Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, Iowa.
J Rural Health. 2018 Jun;34(3):246-253. doi: 10.1111/jrh.12245. Epub 2017 May 2.
We examined work-related homicides and suicides among farm operators/workers in the United States from 1992 to 2010.
Work-related homicide and suicide cases from 1992 to 2010 were obtained from the Census of Fatal Occupational Injuries. To calculate rates, denominator data on the US working population were also obtained from 2003 to 2010 Current Population Survey. Logistic regression was used to identify factors that were differentially associated with homicide and suicide.
Over these 19 years, 171 farm operators/workers died from homicide and 230 died from suicide. When compared to rates of all workers, suicide rates were higher while homicide rates were lower among farm operators/workers. Males (OR = 6.1), whites (OR = 4.7), and 35- to 54-year-old (OR = 2.3) farm operators/workers had increased odds of suicide over homicide compared with their respective counterparts (ie, females, nonwhites, <35-year-olds). Those working in smaller farm operations with <11 employees had 1.7 times the odds of suicide over homicide.
Suicide and homicide are both present in the agricultural industry, with suicide being more common than homicide. Translation of suicide prevention programs should be explored for the agricultural industry.
本研究旨在分析 1992 年至 2010 年期间美国农场经营者/工人的与工作相关的杀人及自杀事件。
从职业性伤害死因普查中获取了 1992 年至 2010 年期间与工作相关的杀人及自杀案例。为了计算发病率，还从 2003 年至 2010 年的当前人口调查中获得了美国劳动人口的分母数据。采用 logistic 回归分析确定与杀人及自杀具有不同相关性的因素。
在这 19 年中，有 171 名农场经营者/工人死于杀人事件，230 名死于自杀事件。与所有工人的比率相比，农场经营者/工人的自杀率较高，杀人率较低。与相应人群相比，男性（OR = 6.1）、白人（OR = 4.7）和 35-54 岁的（OR = 2.3）农场经营者/工人的自杀风险更高，而杀人风险更低。与规模较大（雇佣人数>11 人）的农场相比，规模较小（雇佣人数<11 人）的农场经营者/工人的自杀风险高出 1.7 倍。
农业行业同时存在自杀和杀人现象，自杀比杀人更为常见。应当针对农业行业探索自杀预防项目的翻译。
