title: Large Machinery-Related Agricultural Injuries Across a Five-State Region in the Midwest.
abstract: OBJECTIVE
  High agricultural injury related mortality and morbidity rates persist. This study addressed a knowledge gap regarding large machinery-related injury magnitude, consequences, and risk factors.
  
  
  METHODS
  From randomly selected Midwestern agricultural operations in 1999 and 2001, 7420 eligible households participated. Demographic, exposure, and injury data collected for four 6-month periods used a computer-assisted telephone interview. An a priori causal model enabled survey development, data analysis, and interpretation. Directed acyclic graphs, developed from this model, facilitated potential confounder identification for specific exposures in multivariate analyses.
  
  
  RESULTS
  The injury rate was 12.82 events per 1000 persons per year. Increased risk was associated with male gender, increasing age, state of residence, history of prior injury, and increasing hours worked per week.
  
  
  CONCLUSIONS
  Large machinery-related agricultural injuries can result in significant consequences. Associated increased injury risks require further investigation and targeting of relevant interventions.
authors: HealthPartners Occupational and Environmental Medicine, Saint Paul, Minnesota and University of Minnesota School of Public Health, Division of Environmental Health Sciences (Dr Reiner); Midwest Center for Occupational Health and Safety Education and Research Center and Regional Injury Prevention Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota (Dr Gerberich and Mr Ryan); and Occupational and Environmental Medicine Program, Midwest Center for Occupational Health and Safety Education and Research Center, University of Minnesota School of Public Health, Division of Environmental Health Sciences, Minneapolis (Dr Mandel).
authors: Anne M
authors: AM
authors: Reiner
authors: Susan Goodwin
authors: SG
authors: Gerberich
authors: Andrew D
authors: AD
authors: Ryan
authors: Jeffrey
authors: J
authors: Mandel
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000383:Agriculture / Q000295:instrumentation*; D002648:Child; D016208:Databases, Factual; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D015146:Midwestern United States / Q000453:epidemiology; D015999:Multivariate Analysis; D060051:Occupational Injuries / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors; D055815:Young Adult