Disclosure statement: The authors report no conflicts of interests.
Distribution and characteristics of occupational injuries and diseases among farmers: A retrospective analysis of workers' compensation claims
Version of Record online: 29 MAY 2013
Copyright © 2013 Wiley Periodicals, Inc.
American Journal of Industrial Medicine
Volume 56, Issue 8, pages 856–869, August 2013
How to Cite
Karttunen, J. P. and Rautiainen, R. H. (2013), Distribution and characteristics of occupational injuries and diseases among farmers: A retrospective analysis of workers' compensation claims. Am. J. Ind. Med., 56: 856–869. doi: 10.1002/ajim.22194
- Issue online: 19 JUL 2013
- Version of Record online: 29 MAY 2013
- Manuscript Accepted: 18 MAR 2013
- Farmers' Social Insurance Institution (Mela)
- occupational disease;
- retrospective study
Research indicates occupational injuries and diseases are not evenly distributed among workers. We investigated the distribution and characteristics of compensated occupational injuries and diseases requiring medical care in the Finnish farming population.
The study population consisted of 93,564 Finnish farmers, spouses, and salaried family members who were covered by the mandatory workers' compensation insurance in 2002. This population had a total of 133,207 occupational injuries and 9,148 occupational diseases over a 26-year period (1982–2008).
Clustering of claims was observed. Nearly half (47.1%) of the population had no compensated claims while 52.9% had at least one; 50.9% of farmers had one or more injuries and 8.1% had one or more diseases. Ten percent of the population had half of injury cases, and 3% of the population had half of occupational disease cases. Claims frequently involved work tasks related to animal husbandry and repair and maintenance of farm machinery. Injury and disease characteristics (work activity, cause, ICD-10 code) differed between individuals with high and low personal claim rate. Injuries and diseases of the musculoskeletal system had a tendency to reoccur among those with high claim rate. These outcomes were often related to strenuous working motions and postures in labor-intensive animal husbandry.
Analyses of longitudinal insurance data contributes to better understanding of the long-term risk of occupational injury and disease among farmers. We suggest focusing on recurrent health outcomes and their causes among high risk populations could help design more effective interventions in agriculture and other industries. Am. J. Ind. Med. 56:856–869, 2013. © 2013 Wiley Periodicals, Inc.