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335605
Reported Risk Factors for Agricultural Injury: A Systematic Review


Monday, November 2, 2015

Rohan Jadhav, MPH, BAMS, Department of Enviornmental, Agricultural and Occupational Health, University of Nebraska Medical Center, Omaha, NE
Chandran Achutan, PhD, Department of Environmental, Agricultural, and Occupational Health, University of Nebraska Medical Center, Omaha, NE
Gleb Haynatzki, PhD, Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE
Shireen Rajaram, PhD, Department of Health Promotion and Social and Behavioral Health, University of Nebraka 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
Learning objectives- Agricultural injury is a significant public health problem globally. Extensive research has addressed this problem and a growing number of risk factors has been reported. Our objective was to identify reported risk factors for agricultural injury and calculate pooled estimates for factors that were assessed in two or more studies.

Methods- A total of 441 (Pubmed) and 285 (Google Scholar) studies were identified focusing on occupational injuries in agriculture. From these, 32 studies reported point estimates of risk factors for injury; 31 of them passed the Newcastle-Ottawa criteria for quality, and were selected for the systematic review and meta-analyses.

Results- Several risk factors were significantly associated with injury in meta-analyses. These included education level of high school or above (vs. lower); OR=1.30, non-married status (vs. married); OR=1.21, lesser farming experience (vs. greater); OR=1.41, residence on-farm (vs. off-farm); OR=1.31, high CAGE score (vs. low); OR=1.41, high income from farm (vs. low); OR=2.23, Poor management of farm environment (vs. superior); OR=1.85, large size of farm (vs. small); OR=1.14, type of commodity produced as livestock (vs. other); OR=6.66, safety training received (vs. not received); OR=1.55. Other risk factors were reported in single reports including computerization on farm, high perceived injury risk, poor sleep (<7 hours), high farm-sales and high cooperation with other farms.  

Conclusion- Several risk factors for agricultural injury have been reported repeatedly in the literature while others are emerging from single studies. The well-established risk factors should be considered when designing interventions and selecting affected populations.

Learning Areas:

Epidemiology
Occupational health and safety
Public health or related research

Learning Objectives:
Identify reported risk factors for agricultural injury. Measure the risk from factors assessed in two or more studies.

Keyword(s): Risk Factors/Assesment, Epidemiology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a PhD Candidate in UNMC College of Public Health. This presentation is a part of my doctoral dissertation. I am working in the field of agricultural safety and health as a graduate assistant since last two and half years. I am intended to continue my research activities in this field after graduation and in the future will seek avenues to prevent agricultural injuries and diseases using scientific methods.
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.

Back to: 3303.0: Evaluation Approaches and Injury Surveillance