Journal of Agromedicine最新文献

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"When the Bills Keep on Coming:" the Experiences of Seafood Processors During the COVID-19 Pandemic. 账单不断:"COVID-19 大流行期间海产品加工商的经历"。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-26 DOI: 10.1080/1059924X.2024.2421585
Shannon Guillot-Wright, Laura Porterfield, Brenda Wilson, Lacy Davis
{"title":"\"When the Bills Keep on Coming:\" the Experiences of Seafood Processors During the COVID-19 Pandemic.","authors":"Shannon Guillot-Wright, Laura Porterfield, Brenda Wilson, Lacy Davis","doi":"10.1080/1059924X.2024.2421585","DOIUrl":"https://doi.org/10.1080/1059924X.2024.2421585","url":null,"abstract":"<p><p>Essential workers were at increased risk during the COVID-19 pandemic, including seafood processors who are often rendered invisible within the public sphere. To examine the health and safety concerns of seafood processors, many who are low income or im/migrant workers on H-2B visas, our team conducted qualitative research with 44 participants. We found that in addition to high occupational health hazards that existed before the pandemic, COVID-19 increased workers' financial risks, which put them in more dangerous health and safety positions, since they needed to work through physical and mental health illness. These financial risks can be seen through the themes of paid sick leave, mental health, economic duress, and primary care access. We conclude with three recommendations to the H-2B visa worker program, which will not only decrease health disparities for im/migrant workers, but also increase health equity across seafood worker populations.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-10"},"PeriodicalIF":2.1,"publicationDate":"2024-10-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511399","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}
引用次数: 0
IFISH6: Successes and Lessons for the Future. 国际渔业联合会第六届会议:成功经验与未来教训。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-14 DOI: 10.1080/1059924X.2024.2413444
Pamela J Milkovich, Amanda B Roome, Julie A Sorensen
{"title":"IFISH6: Successes and Lessons for the Future.","authors":"Pamela J Milkovich, Amanda B Roome, Julie A Sorensen","doi":"10.1080/1059924X.2024.2413444","DOIUrl":"https://doi.org/10.1080/1059924X.2024.2413444","url":null,"abstract":"<p><p>The IFISH6 conference brought together researchers and practitioners from around the world to discuss innovations and progress in protecting the safety and health of workers in the fishing, aquaculture, and seafood processing industries. This brief provides an overview of the feedback that was received about this conference, ideas for enhancing the impact of IFISH7, and methods of continuing collaboration and innovation in between.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-3"},"PeriodicalIF":2.1,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478765","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}
引用次数: 0
Seaweed Farming in Tanzania: A Study of Working Practices and Geospatial Analysis of Occupational Hazards and Adverse Health Outcomes. 坦桑尼亚的海藻养殖:工作实践研究以及职业危害和不良健康结果的地理空间分析。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-14 DOI: 10.1080/1059924X.2024.2407986
Dorothy Ngajilo, Shahieda Adams, Roslynn Baatjies, Mohamed F Jeebhay
{"title":"Seaweed Farming in Tanzania: A Study of Working Practices and Geospatial Analysis of Occupational Hazards and Adverse Health Outcomes.","authors":"Dorothy Ngajilo, Shahieda Adams, Roslynn Baatjies, Mohamed F Jeebhay","doi":"10.1080/1059924X.2024.2407986","DOIUrl":"https://doi.org/10.1080/1059924X.2024.2407986","url":null,"abstract":"<p><strong>Objective: </strong>Work in seafood harvesting and processing has been associated with a range of occupational hazards and associated health problems. However, limited information exists regarding the occupational health risks among workers engaged in seaweed handling.</p><p><strong>Methods: </strong>A cross-sectional study was conducted to map seaweed co-operatives (<i>n</i> = 45), assess working practices, and identify common work-related symptoms, occupational hazards, and interventions in seaweed farming sites (<i>n</i> = 24), across three regions of Zanzibar, Tanzania.</p><p><strong>Results: </strong>Seaweed farming in Zanzibar primarily involves the cultivation of Eucheuma Spinosum, with the majority of workers being women. Common work-related symptoms identified include musculoskeletal symptoms, mainly affecting the wrist (87%), back (84%) and lower limbs (73%). Furthermore, a significant proportion of workers were reported to have skin problems (80%) as well as heat and asthma-related symptoms (51%). Walk-through hazard evaluations of work sites identified a range of occupational hazards, with ergonomic (58-68%), biological (50-63%) and chemical (55-65%) hazards obtaining higher scores across the three regions. Geospatial analysis revealed regional variations in occupational hazards and work-related symptom prevalence, with Unguja South having a statistically significant (<i>p</i> < .05) higher mean prevalence of skin symptoms (95%) and Mjini Magharibi region reporting a higher prevalence of lower limb pain (100%), back pain (100%), and heat-related symptoms (90%). Despite the high hazard scores, interventions were generally lacking across all regions.</p><p><strong>Conclusion: </strong>Occupational health hazards and adverse health outcomes vary across seaweed farming and processing regions. Tailored interventions will be key to improving workplace health and safety of workers engaged in this sector.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"1-13"},"PeriodicalIF":2.1,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478766","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}
引用次数: 0
Assessing Stock Photos for Farmworker Health and Safety Education Materials. 评估用于农民工健康与安全教育材料的图片库。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-06-21 DOI: 10.1080/1059924X.2024.2368728
Catherine E LePrevost, Emery L Harwell, Abdul G Zahra, Michelle A Jewell, Jose A Robles Arvizu, Joseph G L Lee
{"title":"Assessing Stock Photos for Farmworker Health and Safety Education Materials.","authors":"Catherine E LePrevost, Emery L Harwell, Abdul G Zahra, Michelle A Jewell, Jose A Robles Arvizu, Joseph G L Lee","doi":"10.1080/1059924X.2024.2368728","DOIUrl":"10.1080/1059924X.2024.2368728","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to analyze how farmworkers are represented in stock photos available in commercial libraries for use in agricultural health and safety education materials.</p><p><strong>Methods: </strong>We searched for images in five commercial stock photo libraries using the terms \"farmworkers\" and \"women farmworkers\" in April 2022. We used quantitative content analysis. We coded each image for containing a visible face, age, gender, skin tone, work activity, mechanization, presence of hazards, technology use, and protective equipment/clothing after establishing inter-coder reliability. We used descriptive statistics to characterize the available stock photos.</p><p><strong>Results: </strong>We identified stock photos (<i>n</i> = 127) in three databases (Adobe Stock Images, Canva, and Getty Images). Two databases (Microsoft Office Image Library and Pixabay) had no relevant images at the time of the search. Only half of the photos analyzed contained a face. Light skin tones and young or middle-aged adults were more common. A majority of farming activities represented in photos were manual tasks (e.g., harvesting) with few depictions of equipment, hazards, and protective equipment/clothing.</p><p><strong>Conclusions: </strong>Health and safety professionals tasked with developing materials for education in agricultural settings face a severe lack of imagery pertinent to the realistic conditions of farmworkers in the United States. In the databases we reviewed, photos displaying human faces, photos showing a range of skin tones and ages, and photos displaying an array of different farm hazards are likely not sufficient for material development. Health and safety professionals may benefit from sharing photos from their own work with other professionals and allocating resources for professional photo shoots in their material development projects.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"712-716"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11410520/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141433210","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}
引用次数: 0
An Evaluation of Living Conditions and Dietary Habits of Seasonal Migrant Agricultural Workers: The Example of Turkey. 对季节性农业移民工人生活条件和饮食习惯的评估:以土耳其为例。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI: 10.1080/1059924X.2024.2388849
İlksen Orhan, Hatice Serap Koçak
{"title":"An Evaluation of Living Conditions and Dietary Habits of Seasonal Migrant Agricultural Workers: The Example of Turkey.","authors":"İlksen Orhan, Hatice Serap Koçak","doi":"10.1080/1059924X.2024.2388849","DOIUrl":"10.1080/1059924X.2024.2388849","url":null,"abstract":"<p><strong>Objective: </strong>The nutritional status of seasonal migrant agricultural workers is negatively affected by problems with working conditions, wages, accommodations, and living conditions. This study aimed to investigate the living conditions, dietary habits, and food consumption frequency of seasonal migrant agricultural workers in Turkey.</p><p><strong>Methods: </strong>This descriptive, cross-sectional study was conducted in July and August 2022 in the neighborhoods of Akçadağ district in Malatya Province, Turkey. The sample of the study consisted of 262 seasonal migrant agricultural workers aged 15 and over who came to the region for the apricot harvest. The data were obtained using the face-to-face interview technique via a two-part questionnaire including questions on socio-demographic characteristics, living conditions, dietary behaviors and food consumption frequency.</p><p><strong>Results: </strong>The mean age of the seasonal migrant agricultural workers was 24.16 ± 0.75, and they worked 12.01 ± 0.10 hours per day on average. It was determined 74.8% of the workers had access to clean water, and 50.4% did not think they had an adequate and balanced diet. It was found only 57.3% of the workers had a normal body mass index, 80.2% never ate fish, 53.8% never ate red meat, and 67.2% never drank milk, while only 34.4% were able to eat seasonal vegetables.</p><p><strong>Conclusion: </strong>The findings of the study show that seasonal migrant agricultural workers in Turkey do not have suitable conditions in terms of food and accommodations, and their working conditions, wages, and health conditions are inadequate. These deficiencies have a negative effect on workers' quality of life and health status.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"676-687"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903391","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}
引用次数: 0
"I Do Not Have the Time of Being sick": Para-Occupational Exposure and Women's Health Risk Perception in an Agricultural Community. "我没有生病的时间":农业社区中的准职业暴露与妇女的健康风险意识。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-06-14 DOI: 10.1080/1059924X.2024.2366458
Mayra Vera-Aviles, Teresa Castillo-Burguete, Norma Pérez-Herrera
{"title":"\"I Do Not Have the Time of Being sick\": Para-Occupational Exposure and Women's Health Risk Perception in an Agricultural Community.","authors":"Mayra Vera-Aviles, Teresa Castillo-Burguete, Norma Pérez-Herrera","doi":"10.1080/1059924X.2024.2366458","DOIUrl":"10.1080/1059924X.2024.2366458","url":null,"abstract":"<p><strong>Introduction: </strong>Few studies have explored the relationship between para-occupational exposure and risk perception in farmers' families. Women are indirectly involved in agricultural activities, even though their roles most of the time are hidden. Women's para-occupational exposure and risk perceptions are important to describe, since women have a key gender role in the family's health care and possibly in the impact of acting regarding pesticide safety education. Furthermore, in farmer families, the impact of para-occupational pesticide exposure on women's health has been neglected.</p><p><strong>Aim: </strong>Analyze pesticide para-occupational exposure scenario, knowledge, and health risk perception among women living in a farmer community.</p><p><strong>Methods: </strong>A mixed methodology was used. Two groups of women were identified to screen the exposure scenario: Women living in a farming family and women not living in a farming family. Data on para-occupational pesticide exposure and intradomicile practices were collected by questionnaire and semi-structured interviews to identify health risk perception and risk practices.</p><p><strong>Results: </strong>We observed a complex pesticide exposure scenario. All women were potentially exposed to pesticides through several pathways. One-third of the participants lived near a farming family or in proximity to neighbors that used pesticides at home, and one of every three women referred to spending time in a farmer's home. Among the group of women in a farming family (<i>n</i> = 18) stored pesticides inside the home was common; having the \"safety practice\" of storing pesticides in high places to avoid children being exposed. Women not living in farmimg families (<i>n</i> = 11) felt overexposed due to living in an agricultural community and agricultural drift exposure. Women from this group also mentioned feeling fear of developing cancerous diseases as well as fertility problems.</p><p><strong>Conclusions: </strong>Knowledge and risk perception of pesticide exposure are similar between groups; however, women living in farming families were less willing to attend preventive health check-ups or educational programs than women not living in a farming family.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"561-571"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141318729","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}
引用次数: 0
Rural Natural Disaster Stress: A Survey of Community Resource Use and Effect. 农村自然灾害压力:社区资源使用和影响调查。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI: 10.1080/1059924X.2024.2388862
Kristin K Gaffney, Ellen Duysen, Sharon Medcalf, Christopher Wichman
{"title":"Rural Natural Disaster Stress: A Survey of Community Resource Use and Effect.","authors":"Kristin K Gaffney, Ellen Duysen, Sharon Medcalf, Christopher Wichman","doi":"10.1080/1059924X.2024.2388862","DOIUrl":"10.1080/1059924X.2024.2388862","url":null,"abstract":"<p><strong>Objective: </strong>This study identified rural community experiences and preferences related to available resources and their effects on stress following tornadoes and floods.</p><p><strong>Methods: </strong>The Rural Natural Disaster Stress and Recovery survey was distributed from December 2021 to February 2022 in rural disaster-affected communities. Within the analysis sample (N = 159) of self-selected participants representing both agricultural and non-agricultural occupations, 125 responded to the Resource Use and Effect survey component that evaluated the effects of 22 resources on post-disaster stress. Additional qualitative questions provided further data.</p><p><strong>Results: </strong>The most frequently used resources post-disaster were found to be talking about the event (98.3%), friends and neighbors (97.6%) and family (97.6%). Using a derived Impact per Use score, groups from the neighboring community and personal faith activities most often reduced stress. Resources that increased stress were identified as FEMA or other government organizations; repairing, replacing, or rebuilding property; and following news or social media. Participants reported help from their community (35.8%) or things they did for themselves (31.2%) most effectively decreased disaster stress. Family, friends, faith, neighbors, and community were top choices to decrease stress in a future disaster.</p><p><strong>Conclusion: </strong>Rural residents identified available resources for reducing disaster stress, but some common post-disaster activities were found to increase stress. Rural emergency management should adapt response and recovery plans and activities to leverage readily accessible people, groups, and activities to mitigate negative mental and emotional health effects.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"688-700"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141903392","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}
引用次数: 0
A Qualitative Enquiry of On-Farm Rules About Quad Bikes (ATVs): How Rules Are Determined and Implemented at a Farm Level in Rural Australia. 关于四轮摩托车(ATV)农场规则的定性调查:澳大利亚农村农场如何确定和执行规则。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-06-20 DOI: 10.1080/1059924X.2024.2368181
Joseph Michael Freeman, Megan Nicole Keatley, Sarah Hui Xin Wong, Anthony M Brown, Emma Louise Webster
{"title":"A Qualitative Enquiry of On-Farm Rules About Quad Bikes (ATVs): How Rules Are Determined and Implemented at a Farm Level in Rural Australia.","authors":"Joseph Michael Freeman, Megan Nicole Keatley, Sarah Hui Xin Wong, Anthony M Brown, Emma Louise Webster","doi":"10.1080/1059924X.2024.2368181","DOIUrl":"10.1080/1059924X.2024.2368181","url":null,"abstract":"<p><strong>Objective: </strong>Quad bikes are a leading cause of death and incident-related injury on farms, yet little is understood about rules used by farmers to ensure their safe operation. This study explored rules about quad bikes set by those who live or work on farms. Through the case of quad bikes, this study sought to understand how rules are determined and implemented at the farm level.</p><p><strong>Setting: </strong>A mix of farm types and locations in rural Australia including Queensland, South Australia, and New South Wales.</p><p><strong>Participants: </strong>Eight farmers were interviewed and recruited from information sheets at farmers' markets, through a local health organisation, and a media release.</p><p><strong>Design: </strong>Thematic analysis was used to transform data from eight semi-structured interviews with farmers in rural Australia.</p><p><strong>Results: </strong>Data were distilled into two themes - \"Rule content\" described the explicit rules farmers had set on their properties, while the theme \"Underlying rule principles\" explored the values and norms which underpinned the creation and implementation of these rules.</p><p><strong>Conclusions: </strong>Through the case of quad bike rules, this study illustrated how rules are determined and implemented at the farm level. Perceptions of risk were tied to farmers being experts in their own environment and therefore able to mitigate risk. In contrast to injury data, reckless use of quad bikes was perceived to cause incidents, and this was the basis of rules for adults and children.</p>","PeriodicalId":49172,"journal":{"name":"Journal of Agromedicine","volume":" ","pages":"572-582"},"PeriodicalIF":2.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141428081","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}
引用次数: 0
Examining the Relationship Between Stress, Barriers to Healthcare, and Alcohol Use in the US Agricultural Community. 研究美国农业社区中压力、医疗保健障碍和酗酒之间的关系。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-07-03 DOI: 10.1080/1059924X.2024.2374737
Christina Proctor, Noah Hopkins
{"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}
引用次数: 0
Emergency Medical Service Transport Time in Rural Farm and Non-Farm Pediatric Trauma. 农村农场和非农场小儿创伤的紧急医疗服务转运时间。
IF 2.1 3区 医学
Journal of Agromedicine Pub Date : 2024-10-01 Epub Date: 2024-07-30 DOI: 10.1080/1059924X.2024.2385612
Sarah K Struble, Dmitry Tumin, Kori L Brewer, Kathleen K Bryant, Matthew R Ledoux, Shannon W Longshore
{"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}
引用次数: 0
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