The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

4212.0: Tuesday, November 18, 2003 - 2:30 PM

Abstract #71648

Regional Rural Injury Study-II: Incidence, consequences, and etiology of agricultural injuries

Susan G. Gerberich, PhD1, Timothy R. Church, PhD2, Colleen M. Renier, BS3, Robert W. Gibson, PhD2, L. Ronald French, PhD4, Ann Masten, PhD2, Bruce H Alexander, PhD1, Steven J. Mongin, MS2, Andrew D. Ryan, MS5, Kathleen R. Ferguson6, and Xueying Zhang, MS2. (1) Division of Environmental and Occupational Health, School of Public Health, University of Minnesota, Mayo Mail Code 807, 420 Delaware St. SE, Minneapolis, MN 55455, (2) Department of Environmental Health, School of Public Health, University of Minnesota, 420 Delaware St SE, MMC 807, Minneapolis, MN 55455, (3) Division of Education & Research, St. Mary's/Duluth Clinic Health System, 5AV2ME, 400 E 3rd St, Duluth, MN 55805, (4) Environ Epidemiology, Minnesota Department of Health, 770 Delaware Street SE, Minneapolis, MN 55440, (5) Health Studies Section, University of Minnesota, Gateway Building Suite 350, 200 Oak St., 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, 612-624-1449,

This study was conducted to determine the incidence and consequences of injuries for all persons and identify risk factors for agricultural operation-related injuries to persons <20 years of age. A cohort of agricultural operations was randomly selected in a five-state region; 16,538 persons (8,488 children <20 years) participated. Data were collected using a computer assisted telephone interview for the two six-month periods of 1999 to identify all injury events and relevant demographics for all household members. Agricultural exposures of interest were collected for those <20 years through the application of a simultaneous nested case-control study (cases=203; controls=755). Personal risk and injury event rates were adjusted for within-household correlation, non-response and unknown eligibility. Univariate and multivariate analyses were conducted for the case-control study. Relevant methods addressed eligibility, non-response and confounders. Logistic and Poisson regression were used to investigate the relation between exposures of interest and the occurrence of agricultural-related injuries. For those <20 and 20+ years of age, the respective overall annualized injury rates were 146 and 176 per 1,000 persons while the primary sources of agricultural injuries were animals (41%, 32%) and falls (31%, 23%); 17% and 14% identified >7 days of lost agricultural work time. Increased risks (ORs; 95%CIs) for those <20 years were: operating or riding in a motor vehicle (3.5; 2.1-6.1); riding on (2.1; 1.4-3.0) or operating a tractor (1.8; 1.1-2.8); operating large (1.7; 1.05-2.7) or small equipment (1.7; 1.1-2.6); and working with horses (2.4; 1.5-3.6), sheep (2.1; 1.1-4.0) or beef cattle (1.8; 1.2-2.7).

Learning Objectives:

Keywords: Children and Adolescents, Risk Factors

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Not applicable
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.

Agricultural Injuries to Children

The 131st Annual Meeting (November 15-19, 2003) of APHA