Nordstrom D L, Layde P M, Olson K A, Stueland D, Brand L, Follen M A
Marshfield Medical Research and Education Foundation, Department of Epidemiology and Biostatistics, WI 54449, USA.
Am J Ind Med. 1995 Oct;28(4):551-64. doi: 10.1002/ajim.4700280410.
To determine occurrence and sources of farm-work-related injury, we conducted a population-based, prospective study in a large clinic and hospital serving a defined rural area. The population at risk was identified through a unique demographic and medical records linkage system and a special agricultural census. Cases were 510 individuals who sought inpatient or outpatient care from May 1990 through April 1992 from a physician or chiropractor for harm resulting from acute exposure to energy. One per 31 farm residents was treated annually for a farm-work-related injury. Eight percent of these cases were hospitalized. Animals were the most frequent source of injury. Severity did not differ between cases associated with animals, machinery, falls, or chemicals. Thirty-eight percent of farm-work-related injury cases occurred in nonfarm residents. Injury risk was 2.5 times greater among dairy farm residents than among nondairy farm residents, 352.0 vs. 141.0 cases per 10,000 person-years, respectively. Adult male farm residents had 556.9 injuries per 10,000 person-years and 21.3 injuries per million hours of farm work.
为确定与农业工作相关伤害的发生率及来源，我们在一家为特定农村地区服务的大型诊所和医院开展了一项基于人群的前瞻性研究。通过独特的人口统计学和医疗记录关联系统以及一次特殊的农业普查确定了高危人群。病例为1990年5月至1992年4月期间因急性能量暴露导致伤害而从医生或脊椎按摩师处寻求住院或门诊治疗的510人。每31名农场居民中每年有1人因与农业工作相关的伤害接受治疗。这些病例中有8%住院治疗。动物是最常见的伤害来源。与动物、机械、跌倒或化学品相关的病例在严重程度上没有差异。38%与农业工作相关的伤害病例发生在非农场居民中。奶牛场居民的伤害风险比非奶牛场居民高2.5倍，分别为每10000人年352.0例和141.0例。成年男性农场居民每10000人年有556.9起伤害，每百万小时农业工作有21.3起伤害。
