Canadian Centre for Health and Safety in Agriculture, University of Saskatchewan, Saskatoon, SK, Canada.
Department of Medicine, University of Saskatchewan, Royal University Hospital, Saskatoon, SK, Canada.
J Agromedicine. 2023 Jul;28(3):444-455. doi: 10.1080/1059924X.2022.2134244. Epub 2022 Nov 5.
This study was conducted to estimate farm fatality rates and to describe patterns of fatal agricultural injuries on Saskatchewan farms from 2005 to 2019.
Data on work-related farm fatalities was collected from January 2005 to December 2019 in the Province of Saskatchewan as a part of the injury and mortality surveillance for the Canadian Agricultural Injury Reporting (CAIR) program. Data were abstracted from records made available by the Provincial Coroner's Office.
There were 166 farm work-related fatalities recorded between 2005 and 2019 in Saskatchewan. The majority (93.4%) of work-related fatalities were in males. The overall work-related fatality rate was 10.5 (95% CI: 8.9-12.1) per 100,000 farm population. The overall age-adjusted work-related fatality rate was 18.1 (95% CI: 15.2-20.9) per 100,000 farm population among males and 1.4 (95% CI: 0.6-2.3) per 100,000 farm population among females. Age-adjusted rate decreased from 91.2 (95% CI: 69.4-117.66) per 100,000 farm population in 2005-2009 to 89.7 (95% CI: 64.9-120.2) per 100,000 farm population in 2015-2019 in males. Trend analysis of the work-related fatality rate in all cases showed a non-significant average annual decline of 2.6% (p = 0.156). Rollover injuries contributed to a high proportion of fatalities in children (30.0%) and the elderly population (14.9%). The most common causative agent was a tractor, and the most common location of injury was the farmyard or field.
The burden of mortality in this industry is still substantial. There was a non-significant decreasing trend in the injury rate over the 15-year period. Elderly farmers continue to be at high risk for fatality, while the rates for children have declined. Application of prevention approaches could reduce the risk of fatal injury, and in particular the high proportion of rollover injuries in children and the elderly population.
本研究旨在估算萨斯喀彻温省农场的死亡率,并描述 2005 年至 2019 年萨斯喀彻温省农场致命农业伤害的模式。
2005 年 1 月至 2019 年 12 月,作为加拿大农业伤害报告(CAIR)计划伤害和死亡率监测的一部分,从萨斯喀彻温省的省级验尸官办公室收集了与工作相关的农场死亡数据。
2005 年至 2019 年期间,萨斯喀彻温省共记录了 166 起与工作相关的农场死亡事件。大多数(93.4%)与工作相关的死亡发生在男性。总的工作相关死亡率为每 100,000 名农场人口 10.5(95%CI:8.9-12.1)。总的年龄调整工作相关死亡率为每 100,000 名农场人口 18.1(95%CI:15.2-20.9),男性为每 100,000 名农场人口 1.4(95%CI:0.6-2.3),女性为每 100,000 名农场人口。男性的年龄调整率从 2005-2009 年的每 100,000 名农场人口 91.2(95%CI:69.4-117.66)下降到 2015-2019 年的每 100,000 名农场人口 89.7(95%CI:64.9-120.2)。所有病例的工作相关死亡率趋势分析显示,年均下降 2.6%(p=0.156),无统计学意义。翻车事故导致儿童(30.0%)和老年人群(14.9%)的死亡率较高。最常见的致伤物是拖拉机,最常见的受伤地点是农场场院或田地。
该行业的死亡率仍然很高。在 15 年期间,伤害率呈非显著下降趋势。老年农民的死亡率仍然很高,而儿童的死亡率则有所下降。应用预防措施可以降低致命伤害的风险,特别是儿童和老年人群中较高的翻车事故比例。