Work-Related Stress as a Risk Factor for Farm Injuries in the Central United States

Pub Date : 2023-01-01 DOI:10.13031/jash.14951

Hepsi J. Bai, C. Beseler, L. Baccaglini, R. Rautiainen

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引用次数: 1

Abstract

Highlights Operators reporting stress had 1.9 times as many injuries per year compared to those who did not report stress. Stress, sleep deprivation, and fatigue showed a similar positive association with injuries. Hearing loss and exposure to animal and/or chemical-based allergens were also risk factors for injury. Musculoskeletal pain/discomfort was strongly associated with injuries, making it a potential risk factor or a consequence. Abstract. This study evaluated the association of self-reported occupational stress and injury among farm and ranch operators in the central United States. Randomly sampled operators received mail surveys with questions related to injuries, chronic health conditions, work exposures, and preventive measures in 2018 and 2020. Injury risk factors were analyzed using Poisson regression analysis. Out of 6,744 participants, 836 (12%) reported at least one injury in the past 12 months and 1,766 (26%) reported work-related stress. The percentage of those reporting stress was 24% among those with no injuries, 36% among those with one injury, and 66% among those with two or more injuries. Similar percentages across the three injury categories were found for sleep deprivation (21%, 30%, and 51%) and fatigue (25%, 39%, and 66%). A high perceived stress level was a risk factor for injury in the final adjusted model (adjusted Rate Ratio (aRR): 1.93, 95% CI: 1.65 to 2.25) when controlling for hearing loss (aRR: 1.25, CI: 1.25 to 1.75) and exposure to animal and/or chemical based allergens (aRR: 1.49, CI: 1.17 to 1.91). With musculoskeletal symptoms (MSS) in the model, the association of stress and injuries was attenuated (aRR: 1.54, CI: 1.32 to 1.79) while MSS had a strong association with injuries (aRR: 3.79, CI: 3.00 to 4.78). Stress, sleep deprivation, and fatigue were associated with injuries in a dose-response manner. Preventing injuries among farmers and ranchers requires a focus on stress reduction and related health conditions. Keywords: Agriculture, Fatigue, Hearing Loss, Injury, Musculoskeletal discomfort, Stress.

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工作压力是美国中部农场伤害的一个风险因素

报告压力的操作员每年受伤的数量是没有报告压力的操作员的1.9倍。压力、睡眠不足和疲劳也与受伤有类似的正相关。听力损失和接触动物和/或化学过敏原也是造成损伤的危险因素。肌肉骨骼疼痛/不适与损伤密切相关，使其成为潜在的风险因素或后果。摘要本研究评估了美国中部农场和牧场经营者自我报告的职业压力和伤害的关系。随机抽样的操作员在2018年和2020年收到了与伤害、慢性健康状况、工作暴露和预防措施有关的邮件调查。采用泊松回归分析损伤危险因素。在6744名参与者中，836名(12%)报告在过去12个月内至少受伤一次，1766名(26%)报告工作压力。在没有受伤的人群中，报告压力的比例为24%，在一次受伤的人群中为36%，在两次或两次以上受伤的人群中为66%。在三种伤害类别中，睡眠剥夺(21%，30%和51%)和疲劳(25%，39%和66%)所占的比例相似。在最终调整模型中，当控制听力损失(aRR: 1.25, CI: 1.25至1.75)和暴露于动物和/或化学过敏原(aRR: 1.49, CI: 1.17至1.91)时，高感知压力水平是损伤的危险因素(调整比率比(aRR): 1.93, 95% CI: 1.65至2.25)。在模型中，肌肉骨骼症状(MSS)与应激和损伤的相关性减弱(aRR: 1.54, CI: 1.32至1.79)，而MSS与损伤的相关性很强(aRR: 3.79, CI: 3.00至4.78)。压力、睡眠不足和疲劳与损伤呈剂量-反应关系。预防农民和牧场主受伤需要注重减轻压力和相关的健康状况。关键词:农业，疲劳，听力损失，损伤，肌肉骨骼不适，压力

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