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Regional rural injury study III: the roles of injury type and injured body part in determining short- and long-term consequences of injuries among children on agricultural operations
  1. A Ryan1,
  2. S Gerberich1,
  3. B Alexander1,
  4. C Renier2
  1. 1Regional Injury Prevention Research Center and Midwest Center for Occupational Health and Safety Education and Research Center, University of Minnesota, Minneapolis, Minnesota, USA
  2. 2Research Division, Essentia Institute of Rural Health, Duluth, Minnesota, USA

    Abstract

    Background Children living on agricultural operations are at high risk of work-related injury.

    Aims/Objectives/Purpose Evaluate the effects of anatomical location of and type of injury on short- and long-term consequences among children (<20 years old) on agricultural operations.

    Methods Data were collected for 1474 eligible agricultural operation households in Minnesota, Wisconsin, North Dakota, South Dakota and Nebraska. Two 6-month injury data collection periods followed baseline collection; annual follow-up evaluation data were collected for 2 years. By comparing youth in case and control households, changes between baseline and follow-up were examined. Multivariate logistic regression and cumulative logit models characterised associations between injury status and long-term health- and work-related characteristics.

    Results/Outcome Anatomical locations most frequently injured among youth were legs (39%) and arms (35%). Frequently occurring injury types included fractures/dislocations (27%) and sprains/strains (23%). Brain/spine injuries, while infrequent (5%), were among the most severe: all required treatment by a health care professional. Characteristics of youths in case households were compared to those in control households at different intervals post-injury reporting period: youths with brain/spine injuries were seven times more likely to have trouble with pain/discomfort at 1 year; arm and leg injuries were associated with lower odds of feeling happy at 6 months (OR 0.3; 95% CI 0.1 to 0.9); fractures/dislocations were associated with elevated risks of not completing work/chores at 1 year.

    Significance/Contribution to the Field Short- and long-term consequences of injuries among youths on agricultural operations differ by injury type and anatomical location, interfering with regular activities, and impacting work productivity.

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