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Sports and recreational injuries: Regional Rural Injury Study-II

Lori S. Kurszewski, BS1, Susan G. Gerberich, PhD2, Robert C. Serfass, PhD1, Andrew D. Ryan, MS3, Colleen M. Renier, BS4, Steven J. Mongin, MS5, Bruce H. Alexander, PhD2, Kathleen R. Ferguson, MS6, and Ann S. Masten, PhD7. (1) Kinesiology, University of Minnesota, 879 North Pascal Street - Apt. #1, St. Paul, MN 55104, 612-626-7936, kurs0012@umn.edu, (2) Division of Environmental and Occupational Health, School of Public Health, University of Minnesota, Mayo Mail Code 807, 420 Delaware St. SE, Minneapolis, MN 55455, (3) Health Studies Section, University of Minnesota, Gateway Building Suite 350, 200 Oak St., Minneapolis, MN 55455, (4) Division of Education & Research, St. Mary's/Duluth Clinic Health System, 5AV2ME, 400 E 3rd St, Duluth, MN 55805, (5) Department of Environmental Health, School of Public Health, University of Minnesota, 420 Delaware St SE, MMC 807, Minneapolis, MN 55455, (6) School of Public Health, Division of Environmental and Occupational Health, Regional Injury Prevention Research Center, University of Minnesota, Mayo Mail Code 807, 420 Delaware Street S.E., Minneapolis, MN 55455, (7) Institute of Child Development, Psychology, University of Minnesota, 51 East River Road, Minneapolis, MN 55455

Purpose: To identify the incidence and severity of, and potential risk factors for, sports and recreational (SR) injuries in a five-state rural, Midwest population. Methods: Computer assisted telephone interviews, that included questions regarding SR injuries, were completed for eligible, participating households for 1999; 16,538 persons participated, including 8,488 less than <20 years of age (<20). Rates and 95% confidence intervals were calculated; a causal model and directed acyclic graphs guided multivariate models. Results: From a total of 2,586 injuries, 1,301 (50%) were not related to agricultural activities. Of those, 733 (56%) were related to SR activities: 64%, multiple person sports; 19%, general play activities; 14%, single person sports. Football and basketball accounted for 19% and 22%, respectively. The total annualized rate was 46.4 injury events per 1,000 population per year; respectively, for males and females, rates were: <20 (99.4; 64.3); 20+ (11.9; 4.8.) For those <20 and 20+, 93% and 88% received health care, 44% and 45% were restricted for 7+ days, and 18% and 17% lost farm work time for 7+ days. Results of multivariate analysis included: for <20 - increased risks for residence in Nebraska; being male; and 10-14 or 15-19 years. For those 20+, increased risks were identified for males and those 20-24 years; decreased risks were identified for Nebraska residence and those 45-54 years. Conclusions: SR activities are an important source of injury morbidity and relevant consequences for this agricultural population that include significant restricted activity as well as restriction from agricultural work.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Sports and Firearms Poster Session

The 132nd Annual Meeting (November 6-10, 2004) of APHA