Gender differences in the occurrence of nonfatalagricultural injuries among farmers in Fukuoka, Japan.

BACKGROUND The lack of information regarding nonfatal agricultural injuries has been recognized as an obstacle for effective injury prevention. The aim of this study was to describe gender differences in the pattern of nonfatal agricultural injuries between the years 2008 and 2009. METHODS Farmers' compensation injury claims were utilized to determine the mechanisms involved (machinery, non-machinery, and traffic), types of accident, sources of injury, kinds of injury, body parts affected place of injury, work being performed at the time of injury, and length of hospitalization. Agricultural injuries were identified using the International Classification of External Causes of Injury (ICECI). The Statistical Analysis System (SAS) software was used for all statistical analyses. Study variables were compared using the Mantel-Haenszel chi-square test. RESULTS A total of 2,729 (1,921 males) farmers' compensation injury claims were analyzed. There were approximately 9 times as many nonfatal agricultural machinery injuries in males compared with females. The most common machinery injuries were cuts resulting from a rotary blade (31%) for males and injuries caused by being struck by a machine (24%) for females in the 65-89 years of age group. The male:female ratio of non-machinery injuries averaged 2:1 (actual numbers of 1,293 and 676, respectively), but the percentage was higher for females (83.7%) than males (67.3%). For both males and females in the 65-89 years of age group, the main source of non-machinery injuries was slopes, the main type of accident was falling/slipping, the leading kind of injury was fracture, and the main work being performed was harvesting. Female farmers had a greater risk of prolonged hospitalization (more than 30 days) compared with males (p < 0.05). CONCLUSIONS Gender is an important factor to consider in the interpretation of nonfatal agricultural injuries. A greater number of males had machinery injuries than females; however, a higher percentage of females had non-machinery injuries than males. Further research will be needed to understand the role of differential job tasks within agriculture in explaining the difference in risk.