Consequences of Agricultural Injuries

描述(由申请人提供)：农业经营是独特的，因为职业环境和居住环境重叠；因此，儿童和成年人都面临职业风险。我们建议确定生活在农业经营家庭的儿童和青少年受伤的短期和长期身体、心理和经济后果，以确定这一问题不仅对个人和家庭，而且对整个农业经营的影响。这项研究建立在调查人员之前的努力基础上，将涉及明尼苏达州、威斯康星州、北达科他州、南达科他州和内布拉斯加州五个州地区的农业运营队列。这些州是美国主要农业生产类型的代表，也是美国农作物和牲畜的主要生产国之一。从美国农业部国家农业统计局维持的这些州的经营活动清单中随机抽取16,000个农业经营活动样本，拟议的研究将产生大约4,000个农业经营活动的最终合格队列(总共16,000人；0-19岁的约8,000人)。对于所有家庭成员，包括0-19岁的儿童/青年，将收集与健康有关的生活质量的基线和后续数据，包括身心健康、因农业伤害和其他伤害造成的残疾以及经济状况。伤害经历(考虑到与农业和非农业有关的伤害)和随之而来的短期后果将在两个六个月期间进行前瞻性确定。除了描述伤害发生率和相关特征外，分析将侧重于确定较长期(2.5年)伤害后果，方法是检查基线和后续数据之间的潜在变化，将0-19岁与农业有关伤害的家庭与未发生农业相关伤害的家庭进行比较；还将收集有关成年人的相关数据，以估计和分析发生率，并控制潜在的混淆。这项研究将利用计算机辅助电话访问系统，利用专门设计的基线和后续工具，借鉴1999年和2001年区域农村伤害研究的成功方法，提供可靠的科学数据。这项独特的提案的结果将解决目前对儿童农业伤害后果的严重程度和范围的认识的严重不足，并控制其他重要因素。作为这项研究的组成部分，确定农业作业总伤害负担后果的有效方法以前从未被采用过。

DESCRIPTION (provided by applicant): Agricultural operations are unique in that the occupational and the residential environments overlap; thus, both children and adults are exposed to occupational risks. We propose to identify the short and long-term physical, psychosocial, and economic consequences of injuries that occur among children and youths living in agricultural operation households to determine the impact of this problem, not only on the individual and family, but also on the overall agricultural operation. This research, building on previous efforts by the investigators, will involve a cohort of agricultural operations in the five-state region of Minnesota, Wisconsin, North Dakota, South Dakota, and Nebraska. These states are representative of the major types of agricultural production in the United States, and are among the leading producers of crops and livestock in the nation. From a randomly selected sample of 16,000 agricultural operations, generated from the lists of operations in these states, maintained by the United States Department of Agriculture National Agricultural Statistics Service, the proposed study will result in a final eligible cohort of approximately 4,000 agricultural operations (-16,000 persons total; ~8,000 persons aged 0-19). For all household members, including children/youth 0-19 years of age, baseline and follow-up data will be collected on health-related quality of life, including physical and mental health, disability due to agricultural injuries and other injury causes, and economic status. The injury experience (taking both agriculture and non-agriculture-related injuries into account) and concomitant short-term consequences will be determined prospectively for two six-month periods. In addition to description of injury incidence and associated characteristics, analyses will focus on identification of longer term (2.5 years) injury consequences, by examining potential changes between baseline and follow-up data, through a comparison between households with persons 0-19 years of age who incurred agriculture-related injuries and those that did not; relevant data will also be collected on adults to estimate and analyze rates and to control for potential confounding. The study will utilize a computer-assisted telephone interview (CATI) system with specially designed baseline and follow-up instruments, drawing on successful methods from the 1999 and 2001 Regional Rural Injury Study-ll, to provide sound scientific data. Results of this unique proposal will address a serious deficiency in current knowledge about the magnitude and scope of consequences of child agricultural injuries, controlling for other important factors. The efficient method, integral to this study, for identifying consequences of total injury burden to agricultural operations, has not been previously undertaken.