Self-reported symptoms of neurotoxicity and agricultural injuries among Ohio cash-grain farmers

Background In 1993, the Ohio Farm Family Health and Hazard Surveillance Program (OFFHHSP) was initiated to assess the health status of cash‐grain farmers and their families. The objective of this study was to examine the postulated relationship between symptoms of neurotoxicity and risk of agricultu...

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Veröffentlicht in:American journal of industrial medicine 2005-06, Vol.47 (6), p.538-549
Hauptverfasser: Atrubin, David, Wilkins III, J.R., Crawford, J. Mac, Bean, T.L.
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container_end_page 549
container_issue 6
container_start_page 538
container_title American journal of industrial medicine
container_volume 47
creator Atrubin, David
Wilkins III, J.R.
Crawford, J. Mac
Bean, T.L.
description Background In 1993, the Ohio Farm Family Health and Hazard Surveillance Program (OFFHHSP) was initiated to assess the health status of cash‐grain farmers and their families. The objective of this study was to examine the postulated relationship between symptoms of neurotoxicity and risk of agriculture‐related injury among Ohio cash‐grain farmers. Methods A reanalysis of the data from a previously published case‐control study of cash‐grain farmers [Crawford et al. (1998) Am J Ind Med 34:588–599] was performed. The Principal Operator (PO) of each farm was asked to complete a self‐administered questionnaire which included items about injuries experienced during the past year. A section of the questionnaire contained a 24‐item instrument (“Q24”) that queried symptoms of neurotoxicity experienced during the previous 12 months. Design‐based multiple logistic regression analyses were conducted to evaluate associations between neuropsychological subsets (“domains”) of the 24‐item instrument and injury risk among the white male POs (who accounted for >99% of all POs). Results Significantly elevated odds ratios (ORs) were found in 8 of 11 domains. POs answering in the affirmative to the single item “Have you been bothered by lack of coordination or loss of balance?” were 3.12 times more likely to have reported an injury than POs responding negatively (95% CI 1.68–5.81). Conclusions Farmers with higher scores on several Q24 domains, and for particular questionnaire items, appear to be at increased risk of agricultural injury. Am. J. Ind. Med. 47:538–549, 2005. © 2005 Wiley‐Liss, Inc.
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Mac ; Bean, T.L.</creator><creatorcontrib>Atrubin, David ; Wilkins III, J.R. ; Crawford, J. Mac ; Bean, T.L.</creatorcontrib><description>Background In 1993, the Ohio Farm Family Health and Hazard Surveillance Program (OFFHHSP) was initiated to assess the health status of cash‐grain farmers and their families. The objective of this study was to examine the postulated relationship between symptoms of neurotoxicity and risk of agriculture‐related injury among Ohio cash‐grain farmers. Methods A reanalysis of the data from a previously published case‐control study of cash‐grain farmers [Crawford et al. (1998) Am J Ind Med 34:588–599] was performed. The Principal Operator (PO) of each farm was asked to complete a self‐administered questionnaire which included items about injuries experienced during the past year. A section of the questionnaire contained a 24‐item instrument (“Q24”) that queried symptoms of neurotoxicity experienced during the previous 12 months. Design‐based multiple logistic regression analyses were conducted to evaluate associations between neuropsychological subsets (“domains”) of the 24‐item instrument and injury risk among the white male POs (who accounted for &gt;99% of all POs). Results Significantly elevated odds ratios (ORs) were found in 8 of 11 domains. POs answering in the affirmative to the single item “Have you been bothered by lack of coordination or loss of balance?” were 3.12 times more likely to have reported an injury than POs responding negatively (95% CI 1.68–5.81). Conclusions Farmers with higher scores on several Q24 domains, and for particular questionnaire items, appear to be at increased risk of agricultural injury. Am. J. Ind. 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Mac</creatorcontrib><creatorcontrib>Bean, T.L.</creatorcontrib><title>Self-reported symptoms of neurotoxicity and agricultural injuries among Ohio cash-grain farmers</title><title>American journal of industrial medicine</title><addtitle>Am. J. Ind. Med</addtitle><description>Background In 1993, the Ohio Farm Family Health and Hazard Surveillance Program (OFFHHSP) was initiated to assess the health status of cash‐grain farmers and their families. The objective of this study was to examine the postulated relationship between symptoms of neurotoxicity and risk of agriculture‐related injury among Ohio cash‐grain farmers. Methods A reanalysis of the data from a previously published case‐control study of cash‐grain farmers [Crawford et al. (1998) Am J Ind Med 34:588–599] was performed. The Principal Operator (PO) of each farm was asked to complete a self‐administered questionnaire which included items about injuries experienced during the past year. A section of the questionnaire contained a 24‐item instrument (“Q24”) that queried symptoms of neurotoxicity experienced during the previous 12 months. Design‐based multiple logistic regression analyses were conducted to evaluate associations between neuropsychological subsets (“domains”) of the 24‐item instrument and injury risk among the white male POs (who accounted for &gt;99% of all POs). Results Significantly elevated odds ratios (ORs) were found in 8 of 11 domains. POs answering in the affirmative to the single item “Have you been bothered by lack of coordination or loss of balance?” were 3.12 times more likely to have reported an injury than POs responding negatively (95% CI 1.68–5.81). Conclusions Farmers with higher scores on several Q24 domains, and for particular questionnaire items, appear to be at increased risk of agricultural injury. Am. J. Ind. 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Mac ; Bean, T.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3952-2cd8e0f68831941add548ea4ca47c1721380a00281128c215573b9afb01c01bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Accidents, Occupational - psychology</topic><topic>Accidents, Occupational - statistics &amp; numerical data</topic><topic>Adult</topic><topic>agricultural injuries</topic><topic>agriculture</topic><topic>Agriculture - manpower</topic><topic>Agriculture - statistics &amp; numerical data</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>farm injuries</topic><topic>farmers</topic><topic>farming</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>neurotoxic symptom questionnaire</topic><topic>Neurotoxicity Syndromes - complications</topic><topic>Neurotoxicity Syndromes - epidemiology</topic><topic>Occupational Diseases - complications</topic><topic>Occupational Diseases - epidemiology</topic><topic>occupational health</topic><topic>Occupational medicine</topic><topic>Ohio - epidemiology</topic><topic>Public health. 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Mac</creatorcontrib><creatorcontrib>Bean, T.L.</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>American journal of industrial medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Atrubin, David</au><au>Wilkins III, J.R.</au><au>Crawford, J. Mac</au><au>Bean, T.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Self-reported symptoms of neurotoxicity and agricultural injuries among Ohio cash-grain farmers</atitle><jtitle>American journal of industrial medicine</jtitle><addtitle>Am. J. Ind. 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A section of the questionnaire contained a 24‐item instrument (“Q24”) that queried symptoms of neurotoxicity experienced during the previous 12 months. Design‐based multiple logistic regression analyses were conducted to evaluate associations between neuropsychological subsets (“domains”) of the 24‐item instrument and injury risk among the white male POs (who accounted for &gt;99% of all POs). Results Significantly elevated odds ratios (ORs) were found in 8 of 11 domains. POs answering in the affirmative to the single item “Have you been bothered by lack of coordination or loss of balance?” were 3.12 times more likely to have reported an injury than POs responding negatively (95% CI 1.68–5.81). Conclusions Farmers with higher scores on several Q24 domains, and for particular questionnaire items, appear to be at increased risk of agricultural injury. Am. J. Ind. 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subjects Accidents, Occupational - psychology
Accidents, Occupational - statistics & numerical data
Adult
agricultural injuries
agriculture
Agriculture - manpower
Agriculture - statistics & numerical data
Biological and medical sciences
Case-Control Studies
farm injuries
farmers
farming
Female
Health Surveys
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
neurotoxic symptom questionnaire
Neurotoxicity Syndromes - complications
Neurotoxicity Syndromes - epidemiology
Occupational Diseases - complications
Occupational Diseases - epidemiology
occupational health
Occupational medicine
Ohio - epidemiology
Public health. Hygiene-occupational medicine
Q16
Q24
Risk Factors
Self Disclosure
Surveys and Questionnaires
Wounds and Injuries - epidemiology
title Self-reported symptoms of neurotoxicity and agricultural injuries among Ohio cash-grain farmers
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