ABSTRACT

The purpose of this study was to evaluate trends in agricultural mortality before and after implementation of safety initiatives. Retrospective review of Kansas mortality data from agriculture-related injuries from 1979 to 2018. The 39-year period was stratified into four periods to compare mechanisms of injury and fatality rates between study periods. There were 780 agricultural-related deaths. Mean age significantly increased between study Period I to Period IV from 46.4 to 55.3 years (P = 0.013). Tractors remain the primary cause of farm-vehicle mortality overall; however, tractor-related deaths significantly decreased during the study periods from 75.6% to 44.3% (P < 0.001). Tractor rollover mortality also decreased from 50.8% to 25.6% (P = 0.036). ATV-related deaths significantly increased from study Period II to III (5.1% to 23.9%, P < 0.001), but decreased from Period III to IV (23.9% to 17.0%). Tractor-related fatalities are decreasing, but tractors still remain the most dangerous piece of farm equipment. ATV-related fatalities are a continued concern. Continued rural education and emphasis on the use of rollover protection structures is a critical focus in the effort to prevent fatal farming injuries.

摘要

本研究的目的是评估安全举措实施前后的农业死亡率趋势。对堪萨斯州 1979 年至 2018 年农业相关伤害死亡率数据的回顾性审查。 将 39 年期间分为四个时期，以比较研究期间的伤害机制和死亡率。与农业有关的死亡人数为 780 人。平均年龄在研究阶段 I 到阶段 IV 之间显着增加，从 46.4 到 55.3 岁（P = 0.013）。拖拉机仍然是农用车辆总体死亡的主要原因；然而，研究期间与拖拉机相关的死亡人数从 75.6% 显着下降到 44.3% ( P < 0.001)。拖拉机翻车死亡率也从 50.8% 下降到 25.6%（P= 0.036）。ATV 相关死亡人数从研究阶段 II 到 III 显着增加（5.1% 到 23.9%，P < 0.001），但从研究阶段 III 到 IV（23.9% 到 17.0%）下降。与拖拉机相关的死亡人数正在减少，但拖拉机仍然是最危险的农业设备。与 ATV 相关的死亡人数一直是一个令人担忧的问题。继续农村教育和强调使用翻车保护结构是预防致命农业伤害的关键重点。