Volume 37, Issue 4 pp. 374-381
Article

The impact of agricultural injury on farm owners and workers in Alabama and Mississippi

Gerald McGwin Jr. MS, PhD

Corresponding Author

Gerald McGwin Jr. MS, PhD

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham

Section of Trauma, Burns, and Surgical Critical Care, Department of Surgery, School of Medicine, University of Alabama at Birmingham

700 South 18th Street, Suite 609 EFH, Birmingham, AL 35294.Search for more papers by this author
Shirin Scotten MPH

Shirin Scotten MPH

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham

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Aaron Aranas MPH

Aaron Aranas MPH

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham

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Richard Enochs DrPH

Richard Enochs DrPH

Department of Health Care Administration, School of Allied Health, Meharry Medical College, Tennessee State University

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Jeffrey M. Roseman MD, PhD, MPH

Jeffrey M. Roseman MD, PhD, MPH

Department of Epidemiology, School of Public Health, University of Alabama at Birmingham

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Abstract

Background

Few studies have assessed the consequences of agricultural injury and none have done so comparing Caucasian and African-American farm owners and workers.

Methods

1244 farmers were enrolled and prospectively observed between 1994–1996 for farming-related injuries. Injured farmers provided information on the consequences of injuries.

Results

One-hundred and thirty-one subjects reported a total of 140 injuries. The majority of injuries were classified as minor or moderate and required medical attention. African-American farm workers tended to have more severe injuries. Nearly all injured subjects experienced acute residual effects (e.g., pain when moving), while persistent effects occurred in about half of the injured subjects, the latter being more common among African-American workers. Lost work was a frequent nonmedical effect of the injury. African-American workers tended to be more likely to lose work and/or be hurt financially.

Conclusions

The impact of agricultural injury is nontrivial, particularly for African-American farm workers. The provision of better medical care facilities for African-American farm workers may be a positive approach for reducing the impact of agricultural injuries in this population. Am. J. Ind. Med. 37:374–381, 2000. © 2000 Wiley-Liss, Inc.

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