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304950
Epidemiology of non-fatal injuries among self-employed operators: Central States Agricultural Injury Surveillance

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014

Ketki Patel, MD MPH , Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Lina Lander, ScD , Department of Epidemiology, University of Nebraska Medical Center, Omaha, NE
Gleb Haynatzki, PhD , Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE
Rosa Gofin, MD, MPH, Professor , Health Promotion, Social and Behavioral Health, College of Public Health, Omaha, NE
Shinobu Watanabe-Galloway, PhD , Epidemiology Department, University of Nebraska Medical Center, College of Public Health, Omaha, NE
Rohan Jadhav, BAMS, MPH , Department of Enviornmental, Agricultural and Occupational Health, University of Nebraska Medical Center, Omaha, NE
Risto Rautiainen, PhD , Department of Environmental, Agricultural and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NE
Background: The Central States Center for Agricultural Safety and Health with National Agricultural Statistics Service conducts non-fatal agriculture injury surveillance for self-owned farms in the Central States region (IA, KS, MN, MO, NE, ND, and SD) annually. We evaluated injury incidence by operator and farm characteristics to identify injury determinants in the Central States region.

Methods: The cross-sectional, self-administered mail survey used a disproportionate stratified random sample of farms from each state who responded to the 2007 US Census of Agriculture in 2012 (n=6953) and 2013 (n=6912). Injury data were linked to farm-level variables from the 2007 Census. Univariate and multivariate logistic regressions were used to evaluate factors associated with injuries.

Results: We received 2299 surveys (33.1%) in 2012 and 2391 (34.6%) in 2013. Two-year cumulative injury incidence was 60.4/1000 operators (367 injuries/6075 operators). Sixty percent of workers were on farms <1000 acres, 51% had gross sales <$100,000, and 82% were males. Thirty-six percent had upper extremity injuries, 24% were caused by livestock, 69% required medical care, and 72% were associated with time away from work. Injury risk was increased among farmers who were full-time (OR=2.00, 95% CI:1.6-2.6); <65 years (OR=1.4, 95% CI:1.1-1.8); having tractors ≥100 horsepower (OR=1.6, 95%CI:1.3-2); producing field crop (OR=1.4, 95% CI:1.1-1.7) and hay (RR=1.4; 95% CI:1.2-1.8).

Conclusion: We identified several risk factors for non-fatal agricultural injuries. Tailored interventions are needed to prevent injuries among farmers in the Central States region.

Learning Areas:

Epidemiology
Occupational health and safety
Public health or related research

Learning Objectives:
Discuss novel agricultural injury surveillance model in the Central States region. Describe incidence of non-fatal agricultural injuries on self-owned farms in the Central States region. Identify potential risk factors associated with non-fatal agriculture injuries.

Keyword(s): Occupational Health and Safety, Surveillance

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a graduate research assistant on this project for past two years, and responsible for data management, analysis and interpretation. My scientific interests include survey methods in occupational injury research, agricultural safety and health, and occupational injury surveillance.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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