Browning S R, Truszczynska H, Reed D, McKnight R H
Department of Preventive Medicine, University of Kentucky Chandler Medical Center, Lexington, USA.
Am J Ind Med. 1998 Apr;33(4):341-53. doi: 10.1002/(sici)1097-0274(199804)33:4<341::aid-ajim4>3.0.co;2-x.
This population-based study reports the cumulative incidence of agricultural injuries during a 1-year period in a sample of 998 farmers aged 55 years and older living in Kentucky. A total of 98 farm-related injuries were reported among 88 older farmers for a crude injury rate of 9.03 injured farmers per 100 farmers (95% confidence interval (CI) = 7.03-11.03) over a 1-year period. The leading external causes of farm injury were falls (24.9%), machinery (22.5%), wood-cutting (14.6%), and animal-related events (14.3%). Farmers working on farms with beef cattle (alone) (odds ratio = 1.90; 95% CI = 1.02-3.55) or farms with beef cattle and tobacco (odds ratio = 2.15; 95% CI = 1.00-4.59) had a statistically significant increased risk for a farm-related injury. Farmers reporting a prior injury that limited their ability to farm were at increased risk for a farm-related injury. Approaches to using farm injury surveillance data for injury control programs in the state are discussed.
这项基于人群的研究报告了肯塔基州998名55岁及以上农民样本在1年期间农业伤害的累积发生率。在88名老年农民中，共报告了98起与农场相关的伤害事件，1年期间的粗伤害率为每100名农民中有9.03名受伤农民（95%置信区间（CI）=7.03 - 11.03）。农场伤害的主要外部原因是跌倒（24.9%）、机械（22.5%）、伐木（14.6%）和与动物相关的事件（14.3%）。在仅饲养肉牛的农场工作的农民（优势比=1.90；95%CI=1.02 - 3.55）或饲养肉牛和烟草的农场工作的农民（优势比=2.15；95%CI=1.00 - 4.59）发生与农场相关伤害的风险在统计学上显著增加。报告先前受伤且影响其务农能力的农民发生与农场相关伤害的风险增加。本文还讨论了利用农场伤害监测数据制定该州伤害控制项目的方法。
