Epidemiology of Farm-Related Injuries: Bibliography with Abstracts

  • Nordstrom, David L.

Published 1992 by U.S. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health. 206 pages.

This publication contains references to 1180 articles and reports on the topic of agricultural safety and health. Many of these references also have abstracts that describe the content of the article or report.

Contents

Epidemiology of Farm-Related Injuries: Bibliography with Abstracts — Introduction

PURPOSE

The aim of this work is to locate, collect, and compile scholarly research reports on the occurrence and characteristics of farm-related injuries in an indexed bibliography with author's abstracts. The database will be disseminated to researchers, practitioners, and policymakers in several interested disciplines, including epidemiology, engineering, medicine, education, public health, law, and others (Wailer 1987, 35-36).

Although farming may be the most hazardous work in the country (Layde 1990, 193), no comprehensive checklist exists on the epidemiology of farm-related injuries. The development of a thorough bibliography will fill this void and will likely stimulate research directed at the causes and consequences of farm-related injuries. After the causal relationships and consequences of farm-related injuries are established, appropriate interventions and policy prescriptions can be developed and implemented. From this perspective, the bibliography is an important step in the process of devising effective prevention strategies.

SCOPE

In this work, injury is defined as the unintentional, harmful outcome resulting from the rapid transfer of any type of energy, including kinetic (mechanical), thermal, chemical, electrical, or radiant energy. The bibliography includes some references that focus on chronic exposures and on hazards of the agricultural industry, but all entries have some information on acute trauma. The bibliography does not attempt to cover suicide or homicide. Injuries may be fatal or nonfatal and include such types as fractures, lacerations, amputations, and others. Nonfatal injuries may be of any severity, excluding cumulative trauma disorders. We do not include reports of "accidents" unless humans are harmed in the process. Reports of damage to property or harm to animals are beyond the scope of this reference.

Farm-related injuries are defined as injuries that occur on the farm (outside the home) to farm workers, nonworking farm residents, and visitors to the fan-n. The definition excludes injuries related to logging and forestry. Our definition of fanning is broad, including production agriculture throughout the world. In searching for relevant reports, we use 16 terms and their cognates singly and in combinations: accident, injury, wound, disease, health, emergency, trauma, poisoning, machine, safety, agricultural, occupation, work, farm, ranch, and rural. Reports on acute poisoning by agricultural chemicals are included, but those on chronic poisoning only are not. The emphasis in this collection is on surveillance and epidemiology; works are excluded if their sole focus is on rehabilitation, biomechanics, prevention and health promotion, toxicology, or agricultural engineering.

LIST OF DATABASES

Using the above scope and terms, we searched the following 18 print and computerized bibliographic databases in several libraries:

  • AGRICOLA (AGRICultural OnLine Access)
  • Agricultural Engineering Index
  • Bibliographic Index
  • Biological and Agricultural Index
  • CATLINE (CATalog OnLINE)
  • Conference Papers Index
  • Dissertation Abstracts Online
  • GPO Monthly Catalog
  • MEDLINE
  • National Safety Council
  • NIOSHTIC (NIOSH Technical Information Center Database)
  • NTIS (National Technical Information Service Database)
  • Readers' Guide to Periodical Literature
  • SCISEARCH
  • Social Sciences Index
  • SOCIAL SCISEARCH
  • Subject Guide to Books in Print
  • World Translations Index

We concentrated on locating works from scientific and technical journals and monographs published in or translated into English. Entries from other languages appear with an English translation of their title in brackets. We obtained full documents, not citations or abstracts only. We examined and rejected more than 100 journal articles and monographs and more than 500 citations or abstracts of journal articles and monographs that did not meet our criteria for inclusion. We do not include nonprint media or, with rare exceptions, articles from other periodicals such as popular magazines, newspapers, or newsletters.

As we located relevant articles, we used two more methods to find other reports. Using 10 carefully selected articles on the epidemiology of farm-related injuries, we used standard citation indexes, SCISEARCH and SOCIAL SCISEARCH, to identify all works citing the articles. Also, whenever a document was reviewed and added to this bibliography, we scanned its references for potential additional publications.

In addition to searching various databases for farm-related injury references, we wrote to approximately 100 individuals involved in farm health and safety issues in the summer of 1988. The letter requested information on, or copies of, "fugitive" literature, including limited circulation reports, analyses, and statistics of the type that are collected by agricultural extension agents and state health departments. We received approximately one dozen responses to this inquiry, primarily state specific injury occurrence reports. We also wrote to all World Health Organization collaborating centers for occupational health in the United States.

We probed the specialized research collection of the National Farm Medicine Center, a Marshfield Clinic program established in 1981. Staff of the Center directly monitor 40 serials for articles and citations falling within the scope of farm-related injury epidemiology.

SOFTWARE

After assessing various bibliographic database software programs through a literature search and contacts with selected experts, we chose Pro-Cite to prepare this bibliography. Pro-Cite met our criteria of adaptability to a diversity of document types, excellent indexing and searching capability, widespread use in academic settings, capacity to store a large number of records, ease of use, and ability to import records from other databases easily. Subsequently we teamed that authors of scientific books have begun to disseminate part of their work in diskette format with a read-only version of Pro-Cite, and we planned to distribute this bibliography in a similar manner. The computer version of the bibliography can be searched with Boolean logic queries, which greatly increases its value to users.

CODING FORM

We adapted terms used by the National Library of Medicine (1988) to develop a standard coding form (see page 206) with several dozen terms. We also developed a glossary of terms (see page 203) to accompany the form. Using the coding form, a trained abstractor first read and coded each document. An epidemiologist then read and coded the same work, correcting the first reader's assignments if necessary. (In difficult cases, a second epidemiologist was consulted.) Coding of the works in this bibliography occurred from August 1989 through June 1992. For the sake of relative completeness and convenience, we included only works published before or during 1991. We adopted journal title abbreviations used by the National Library of Medicine (1991).

NUMBER AND DESCRIPTION OF ENTRIES

This bibliography includes 343 journal reports and 180 monographs published from 1914 to 1991. Citations are listed as main entries (see Figure 1) by year and, within year, alphabetically by primary author. Periodical reports have three-digit entry numbers, and monographs have four-digit entry numbers. In the entries for monographs, "n.p." denotes a document without page numbers. All abstracts in this volume are reprinted from the source reports. In some cases, particularly in earlier years, authors included a summary instead of an abstract. In some instances, we reprinted the summary in whole or in part as the abstract. Of 343 articles, 247 (or 72 %) have an abstract reprinted in this bibliography.

 Journal articles on farm-related injuries were rare until the 1980s (see Figure 2). The 343 journal articles refer to 88 countries on all continents, although locations in North America and Europe are the most commonly mentioned (see Figure 3). Within the United States, every state is mentioned in at least one report.

Although the reports appeared in 159 different journals, about half of them were published in 24 journals (see Table 1). However, in accord with the injury field's cross-cutting nature, no single journal contained more than 5 % of the articles. Significantly, the names of some leading biomedical journals, such as American Journal of Epidemiology, Lancet, and New England Journal of Medicine, are absent from the list in Table 1.

Not surprisingly, most reports describe case series studies. For example, a common report might summarize one clinic or hospital's experience with farm-related injury patients over a set time period from all locations, without regard to geography or population. Only 6 case control studies and 16 cohort studies are cited in the periodical articles in this volume.

Most works included in this checklist are original research reports. We have identified 52 review articles and 21 review monographs. However, these reviews tend to focus on only one aspect of the farm injury problem, such as nonfatal injuries in children or adult deaths. Moreover, the median number of references cited in these papers is relatively small, none constitutes a thorough bibliography on the subject of farm-related injury epidemiology.

OTHER BIBLIOGRAPHIES

Additional bibliographies could be prepared on aspects of farm-related injury other than surveillance and epidemiology. From our examination of all the reports that were considered for this bibliography, we believe the following areas to be potential candidates: prevention and health promotion, engineering, ergonomics, chronic effects of pesticide poisoning, and rehabilitation.

OBTAINING FULL REPORT

We are unable to supply copies of full reports cited in this bibliography. Readers are advised to use the following sources:

  • Author or publisher: articles are frequently available directly from the author or publisher.
  • Medical or other research libraries: these facilities often have the material on hand or know where it can be obtained. If available, each journal article entry includes the appropriate National Library of Medicine unique identification number to aid interlibrary loan requests.
  • Government: some U.S. Government-sponsored research reports, including ones out-of-print, are available from the National Technical Information Service, U.S. Department of Commerce.

INDEXES

To make this checklist as useful as possible, we have included indexes by journal title, name of author (primary and all others), and subject. Subjects are basically those terms included in the coding form (see page 206). In the indexes, we use the letter-by-letter system for alphabetization. Numbers in the indexes refer to main entry numbers of the citations, not page numbers in this bibliography. The diskette version of the bibliography contains two additional indexes, journal abbreviations and report titles. Moreover, as discussed above, users who obtain a diskette version of this database will be able to search the titles or abstracts by a single word or combination of words using logical operators.

WORKS CITED
  • Layde, P. M. 1990. Beyond surveillance: Methodologic considerations in analytic studies of agricultural injuries. American Journal of Industrial Medicine 18:193-200.
  • National Library of Medicine. 1988. Medical subject headings, annotated alphabetic list, 1989. Bethesda, MD: National Library of Medicine.
  • National Library of Medicine. 1991. List of serials indexed for online users, 1992. Bethesda, MD: National Library of Medicine.
  • Waller, J. A. 1987. Injury: Conceptual shifts and preventive implications. Annual Review of Public Health 8:21-49.
Table 1. Number of Articles by Title of Journal
Journal Number of References Percent of Total References Cumulative Percentage
American Journal of Public Health 17 5.0 5.0
American Journal of Industrial Medicine 15 4.4 9.4
Journal of Occupational Medicine 14 4.1 13.5
Journal of Trauma 14 4.1 17.6
JAMA. Journal of the American Medical Association 10 2.9 20.5
Journal of Rural Health 8 2.3 22.8
MMWR. Morbidity and Mortality Weekly Report 8 2.3 25.1
Archives of Environmental Health 7 2.0 27.1
Journal of Safety Research 7 2.0 29.1
Pediatrics 7 2.0 31.1
Scandinavian Journal of Social Medicine 7 2.0 33.1
Agricultural Engineering 6 1.8 34.9
Canadian Medical Association Journal 5 1.5 36.4
Injury: British Journal of Accident Surgery 5 1.5 37.9
Journal of the Society of Occupational Medicine 5 1.5 39.4
Public Health Reports 5 1.5 40.9
Wisconsin Medical Journal 5 1.5 42.4
Accident Analysis and Prevention 4 1.2 43.6
Annals of Occupational Hygiene 4 1.2 44.8
British Journal of Industrial Medicine 4 1.2 46.0
Journal of Family Practice 4 1.2 47.2
Journal of Occupational Accidents 4 1.2 48.4
Minnesota Medicine 4 1.2 49.6
Occupational Health 4 1.2 50.8
Other Journals (n=135, each with 3 or fewer references) 170 49.6 100.4
TOTAL 343 100.4  


Figure 1



Figure 3

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