American journal of industrial medicine最新文献

{"title":"Biomarkers of Kidney Function and Injury Across Fire Seasons and During a Mid-Season Fire Incident in the Wildland Firefighter Exposure and Health Effect (WFFEHE) Study.","authors":"Lynne E Pinkerton, Sara E Luckhaupt, Stephen Bertke, Corey R Butler, Thomas R Hales, Kathleen M DuBose, Alejandra Ramirez-Cardenas, Deborah Sammons, Christine Toennis, Molly R West, Christa R Hale","doi":"10.1002/ajim.70006","DOIUrl":"https://doi.org/10.1002/ajim.70006","url":null,"abstract":"<p><strong>Background: </strong>Occupational heat stress among wildland firefighters (WFFs) performing arduous work or working in hot work environments may cause kidney dysfunction and injury.</p><p><strong>Methods: </strong>Kidney function and injury biomarkers (serum and urine) were measured among 39 WFFs pre- and post-fire season in 2018-2019. The same biomarkers were measured in 19 of these 39 WFFs over 3 days during a 2019 mid-season fire incident. Median differences in biomarker concentrations across the fire season and across the mid-season incident were evaluated using the Sign test. The primary outcome of interest was the cystatin C-based estimated glomerular filtration rate (eGFR_cys).</p><p><strong>Results: </strong>The eGFR_cys decreased (median difference = -5 mL/min/1.73 m²; interquartile range [IQR] = -8, -2 mL/min/1.73 m²; p = 0.008), and 53% of participants lost ≥ 2% of their body weight across the first day of the mid-season fire incident. Median eGFR_cys did not decrease across the fire season (median difference = 0 mL/min/1.73 m²; IQR = -5, 5 mL/min/1.73 m²; p = 0.52). The albumin-creatinine ratio and the ratios of urine kidney injury molecule-1 and neutrophil gelatinase-associated lipocalin concentrations to urine osmolality increased across ≥ 1 day during the mid-season incident.</p><p><strong>Conclusions: </strong>A temporary decrease in kidney function and changes in biomarkers of kidney injury were observed during a wildland fire incident. Additional research is warranted to confirm these findings, assess associations with occupational heat stress, and determine whether persistent, clinically relevant kidney injury and dysfunction occur among WFFs over time. The findings also support the need for continued efforts to promote optimal hydration of WFFs.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144774532","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":"Silica Hazards in Engineered Stone Countertop Production: Worker Experiences and Challenges in Los Angeles.","authors":"Jane C Fazio, Sandra R Garcia, Ivy R Torres, Sheiphali A Gandhi, Kristin J Cummings, Russell G Buhr, Kevin Riley, Ninez Ponce, Arturo Vargas Bustamante, Beth Glenn","doi":"10.1002/ajim.70010","DOIUrl":"https://doi.org/10.1002/ajim.70010","url":null,"abstract":"<p><strong>Background: </strong>Silicosis is a progressive occupational lung disease caused by inhalation of respirable crystalline silica. Stone countertop workers are at risk of developing silicosis associated with engineered stone (ES) due to its high silica content and widespread use. This qualitative study assessed countertop workers' knowledge, attitudes, and practices regarding silica hazards.</p><p><strong>Methods: </strong>We recruited 20 participants for semi-structured interviews through purposive sampling of workplaces in Los Angeles, California. Eligibility requirements: employment in countertop fabrication, exposure to engineered stone, ≥ 18 years old, and English or Spanish proficiency. Interviews were recorded, translated, and transcribed. Two researchers employed thematic and content analysis to code transcripts using both inductive and deductive methods.</p><p><strong>Results: </strong>All respondents were Latino men, 90% of whom were foreign-born, with a median age of 44 years and a median work tenure of 20 years. We identified five themes: (1) Hazardous work environments: Respondents regularly engaged in dry-cutting practices (68%), and half reported that their employers did not reliably provide respirators. (2) Insufficient training and educational resources: Respondents possessed basic knowledge that dust caused lung disease (90%); however, most acquired knowledge through word-of-mouth or media. (3) Employment vulnerability: Workers feared being fired for raising safety concerns. (4) Workforce entrapment: Although many workers considered leaving the industry, they were hindered by a lack of legal immigration status or alternative skills, as well as the presumed lower pay in a new industry. (5) Worker-identified solutions: Workers suggested wet cutting, workplace training, and regulation of ES, including its elimination.</p><p><strong>Conclusion: </strong>The results support continued policy, regulatory, and enforcement efforts aimed at minimizing silica exposure. Workers recommended workplace and upstream solutions, such as eliminating ES.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144726583","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":"Cow-Related Injuries in Wisconsin During 2017-2023.","authors":"Komi K S Modji, Katherine McCoy, Paul D Creswell, Morris R Collin, Carrie Tomasallo, Shery Bedno","doi":"10.1002/ajim.70009","DOIUrl":"https://doi.org/10.1002/ajim.70009","url":null,"abstract":"<p><strong>Introduction: </strong>The dairy industry-a key industry for the economy-remains a potentially hazardous industry across the nation. The literature on animal-related injuries in the agriculture industry is sparse. This analysis aimed to describe cow-related injuries, the utilization of workers' compensation, and the circumstances of the injuries.</p><p><strong>Methods: </strong>This mixed methods analysis of agricultural injuries focused on cow-related injuries in hospital discharge and workers' compensation data during 2017-2023. Cases, aged 12 or older, were identified in the hospital discharge data using ICD10-CM codes. Cow-related claim injury narratives and industry and occupation data were extracted from workers' compensation data.</p><p><strong>Results: </strong>During 2017-2023, cow-related injuries represented 13.1% (n = 2659) of agricultural injuries and were the second most predominant cause of work-related agricultural injuries. These injury figures were stable, compared to a downward trend of non-cow-related injuries (p = 0.01). Young workers (12-34 years) and Hispanic workers had the highest burden for cow-related injuries. The top five body parts affected by cow injuries were the upper (24%) and lower (23%) extremities, other head, face, and neck (22.1%), chest (15.2%), and traumatic brain injury (5.1%). Workers' compensation was used in 28.5% of cases identified in the hospital discharge data. Animal handling, lack of farm worker safety measures, and equipment safety were identified as factors associated with cow-related injuries.</p><p><strong>Conclusion: </strong>This analysis identified a surprising number of cow-related injuries, including some life-threatening injuries. It is important to continue to promote safety measures and injury prevention best-practices to ensure worker well-being and farm productivity.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144688611","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":"Ethylene Oxide Measurements From OSHA Workplace Investigations: Patterns in Exposure by Industry, Occupation, and Over Time.","authors":"Brian Christensen, Matthew M Dahm, I-Chen Chen, Kaitlin Kelly-Reif","doi":"10.1002/ajim.70008","DOIUrl":"https://doi.org/10.1002/ajim.70008","url":null,"abstract":"<p><strong>Background: </strong>Ethylene oxide (EtO) is an occupational carcinogen; however, contemporary exposure scenarios in US workplaces are not well characterized within the literature. We aim to describe EtO exposure trends in the US workplace using historical data from the Occupational Safety and Health Administration (OSHA) Chemical Exposure Health Database and the OSHA Information System.</p><p><strong>Method: </strong>We collated and analyzed air sampling data collected between 1979 and 2020 to characterize exposures across key industries and occupations. We evaluated exposure by industry and occupational category, examined changes in exposures over time, and quantified the proportion of samples that exceeded existing occupational exposure limits.</p><p><strong>Results: </strong>Exposures generally decreased over time. However, the magnitude and pattern of reductions were not consistent across industries. Within the aggregated dataset, approximately 46% of samples exceeded the National Institute for Occupational Safety and Health recommended exposure limit (NIOSH REL) of 0.1 parts per million (ppm), and approximately 18% of samples exceeded the OSHA permissible exposure limit (PEL) of 1 ppm. 70% of samples collected from industrial sterilization workplaces exceeded the NIOSH REL. Exposure data was limited between 2000 and 2020, most notably for the health services and chemical manufacturing industries.</p><p><strong>Conclusions: </strong>Contemporary EtO exposures for key industries and occupational categories are poorly characterized. Still, exposures in the industrial sterilization industry appear higher than in other industries and have proportionally declined the least over time. Additional exposure assessment research and further efforts in occupational risk assessment are important to better understand the health burdens of workers exposed to EtO.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673763","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":"Associations Between US High School Student and Parental Job Loss During the COVID-19 Pandemic and Adverse Mental Health Outcomes, Short Sleep, and Abuse by a Household Adult.","authors":"Taylor M Shockey, Sharon R Silver, Jonetta J Mpofu","doi":"10.1002/ajim.70005","DOIUrl":"https://doi.org/10.1002/ajim.70005","url":null,"abstract":"<p><strong>Background: </strong>Parental job loss has been associated with adverse mental health outcomes and child abuse. This study examines associations between student and parental/household adult (referred to as \"parent\" for brevity) job loss and these outcomes among US high school students during a period of high job loss-early in the COVID-19 pandemic.</p><p><strong>Methods: </strong>Adolescent Behaviors and Experiences Survey (ABES) data from January to June 2021 were analyzed to obtain prevalence and adjusted prevalence ratios for select adverse mental health outcomes, short sleep, and emotional and physical abuse by a parent associated with student and parental employment status before and during the pandemic. The sample was composed of 7705 US high school students.</p><p><strong>Results: </strong>Over half of students (55.1%, 95% CI: 52.4%-57.8%) reported emotional abuse by a parent. Parental and student job loss were associated with adverse mental health outcomes and emotional abuse by a parent. However, only parental job loss was associated with physical abuse by a parent, which was reported by 15.3% of students (95% CI: 13.3-17.3). Students who lost a job during the pandemic reported a high prevalence of persistent feelings of sadness and hopelessness (54.9%; 95% CI: 48.5-61.3) and poor mental health during the past 30 days (43.7%; 95% CI: 37.6-49.8).</p><p><strong>Discussion: </strong>The high levels of adverse mental health outcomes and child abuse associated with parental and student job loss highlight the need for better supports in this area. Identification of the causes and potential interventions related to child maltreatment in the context of household economic stress could help reduce the burden of negative outcomes.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144666900","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":"Platform-Mediated Gig Work and Health: A Scoping Review.","authors":"Claire E Margerison, Grace E Joachim, Tim R Michling, Candice Y Johnson","doi":"10.1002/ajim.70007","DOIUrl":"https://doi.org/10.1002/ajim.70007","url":null,"abstract":"<p><strong>Background: </strong>We sought to assess the size, depth, and rigor of empirical literature on platform-mediated gig work and health.</p><p><strong>Methods: </strong>We conducted a scoping review of peer-reviewed studies from January 1, 2000, through May 29, 2024, that examined platform-mediated gig work and any measure of physical or mental health. We abstracted country, study design, population, sample size, exposure measure, and health outcome. We assessed whether the study addressed any of three potential mechanisms connecting gig work and health: occupational hazards, social determinants, or the specific nature of digital platforms.</p><p><strong>Results: </strong>We identified 45 total studies examining transportation safety (n = 12), work-related injuries (n = 4), other physical health outcomes (n = 5), COVID-19 vulnerabilities (n = 10), mental health (n = 10), mental well-being (n = 18), and safety (n = 12). These categories were not mutually exclusive. Cross-sectional and qualitative studies identified physical and mental health problems among gig workers, but the literature lacks study population-representative designs, prospective data, comparisons of gig workers to other similar non-gig workers (i.e., external comparison groups), and validated measures of physical health.</p><p><strong>Conclusions: </strong>Platform-mediated gig work may have unique impacts on health, but causal evidence is lacking. Future research should examine how the nature of digital platforms-specifically, algorithmic control, ratings, and surveillance-impacts health of workers.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144635938","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":"Impact of Extreme Bushfires on Occupational Injury and Disease Claims in the Nonemergency Response Labor Force.","authors":"Win Wah, Janneke Berecki-Gisolf, Alex Collie, Karen Walker-Bone","doi":"10.1002/ajim.70004","DOIUrl":"https://doi.org/10.1002/ajim.70004","url":null,"abstract":"<p><strong>Background: </strong>Extreme bushfires pose significant occupational health risks; however, research has primarily focused on emergency responders without investigating the effects on the broader labor force. This study examined the association between extreme bushfire periods and workers' compensation claims in the nonemergency response workforce.</p><p><strong>Methods: </strong>Workers' compensation claims from the labor force (excluding first responders) were obtained from WorkSafe Victoria for the period January 2005 through April 2023. Claims for injury or disease with recorded onset dates that occurred during extreme bushfires in Victoria, Australia (Black Saturday 2009; Black Summer 2019-2020) were compared with claims in other periods using logistic regression, adjusting for sociodemographic, injury/disease, occupational, and seasonality variables.</p><p><strong>Results: </strong>Of 78,057 claims, 1646 (2.1%) had injury/disease onset dates within extreme bushfire periods. Extreme bushfire period claims were associated with workers aged 25-34 years (odds ratio [OR] = 1.21, 95% confidence interval [CI] = 1.04-1.42) and ≥ 55 years (OR = 1.30, 95% CI = 1.12-1.51) compared to those aged 35-44 years. Claims for respiratory conditions (OR = 3.81, 95% CI = 2.58-5.62) and fractures (OR = 1.31, 95% CI = 1.09-1.56) were associated with extreme bushfire periods. Claims from workers in construction (OR = 1.25, 95% CI = 1.03-1.51), accommodation and food services (OR = 1.53, 95% CI = 1.18-1.99), education and training (OR = 1.34, 95% CI = 1.07-1.67), and financial services (OR = 2.01, 95% CI = 1.35-3.00) industries, relative to manufacturing industry claims, were associated with extreme bushfire periods.</p><p><strong>Conclusion: </strong>During extreme bushfire events, patterns of workers' compensation claims changed somewhat among the nonemergency response labor force. Although these were relatively small numbers of events, this study provided some evidence to suggest that events like bushfires, predicted to become more common, could have wider occupational consequences, highlighting the need for prevention and mitigation strategies.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590292","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":"Incidence of Cancer Due to Exposure to Ionizing Radiation: A Cohort of Nuclear Sector Workers in the City of São Paulo.","authors":"Glacy Sabra Vieira, Maria Carmen Martinez","doi":"10.1002/ajim.70003","DOIUrl":"https://doi.org/10.1002/ajim.70003","url":null,"abstract":"<p><strong>Objective: </strong>To compare cancer incidence between workers exposed to ionizing radiation in an organization based in São Paulo and the general population of the city, as well as between monitored and unmonitored subgroups for gamma- and X-irradiation within this worker population.</p><p><strong>Methods: </strong>A retrospective open cohort study based on data from workers employed from 08/31/1956 to 12/31/2016, collected from the organization and official institutions. Standardized incidence ratios (SIRs) were calculated, stratified by sex, age, and calendar period, for cancer groupings by type, risk factor, organ system, and morphological aspect. Two analyses were performed: the external analysis, which compared the cancer incidence of the study population with that of the general population of São Paulo, and the internal analysis, which compared the cancer incidence of the monitored subgroup with the unmonitored subgroup for gamma and X-irradiation.</p><p><strong>Results: </strong>The external incidence analysis showed an SIR = 0.590 (95% CI 0.537; 0.647, p < 0.001), and the internal incidence analysis showed an SIR = 1.066 (95% CI 0.950; 1.192, p = 0.277).</p><p><strong>Conclusion: </strong>This study showed that cancer incidence was lower among all workers compared to the general population, and there was no increase in cancer incidence among those monitored for gamma and X-irradiation compared to the unmonitored subgroup. An increased incidence of thyroid cancer was observed among monitored workers and among male monitored workers.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144590293","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":"Mortality and Cancer Incidence After Exposure to Blue Asbestos in Childhood: A Further 10 Years of Follow-Up.","authors":"Renee N Carey, Alison Reid, Nicholas de Klerk, Peter Cinquini, Nola Olsen, Fraser Brims, Peter Franklin","doi":"10.1002/ajim.70001","DOIUrl":"https://doi.org/10.1002/ajim.70001","url":null,"abstract":"<p><strong>Objectives: </strong>The impact of early-life exposure to asbestos on disease risk remains uncertain. Childhood exposure to blue asbestos at Wittenoom has previously been linked to the development of malignant mesothelioma and various cancers in adulthood, as well as to a greater risk of all-cause mortality compared with the general population. This study aims to provide an update on mortality and cancer incidence rates after this exposure.</p><p><strong>Methods: </strong>The cohort of all those who lived in the asbestos mining town of Wittenoom as children (less than 15 years of age; 1279 males and 1185 females) was linked to state and national cancer and death registries. We calculated standardized incidence ratios (SIRs) for a range of cancers, and standardized mortality ratios (SMRs) for all-cause and cause-specific mortality for the cohort compared with the general Western Australian population.</p><p><strong>Results: </strong>Compared with the Western Australian population, males from the cohort had an increased risk of all cancers and mesothelioma, as well as melanoma and cancers of the lip and mouth, liver, and brain. Females had a significantly elevated risk of all cancers, mesothelioma, and cancers of the ovary and brain. Higher rates of mesothelioma were observed among those with a longer duration of exposure and higher cumulative exposure, consistent with a known exposure-response relationship. Former Wittenoom children also had a greater risk of all-cause mortality and mortality from cancer, mesothelioma, and ill-defined symptoms.</p><p><strong>Conclusions: </strong>This update confirms earlier studies and shows that exposure to asbestos in childhood is associated with several cancer and mortality outcomes in adulthood.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144574681","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":"Stress, Health, and Injury Among Illinois Farmers.","authors":"Josie M Rudolphi, Salah Issa, Courtney Cuthbertson, Kaleigh Barnett","doi":"10.1002/ajim.70000","DOIUrl":"https://doi.org/10.1002/ajim.70000","url":null,"abstract":"<p><strong>Objectives: </strong>The goal of this cross-sectional study was to characterize stress, injury, and chronic health conditions among agricultural producers in Illinois. The objectives were to: (1) describe the prevalence and nature of work-related injuries; (2) describe chronic health conditions, stress, and symptoms of mental health conditions; and (3) explore relationships between work-related injuries and stress, mental health, and health conditions.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted using a modified Dillman approach. Agricultural producers received mailed questionnaires assessing demographics, farm characteristics, chronic health conditions, stress (using the PSS questionnaire), anxiety (GAD-7), depression (PHQ-9), and work-related injuries. Descriptive statistics describe the population, farm characteristics, injuries, symptoms of mental health, and chronic health conditions. Chi-squared tests describe associations between variables.</p><p><strong>Results: </strong>Agricultural injuries were reported by 8.01% of respondents, and were primarily minor or moderate. Nearly half (49.07%) reported moderate to high stress, and 10.83% had symptoms of moderate to severe anxiety. No significant associations were found between injury and stress, anxiety, or depression.</p><p><strong>Conclusions: </strong>These findings highlight the complex interplay between health, stress, and safety in agricultural workers. Longitudinal and qualitative approaches are needed to better understand how stress and chronic conditions may relate to agricultural injuries.</p>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551762","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}