Support was provided, in part, by the National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (R01 CCR514375; RO1 OH04270); and by the Regional Injury Prevention Research Center, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis. The contents of this effort are solely the responsibility of the authors, and do not necessarily represent the official view of the Centers for Disease Control and Prevention or other associated entities. The authors are grateful for the collaboration with, and assistance from, the United States Department of Agriculture, National Agricultural Statistics Service, including the 5 state offices, and the respective Agricultural Extension Service and state representatives. Most importantly, without the interest of, and commitments made by the households selected in the 5-state region, this important effort would not have been possible. For further information, contact: Susan G. Gerberich, PhD, Division of Environmental Health Sciences, School of Public Health, University of Minnesota, 420 Delaware St. S.E.– MMC 807, Minneapolis, MN 55455; e-mail email@example.com.
Horse-Related Injuries Among Agricultural Household Members: Regional Rural Injury Study II (RRIS-II)
Version of Record online: 23 SEP 2009
© 2009 National Rural Health Association
The Journal of Rural Health
Volume 25, Issue 4, pages 420–427, Fall 2009
How to Cite
Erkal, S., Gerberich, S. G., Ryan, A. D., Alexander, B. H. and Renier, C. M. (2009), Horse-Related Injuries Among Agricultural Household Members: Regional Rural Injury Study II (RRIS-II). The Journal of Rural Health, 25: 420–427. doi: 10.1111/j.1748-0361.2009.00254.x
- Issue online: 23 SEP 2009
- Version of Record online: 23 SEP 2009
ABSTRACT: Purpose:To determine the incidence, associated consequences, and potential risk factors for horse-related injuries among youth and adults residing in Midwestern agricultural households. Methods: Demographic, injury, and exposure data were collected for 1999 and 2001 among randomly selected agricultural households within a 5-state region. A causal model facilitated survey design, data analysis, and interpretation of results; directed acyclic graphs guided multivariate modeling. Findings: From 7,420 households (84% response of eligible), involving 32,601 persons, 5,045 total injury events were reported; 1,016 were animal-related injuries, of which 215 (21%) were horse-related (rate, 6.7 events per 1,000 persons per year). Seventy-seven percent (77%) required health care; comparing those under age 20 and those 20 and older, 49% and 54%, respectively, lost work time on their operation (28% and 26%, one week or more), as a result of injuries largely associated with horse riding activities (70% and 56%). Multivariate analysis for youths under age 20 indicated: increased risks in North and South Dakota, for >0 hours worked, and for having a history of prior agriculture-related injury; and decreased risks for males. For those 20 and older, increased risks were identified for a prior injury history and less than high school education. Conclusions: Horse-related injuries, primarily associated with riding activities, are a significant problem among agricultural communities, and greatly impact their operations.