响。与这些伤害相关的成本规模表明，需要更好地监测与农业相关的伤害，以便对资源进行优先排序，并评估干预和预防计划。
