Journal of Agromedicine最新文献

{"title":"Examining the Relationship Between Stress, Barriers to Healthcare, and Alcohol Use in the US Agricultural Community.","authors":"Christina Proctor, Noah Hopkins","doi":"10.1080/1059924X.2024.2374737","DOIUrl":"10.1080/1059924X.2024.2374737","url":null,"abstract":"<p><strong>Objective: </strong>Farming is a high-risk, physically challenging occupation. Considering farmers report high stress and barriers to seeking healthcare, it is important to understand factors influencing alcohol use to tailor interventions and healthcare resources for alcohol use in rural areas.</p><p><strong>Methods: </strong>An online survey was distributed to the agricultural community in the United States (<i>n</i> = 1045). Data was collected through QualtricsXM, and SPSS 28.0 was used for data analysis.</p><p><strong>Results: </strong>Both formal healthcare challenges (β = 0.112, <i>p</i> = .004) and stigma (β = 0.328, <i>p</i> < .001) were identified as predictors of increased perceived stress, while resilience (β = -0.137, <i>p</i> < .001) was identified as a protective factor against perceived stress. Higher perceived stress was identified as a predictor of binge drinking behavior (β = 0.151, <i>p</i> < .001), and formal healthcare challenges were associated with higher drinking volume (β = 0.174, <i>p</i> < .001), and engaging in more frequent alcohol consumption (β = 0.123, <i>p</i> = .004) over the last three months. Resilience was identified as a protective factor against increased alcohol consumption (β = -0.084, <i>p</i> = .032). Stigmatization of help-seeking for mental health challenges was associated with fewer instances of alcohol consumption over the last three months (β = -0.169, <i>p</i> < .001).</p><p><strong>Conclusion: </strong>Interventions to address stress and alcohol consumption should focus on promoting resilience, reducing stigma, and encouraging peer support to address cultural norms around mental health and alcohol use. Rural practitioners should develop cultural competence to better serve agricultural communities to prevent alcohol use disorders. To discuss ways to reduce stigma and encourage peer support to address alcohol and mental health disorders in rural farming populations.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"605-614"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141499390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Emergency Medical Service Transport Time in Rural Farm and Non-Farm Pediatric Trauma.","authors":"Sarah K Struble, Dmitry Tumin, Kori L Brewer, Kathleen K Bryant, Matthew R Ledoux, Shannon W Longshore","doi":"10.1080/1059924X.2024.2385612","DOIUrl":"10.1080/1059924X.2024.2385612","url":null,"abstract":"<p><strong>Objectives: </strong>Pediatric farm injuries tend to be more severe and have poorer outcomes compared to injuries sustained in non-farm settings. Timely emergency medical service (EMS) response and transport to definitive care is crucial for optimizing outcomes for trauma patients. We aimed to determine if pediatric farm injuries were associated with longer EMS response and transport times compared to pediatric non-farm injuries in rural communities.</p><p><strong>Methods: </strong>The 2021 National EMS Information System (NEMSIS) database was used to identify rural EMS activations where injured pediatric patients who were transported to a hospital. Median transport times for farm and non-farm injuries, as well as other components of prehospital time and use of air EMS transport, were compared between injuries on farms and injuries in non-farm rural settings.</p><p><strong>Results: </strong>The analytic sample included 22,248 rural EMS activations for pediatric injuries, of which 156 (1%) were for pediatric farm injuries. For non-farm and farm injuries, the median transport times were 20 minutes and 28 minutes, respectively. Median total prehospital time was 50 minutes compared to 62 minutes, and 9.8% of patients with non-farm injuries versus 20.5% of those with farm injuries were transported to a hospital by air EMS units. After multivariable adjustment, farm vs. non-farm injury location was associated with a 4 minute increase in EMS transport time, but no difference in initial EMS response time, EMS time on scene, or use of air EMS units.</p><p><strong>Conclusion: </strong>Among children sustaining an injury that resulted in rural EMS activation, farm injuries were associated with prolonged transport time compared to non-farm injuries, which may contribute to worse in-hospital outcomes described to pediatric farm injuries in prior research.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"636-644"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141793787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seasonal Patterns of Injury Characteristics Among Farmers and Ranchers in the U.S. Central States.","authors":"Rishad Ahmed, Yi Du, Gleb Haynatzki, Sarah Tucker, Athena K Ramos, Risto H Rautiainen","doi":"10.1080/1059924X.2024.2387645","DOIUrl":"10.1080/1059924X.2024.2387645","url":null,"abstract":"<p><strong>Objective: </strong>In high-risk agricultural environments, tasks, weather, and work conditions vary throughout the year. Also, injuries peak during certain periods. The primary objective of this study was to examine operator- and farm-level characteristics as risk factors for injuries within each of the four seasons. The secondary objective was to examine seasonal differences in the incident location and primary cause of these injuries.</p><p><strong>Method: </strong>We analyzed data from the 2018 and 2020 Farm and Ranch Health and Safety Surveys (FRHSS), conducted in seven U.S. states by the Central States Center for Agricultural Safety and Health (CS-CASH), which were collected using a stratified random sampling approach to ensure representativeness. The survey data were merged with operation-level data from the Farm Market iD database. We employed Generalized Estimating Equations (GEE) to examine the association of seasonal injuries with individual and operation-level characteristics. The chi-square test of independence was used to assess the association between injury incident location and season, as well as injury cause and season. Pairwise Z-tests of proportions were conducted to evaluate the differences in the proportions of injuries due to specific combinations of injury location and cause across each pair of seasons.</p><p><strong>Results: </strong>Surveys conducted in 2018 and 2020 yielded a combined response rate of 15.9%, with 5,428 responses and 7,915 unique operators. Of these, 903 operators reported at least one injury during the past 12 months. Seasonally, most injuries occurred in spring (34.2%), followed by summer (24.7%). Male operators had higher injury odds in the spring (adjusted OR = 1.42) and summer (aOR = 2.41). Those managing both a farm and a ranch reported increased injury risks in winter (aOR = 1.73) and spring (aOR = 1.48). Operators in cow-calf operations faced higher springtime injury risks (aOR = 1.45). High stress and exhaustion were consistent risk factors across all seasons. The highest proportion of injury incidents occurred in the farmyard (43.6%), and livestock were the most common cause of injury (24.9%).</p><p><strong>Conclusion: </strong>Results highlight the need for season-specific prevention and intervention strategies, considering farmers' and ranchers' risk characteristics, injury locations, and causes. These findings can inform targeted measures for high-risk populations at optimal times and locations.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"653-664"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141898734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Telling Tales: Using Vignettes to Overcome Optimism Bias in Farm Health and Safety Attitudinal Studies.","authors":"Mohammad Mohammadrezaei, David Meredith, John McNamara","doi":"10.1080/1059924X.2024.2365638","DOIUrl":"10.1080/1059924X.2024.2365638","url":null,"abstract":"<p><strong>Objective: </strong>Measuring attitudes of farmers to safe farming practices using quantitative causal relationship approaches is central to improving understanding of (un)safe practices. This knowledge is important in the development of effective farm safety interventions. However, the accuracy of quantitative attitudinal studies in explaining farmers' decision-making faces a potential measurement challenge, i.e. a high level of optimism bias. In this paper, we present research that develops and tests farm safety attitudinal questions that are framed around \"real-life\" farming practices with the objective of reducing optimism bias.</p><p><strong>Methods: </strong>We apply construal level theory (CLT) to support the design of vignettes that reflect common risk scenarios faced by farmers. Applying qualitative analysis of 274 fatal farm incidents that occurred in Ireland between 2004 and 2018 we identify the occupational behaviors (what farmers do), social (who are farmers), spatial (where farming takes place), and temporal (when farming happens) dimensions of risks resulting in most deaths. The results informed subsequent co-design activities with farm safety experts and farm advisors to develop \"real-life\" scenarios, attitudinal questions, and response options. The questionnaire was piloted and subsequently implemented to collect data from a sample of 381 farmers with either tractors or livestock. The results of the survey were compared to previous attitudinal research on farmer's attitudes to safety in Ireland to establish if there was as follows: i) increased variance in the responses, and ii) a statistically significant difference in the attitudes of respondents compared to the results reported in previous studies.</p><p><strong>Results: </strong>The findings established that when farmers were provided with real-life scenarios, their responses were less optimistic and more varied, i.e. there was a greater range of responses, compared to previous studies.</p><p><strong>Conclusion: </strong>Applying CTL to the development of attitudinal survey instruments anchors attitudinal questions within farming specific occupational, social, spatial, and temporal contexts. The use of vignettes that draw on real-life scenarios offers the potential for improved design of surveys that seek to understand farmer/worker practices. The results suggest that this approach can improve the measurement of attitudes to farm safety.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"531-546"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421546","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age Group-Wise Burden of Non-Communicable Diseases Among Shrimp Cultivators in India: A Retrospective Analysis of Disability-Adjusted Life Years Method.","authors":"Chandan Kumar Swain, Himanshu Sekhar Rout","doi":"10.1080/1059924X.2024.2368737","DOIUrl":"10.1080/1059924X.2024.2368737","url":null,"abstract":"<p><strong>Objective: </strong>Despite generating huge employment opportunities and profitable business, fishing is considered a dangerous occupation due to challenging weather conditions and exposure to unhealthy occupational factors and lifestyles, which contribute to various health issues. However, few studies have examined the health status of shrimp cultivators. Consequently, this study aims to estimate the age group-wise burden of non-communicable diseases (NCDs) among shrimp cultivators.</p><p><strong>Methods: </strong>Simple random sampling was employed for collecting data. The sample size was 357 shrimp cultivators. Disability-adjusted life years (DALY) and relative risk (RR) methods were used to measure the burden of NCDs among shrimp cultivators. This study reported the burden of NCDs per 100,000 shrimp cultivators.</p><p><strong>Results: </strong>The top five prevalence of NCDs per 100,000 shrimp cultivators were mental disorders (85,434), musculoskeletal diseases (26,325), digestive diseases (9,803), diabetes (5,882), and cardiovascular diseases (4,481). DALY per 100,000 shrimp cultivators was 33,407.59, while at the national level, it was 24,775.99 per 100,000 people across all age groups. The RR of NCDs among shrimp cultivators in terms of DALY was 1.35, indicating a 0.35 times higher burden of NCDs among shrimp cultivators than at the national level. The largest RR of NCDs was found among shrimp cultivators aged 15-49 years (1.85), followed by 50-69 years (1.09). The highest percentage changes in the burden of NCDs among shrimp cultivators, resulting from changes in the methods of estimating DALY, was observed in the age group of 70 years and above (-48.36%) followed by 15-49 years (-46.08%) and 50-69 years (-40.33%) when compared to the baseline method of estimating DALY without utilizing age weightage and discount rate.</p><p><strong>Conclusions: </strong>Focus should be given to improving the lifestyle and occupational factors of shrimp cultivators to mitigate the burden of NCDs.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"594-604"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pilot Evaluation of a Co-Designed Gamified Farm Injury Prevention Educational Resource for Adolescents.","authors":"Amy E Peden, Faye McMillan, Dennis Alonzo, Richard C Franklin","doi":"10.1080/1059924X.2024.2382716","DOIUrl":"10.1080/1059924X.2024.2382716","url":null,"abstract":"<p><strong>Objectives: </strong>Adolescents are at-risk of fatal and non-fatal injuries in the farm environment. School-based agricultural safety and farm injury prevention education is likely to be more effective when utilizing co-designed and gamification principles; however, this needs to be tested. This study examined data from a pilot evaluation of a co-designed farm injury prevention gamified educational resource for adolescents.</p><p><strong>Methods: </strong>Online, anonymous surveys were conducted with students studying agriculture in regional Australia who had previously participated in the co-design process to develop \"Calm Your Farm\". Three courses were developed (vehicles, workshop, and water safety) and before and after playing each of the courses for the first time, students completed survey questions regarding self-reported knowledge on the course topic, and assessment of content, design, ease of play, and how much they learned. Survey data were analyzed using descriptive statistics, chi square tests of association, and independent sample t tests.</p><p><strong>Results: </strong>We analyzed 66 responses (66.7% male; 60.6% aged 13 years). Staged course release meant all respondents assessed the vehicle and workshop courses, while 58% assessed the water safety course. Vehicle and workshop courses were rated 7.64 out of a possible 10 (SD = 1.85) and 7.65 (SD = 1.78), respectively, for the information presented, slightly higher than water safety (7.47 [SD = 1.91]). Statistically significant improvements in self-reported knowledge post play were seen among boys for the water safety course (63% said knowledge improved; X² = 4.98; <i>p</i> = .026) and 13-year-olds for vehicles (35%; X² = 4.31; <i>p</i> = .038) and workshop safety (50%; X² = 4.29; <i>p</i> = .038). Respondents indicated being more likely to replay the game at school (<i>M</i> = 6.62 [SD = 2.96]) than at home (<i>M</i> = 5.57 [SD = 3.07]). Of respondents, 61% (<i>n</i> = 40) agreed that \"Calm Your Farm\" taught them more about farm safety and was more fun than other farm safety education previously received. Tractor safety (62%), chemical safety (58%), and firearm safety (58%) were the most popular topics suggested to be added to the game.</p><p><strong>Conclusion: </strong>The co-design and gamification approach taken with \"Calm Your Farm\" appeared to be successful in improving self-reported knowledge around farm injury prevention and was perceived by 62% of the respondents as being fun and educational. Future expansion should incorporate student suggested topics.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"615-625"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762087","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Toward a Public Health Approach to Farmer Suicide Prevention: The Potential Power of Systems Change.","authors":"Sara Kohlbeck, Katherine Quinn, Terri deRoon-Cassini, Stephen Hargarten, David Nelson, Laura Cassidy","doi":"10.1080/1059924X.2024.2388253","DOIUrl":"10.1080/1059924X.2024.2388253","url":null,"abstract":"<p><strong>Objective: </strong>Suicide among farmers has, over the past 20 years, garnered attention from scholars around the world. The purpose of this paper is twofold. First, this paper will present a framework for considering farmer suicide that builds upon the Interpersonal-Psychological Theory of Suicidal Behavior and extends our current explanations of suicide to include a multilevel, multifactorial focus on individual, interpersonal, community and systemic factors at the root of stressors contributing to suicide among farmers. Secondly, a blueprint for farmer suicide prevention, leveraging the Water of Systems Change Model, is proposed.</p><p><strong>Method: </strong>In the spirit of conveying multi-layered influence on farmer suicide while highlighting relevant levels for prevention a parsimonious, prevention-based model of farmer suicide is presented.</p><p><strong>Results: </strong>The Water of Systems Change (WSC) model incorporates research to bring attention to the community, organizational, and societal conditions that keep a problem, such as farmer suicide, from being eradicated.</p><p><strong>Conclusion: </strong>Suicide is a societal issue that requires a multi-level response. Farmer suicide is a particular concern, as farmers provide for and support all of us. It is incumbent upon public health and the community-at-large to improve our policies, systems, and contexts to create an environment in which farmers are also provided for and supported.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"665-675"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social Vulnerabilities Among Hired Migrant and Seasonal Farmworkers During COVID-19: The Need for Employment-Based Indicators.","authors":"Miranda Carver Martin, Jose Perez Orozco, J Antonio Tovar-Aguilar, Maria C Morera, Cody Gusto, Linda S Forst, Paul Monaghan","doi":"10.1080/1059924X.2024.2388869","DOIUrl":"10.1080/1059924X.2024.2388869","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to explore farmworkers' experiences of social vulnerability during the peak period of the COVID-19 pandemic.</p><p><strong>Methods: </strong>Telephone surveys of 63 migrant and seasonal farmworkers across three major agricultural areas in Florida were conducted. The survey, designed and disseminated with critical support from a statewide farmworker membership and advocacy organization, included items related to social and occupational precarity and a suite of demographic conditions, including specific employment-based indicators and categories. Data were analyzed with SPSS using a series of statistical significance tests including Pearson's Chi-Square, Fisher's Exact, T-tests, and Mann-Whitney U. An open-ended question regarding employment precarity was also analyzed for frequencies of responses pertaining to a set of descriptive categories.</p><p><strong>Results: </strong>Survey findings demonstrated a high degree of social vulnerability among the farmworker sample, with notable variation in the type and severity of vulnerability and risk exposure across employment-based indicators and occupational categories. For example, a cross-industry comparison between vegetable field workers and greenhouse nursery workers revealed a disparity in COVID-exposure risk through commuting characteristics, as 43% of vegetable field workers used shared, employer-provided transport, while 68% of nursery workers used personal vehicles.</p><p><strong>Conclusion: </strong>While previous research has broadly established the extreme precarity of migrant and seasonal farmworkers during the peak COVID-19 period, the variability of experience, exposure to risk, and social vulnerability between farmworkers representing distinct employment-based indicators and occupational categories demonstrated in this study contributes to widening awareness of the importance of assessing farmworker experiences at a more granular level. In addition to delineating social vulnerability across key demographic categories, cross-industry comparisons between farmworkers revealed significant discrepancies in risk and vulnerability to COVID-19. Future research that further explores this variability may reveal opportunities to improve disaster-relief planning and mitigate social vulnerability in future disaster scenarios. The importance of surveying the vulnerability of worker populations, aside from geographic communities, is highlighted.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"701-711"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141976958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Farmworker-Relevant Heat Exposure in Different Crop and Shade Conditions.","authors":"John C Flunker, June T Spector, Maria Blancas, Nicole L Briggs, Miriam Flores, Carolyn Reeb- Whitaker, Todd Schoonover, Tamre Cardoso","doi":"10.1080/1059924X.2024.2365647","DOIUrl":"10.1080/1059924X.2024.2365647","url":null,"abstract":"<p><strong>Objectives: </strong>Agricultural workers are at risk of heat-related illness, which is preventable. Few field studies have compared farmworker-relevant heat exposure in different conditions. We examined heat exposure over time in different potential shade and work locations to inform future occupational heat prevention approaches.</p><p><strong>Methods: </strong>We assessed heat exposure in Eastern Washington State (WA) cherry and grape fields in August 2022. QUESTemp° monitors recorded Wet Bulb Globe Temperature (WBGT) and Black Globe Temperature (BGT) every 10 min from approximately 07:00-14:00 for three days in the center of crop rows (mid-row), under portable shade structures (shade), and in open field (open) locations. Linear mixed effects regression (LMER) models compared WBGT and BGT among field locations. Hourly time-weighted average WBGT and comparisons with occupational exposure limits (OELs) were computed for different hypothetical work-rest cycles during the hottest sampling hours, assuming different worker effort levels, rest locations (mid-row versus shade), and acclimatization statuses.</p><p><strong>Results: </strong>Across all crops and locations during the study period, the mean/SD air temperature was 31°C (88°F)/3.9°C (6.9°F), with a maximum temperature of 39°C (102°F) and a mean/SD relative humidity of 30%/9.6%. LMER models suggested no significant difference in mid-row versus open WBGT but significantly lower WBGT in shade versus open locations for both cherries (main effect -5.14: 95% confidence interval [CI] -6.97,-3.32) and grapes (-6.20: 95%CI -7.73,-4.67), though this difference diminished over the course of the day. BGT was significantly higher in the mid-row than the shade (cherries main effect 14.33: 95%CI 9.52,19.13 and grapes 17.10: 95%CI 13.44,20.75). During the hottest sampling hour, the exceedances of OELs were reduced with assumptions of increased shaded break lengths, reduced effort level, and acclimatization.</p><p><strong>Conclusions: </strong>Shade canopies, but not the crops studied, provided significant reductions in heat exposure. We observed increased protection from heat assuming longer shaded breaks and reduced effort levels. Results highlight the need for additional field research on the effectiveness, feasibility, and acceptability of different shade types and work-rest cycles to guide employer optimization of best practices for worker protections, including acclimatization before high heat, sufficient shaded rest time, reduced effort levels as the day warms, and avoiding work in peak heat.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"547-560"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11410529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Use of Injury and Fatality Narratives to Convey Agricultural Safety and Health Messages and to Develop Effective Resources Through Collaborative, Multi-Disciplinary Approaches (Tell a Story, Save a Life).","authors":"Melissa Ploeckelman, Scott Heiberger, Risto Rautiainen, Anthony Johnson, Devon Charlier, Aaron Yoder, Ellen Duysen","doi":"10.1080/1059924X.2024.2386105","DOIUrl":"10.1080/1059924X.2024.2386105","url":null,"abstract":"<p><strong>Objective: </strong>Storytelling engages audiences, passes down traditions and history, educates, and helps people understand and interpret their environment. Many of those who work in agriculture have been part of the storytelling tradition since childhood. Research has demonstrated the emotional impact of personal stories and how prevention information is conveyed effectively \"farmer to farmer\" through this method of communication.</p><p><strong>Methods: </strong>Since 2016, the Telling the Story Project has provided a space for those directly or indirectly involved in an agricultural incident to share their story and unique perspectives on how similar incidents can be avoided.</p><p><strong>Results: </strong>This collaborative project, developed between the National Institute for Occupational Safety and Health (NIOSH) Agriculture Safety Centers, has resulted in 11 stories on a dedicated website, safety and health resources, and educational guides. The stories and educational guidelines have been marketed extensively through traditional and social media sources, employed in safety training, and embraced by educators in agricultural programs. The website has provided a national and international reach with more than 35,000 visits.</p><p><strong>Conclusion: </strong>Qualitative thematic analysis of the stories provided data on the circumstances leading up to each incident, valuable information on how the storytellers interpreted the aftermath, and a novel perspective on how safety professionals can create messaging that will resonate with the farming community.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"645-652"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}