ROPS commentary-Addressing our fatal blind spot: Applying evidence-based solutions to reduce the most frequent cause of death on U.S. farms.
ROPS commentary-Addressing our fatal blind spot: Applying evidence-based solutions to reduce the most frequent cause of death on U.S. farms.
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ROPS 评论 - 解决我们的致命盲点：应用基于证据的解决方案来减少美国农场最常见的死亡原因。
DOI：
10.1002/ajim.23484
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发表时间：
2023
影响因子：
3.5
通讯作者：
Perez-Sanz,SarahB
中科院分区：
文献类型：
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作者：
Sorensen,JulieA;Milkovich,PamelaJ;Dorfman,Lori;Mejia,Pamela;Perez-Sanz,SarahB
拖拉机倾覆是美国农场死亡的最主要因素，几十年来一直如此。虽然公共卫生研究人员多年前假设，随着旧拖拉机被新拖拉机取代，翻车死亡人数将在很大程度上消失，但这种情况并没有发生。与此同时，农民继续死于这些容易预防的悲惨事件。拖拉机翻车保护结构（ROPS）不仅在翻车事故中防止死亡的有效性达到99%，而且还有一个国家计划将农民与ROPS联系起来。虽然该计划受到农民的欢迎，并且为农民提供技术支持和成本分摊回扣的成本效益已经得到证明，但许多州无法获得ROPS回扣，即使是那些翻车死亡人数最多的州。鉴于这些证据，很难调和缺乏政策或公共投资的解决方案，以决定性地解决农业中最有害的死亡因素。在这篇评论中，我们强调了这个经过验证的拖拉机倾覆解决方案背后的科学，以及媒体和实施科学在鼓励政策制定者拯救生命方面可以发挥的重要作用。
Tractor overturns are the most prominent contributing factor to death on U.S. farms and have been for decades. While public health researchers hypothesized years ago that overturn fatalities would largely disappear as older tractors were replaced by newer ones, this has not happened. In the meantime, farmers continue to die in these easily preventable and tragic events. Not only are tractor rollover protective structures (ROPS) 99% effective in preventing death in the event of an overturn, a national program exists to connect farmers with ROPS. While this program has been popular with farmers, and the cost‐effectiveness of providing farmers with technical support and cost‐sharing rebates has been demonstrated, many states lack access to ROPS rebates, even those states with the highest number of overturn fatalities. Given the evidence, it is difficult to reconcile the lack of policy or public investment in a solution that decisively addresses the most pernicious contributor to death in the agricultural industry. In this commentary, we highlight the science behind this proven solution to tractor overturns and the essential role that the media and implementation science can play in encouraging policy‐makers to save lives.