Baidwan Navneet Kaur, Ramirez Marizen R, Gerr Fred, Boonstra Daniel, Cavanaugh Joseph E, Casteel Carri
UAB/Lakeshore Collaborative, University of Alabama at Birmingham, Birmingham, AL 35294, USA.
Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN 55455, USA.
Int J Environ Res Public Health. 2021 Apr 19;18(8):4309. doi: 10.3390/ijerph18084309.
(1) Background: There is no national surveillance of agricultural injuries, despite agricultural occupations being among the most hazardous in the U.S. This effort uses workers' compensation (WC) data to estimate the burden of agricultural injuries and the likelihood of experiencing an injury by body part involved, cause, and nature in farming operations. (2) Methods: WC data from 2010 to 2016 provided by a large insurance company covering small to medium-sized farm operations from 14 U.S. states was used. We investigated the associations between injury characteristics and WC costs and the risk of having a more severe versus a less severe claim. The proportion of costs attributable to specific claim types was calculated. (3) Results: Of a total 1000 claims, 67% were medical only. The total cost incurred by WC payable claims (n = 866) was USD 21.5 million. Of this, 96% was attributable to more severe claims resulting in disabilities or death. The most common body part injured was the distal upper extremity. Falling or flying objects and collisions were the most expensive and common causes of injury. (4) Conclusions: Characterizing the cost and severity of agricultural injury by key injury characteristics may be useful when prioritizing prevention efforts in partnership with insurance companies and agricultural operations.
(1) 背景：尽管农业职业在美国属于最危险的职业之一，但目前尚无全国性的农业伤害监测。本研究利用工人赔偿（WC）数据来估计农业伤害的负担，以及按涉及的身体部位、原因和农业作业性质来估算受伤的可能性。(2) 方法：使用了一家大型保险公司提供的2010年至2016年的WC数据，该数据涵盖了美国14个州的中小型农场作业。我们调查了伤害特征与WC成本之间的关联，以及提出更严重索赔与较不严重索赔的风险。计算了可归因于特定索赔类型的成本比例。(3) 结果：在总共1000起索赔中，67%仅涉及医疗费用。WC应付索赔（n = 866）产生的总成本为2150万美元。其中，96%归因于导致残疾或死亡的更严重索赔。最常受伤的身体部位是上肢远端。掉落或飞来的物体以及碰撞是最昂贵且最常见的受伤原因。(4) 结论：在与保险公司和农业作业合作确定预防工作的优先顺序时，按关键伤害特征来描述农业伤害的成本和严重程度可能会有所帮助。
