Socio-Environmental Risk Factors for Medically-Attended Agricultural Injuries in Wisconsin Dairy Farmers

Details

• Personal Author:
  Barnes KL ; Keifer MC ; VanWormer JJ ; Waring SC
• Description:
  Background: Accidents are common in the agricultural industry, particularly among dairy farmers. How said farmers get hurt is well established, but far less is known about how distal, socio-environmental factors influence injuries. This study examined associations between medically-attended agricultural injuries and: (1) personal sociodemographic characteristics, and (2) farm environment features and general safety practices. Methods: A cross-sectional survey was implemented with linked data from electronic health records on prior agricultural injuries that occurred between 01/01/2002-12/31/2015. The sample included adult dairy producers who resided in north-central Wisconsin (USA) and were medically-homed to the Marshfield Clinic Health System. Multiple logistic regression was used to analyze associations between socio-environmental characteristics and agricultural injuries. Results: There were 620 dairy farmers in the analytical sample, with 50 medically-attended agricultural injuries observed during the 14-year study time period (5.7 injuries per 1000 dairy farmers per year). In the multivariable model, the odds of agricultural injury were significantly greater among farmers who have private individually-purchased health insurance (OR = 4.25; 95% CI: 1.31, 13.84), do not live at their dairy operation (OR = 2.91; CI: 1.27, 6.67), and do not provide safety training to their workers (OR = 4.27; CI: 1.00, 18.21). Conclusions: Dairy farmers in this analysis who did not live at their dairy operation, did not provide safety training to all their workers, or had individually-purchased health insurance were more apt to get injured, but more research is needed to confirm these findings in prospectively designed studies. How these factors can be directly addressed or otherwise used to better focus farm injury prevention initiatives should also be explored. [Description provided by NIOSH]
• Subjects:
  Accidents, Occupational Agriculture Dairy Products Environment Epidemiology Farmers Occupational Health Risk Assessment Risk Factors Safety Staff Development

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• Keywords:
  Accidents Agricultural Workers Author Keywords: Farmers Cross Sectional Studies Dairy Products Electronic Health Records Environmental Factors Health Care Injuries Injury Prevention Medical Services Medical Treatment Regression Analysis Risk Factors Safety Education Safety Research Sociological Factors Training

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• ISSN:
  0020-1383
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  Minnesota ; OSHA Region 10 ; OSHA Region 5 ; Washington ; Wisconsin
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  48
• Issue:
  7
• NIOSHTIC Number:
  nn:20051115
• Citation:
  Injury 2017 Jul; 48(7):1444-1450
• Contact Point Address:
  Jeffrey J. VanWormer, Center for Clinical Epidemiology and Population Health, Marshfield Clinic Research Foundation, 1000 North Oak Ave, Marshfield, WI 54449, United States
• Email:
  vanwormer.jeffrey@mcrf.mfldclin.edu
• Federal Fiscal Year:
  2017
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Minnesota
• Peer Reviewed:
  True
• Start Date:
  20110930
• Source Full Name:
  Injury
• End Date:
  20270929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:df98b8fdb0be5fda7fca351419ae02ccffbb70d0bc571ac2c6b70796c49c266846353ae668c85f906044a1627e474312128b6e4b878eaed96c808f7533d8b396
• Download URL:
  https://stacks.cdc.gov/view/cdc/211236/cdc_211236_DS1.pdf
• File Type:
  [PDF - 487.89 KB ]