title: Fatal and non-fatal farm injuries to children and adolescents in the United States, 1990-3.
abstract: OBJECTIVE
  Examine the current magnitude of the injury problem to children and adolescents on farms, and to compare these data to that from 1978-83.
  
  
  METHODS
  US National Center for Health Statistics Mortality Multiple Cause of Death Tapes for the years 1991-3, and the US Consumer Product Safety Commission National Electronic Injury Surveillance System for data on emergency department visits for 1990-3.
  
  
  METHODS
  Children and adolescents 19 years and younger injured on farms.
  
  
  RESULTS
  There were an average of 104 deaths per year due to injuries occurring on farms. The rate of 8.0 deaths per 100,000 child farm residents is 39% lower than in 1979-81. More of the deaths occurred in hospital than previously. There were an average of 22,288 emergency department treated injuries per year. The rate of 1717 injuries per 100,000 child farm residents is 10.7% higher than 1979-83. Males were injured more frequently than females. Tractors accounted for 20.9% of all injuries, followed by horses (8.4%), all terrain vehicles and minibikes (8.0%), and farm wagons (7.7%).
  
  
  CONCLUSIONS
  Farm injuries continue to be a major problem to children living on farms. While improved medical care may have contributed to the reduction in mortality, the continued high rate of injuries warrants study of a variety of intervention strategies to reduce the injury toll. There is also a need for ongoing injury surveillance to provide accurate data on the farm injury problem.
authors.affiliation: Harborview Injury Prevention and Research Center, Washington, Seattle 98104, USA.
authors.forename: F P
authors.initials: FP
authors.lastname: Rivara
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000383:Agriculture / Q000295:instrumentation / Q000706:statistics & numerical data*; D002423:Cause of Death; D002648:Child; D002675:Child, Preschool; D003257:Consumer Product Safety; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D012042:Registries; D012307:Risk Factors; D012424:Rural Population; D017678:Sex Distribution; D015996:Survival Rate; D014481:United States / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology / Q000401:mortality