a National Farm Medicine Center , Marshfield Clinic Research Institute (MCRI) , Marshfield , Wisconsin , USA.
b Department of Agricultural & Biological Engineering , Penn State University , University Park , Pennsylvania , USA.
J Agromedicine. 2019 Jul;24(3):298-308. doi: 10.1080/1059924X.2019.1605955. Epub 2019 May 25.
: The hazardous nature of the agricultural environment, reflected in the numerous injuries and deaths to children who live, work and play on farms, coupled with the lack of a comprehensive national surveillance system in the United States, highlights the need for making the best use of publicly available youth agricultural injury data. : The purpose of this study was to describe a 3-year collection of youth agricultural injuries using the publicly available injury and fatality data from AgInjuryNews.org and present recommendations for future injury prevention strategies. : Data were obtained from AgInjuryNews.org, a web-based collection of U.S. news reports of agricultural injuries. We analyzed cases from 2015 to 2017 for youth aged 0-17. We classified injuries as occupational and non-occupational related, based on the Farm and Agricultural Injury Classification (FAIC) code. Each case was also coded for source and event using the Occupational Injury and Illness Classification System (OIICS). : Of the 348 injury reports reviewed, 51% were fatal, and about one-third of the victims were 6 years old or younger. Most injuries were non-occupational, and the most frequent injury sources were vehicles (includes tractors and all-terrain vehicles) and machinery. Youth operators, extra riders, roadway operations, and unsupervised youth playing near or in a worksite were four key contributing factors associated with vehicle and machinery related injuries. : This study reaffirms that youth agricultural-related injuries and fatalities are still a persistent problem in the United States. The hypothesis generating AgInjuryNews system can provide more current data than traditional surveillance datasets as a tool for understanding the sources of youth agricultural injuries, monitoring injury trends, and informing policy efforts and prevention strategies. Future studies should continue to explore and evaluate the comprehensiveness of this system's data and the impact of its dissemination, as well as similar rural health informatics solutions for integration into sustainable interventions that can be customized and delivered domestically and abroad.
农业环境的危害性在美体现明显，其导致众多生活、工作和玩耍于农场的儿童受伤和死亡，此外美国缺乏全面的国家监测系统，这突显了充分利用公开可得的青年农业伤害数据的必要性。本研究旨在描述使用 AgInjuryNews.org 上公开的青年农业伤害数据进行的为期 3 年的青年农业伤害收集，并提出未来预防策略的建议。数据来自 AgInjuryNews.org，这是一个基于网络的美国农业伤害新闻报道的集合。我们分析了 2015 年至 2017 年期间 0-17 岁青少年的案例。我们根据农场和农业伤害分类（FAIC）代码将伤害分为职业和非职业相关伤害。每个案例还根据职业伤害和疾病分类系统（OIICS）进行了来源和事件编码。在审查的 348 份伤害报告中，有 51%是致命的，约三分之一的受害者年龄在 6 岁或以下。大多数伤害是非职业性的，最常见的伤害源是车辆（包括拖拉机和全地形车）和机械。青年操作人员、额外乘客、道路作业以及无人监管的青年在工作现场附近或在工作现场玩耍是与车辆和机械相关伤害的四个关键促成因素。本研究再次证实，美国的青年农业相关伤害和死亡仍然是一个持续存在的问题。假设生成的 AgInjuryNews 系统可以提供比传统监测数据集更具时效性的数据，作为了解青年农业伤害来源、监测伤害趋势以及为政策努力和预防策略提供信息的工具。未来的研究应继续探索和评估该系统数据的全面性及其传播的影响，以及类似的农村健康信息学解决方案，以便整合到可持续的干预措施中，可以在国内外进行定制和实施。
