Agricultural work-related injuries among farmers in Hubei, People's Republic of China

Objectives. This population-based study evaluated patterns of, and risk factors for, agricultural injuries among farmers in the People's Republic of China. Methods. A multistage sample of 1500 Chinese farmers was selected from 14 villages. Face-to-face interviews with 1358 farmers were conducted between July 1997 and September 1997 (response rate = 91%). Agricultural work-related injuries that occurred in the previous 24 months and the associated factors were evaluated. Results. A total of 33% of the farmers reported at least 1 work-related-injury in the 24 months before the survey. Major external causes of the injuries were hand tools (50%), falls (26%), and heavy falling objects (10%). The statistically significant risk factors for injury were low family income, 1 to 6 school years of education, self-reported pesticide exposure, tension in relationships with neighbors, and stress in life. The most notable result was the relation between self-reported pesticide exposure and injury, with farmers with greater pesticide exposure at significantly greater risk for injury. Conclusions. The results of this study indicated that injuries occurring among Chinese farmers may have unique patterns and potential risk factors.