Læknablaðið - 15.12.2009, Blaðsíða 23

F
RÆÐIGREINAR
RANNSÓKN
að umræða fari fram um þá staðreynd að notkun
áfengra drykkja og vinna við bústörf fer ekki
saman. Þarf forysta bænda, læknar sem sinna
bændum og bændur sjálfir að taka þetta upp til að
tryggja sem best heilsufar og vellíðan.
Þakkir
Eftirtaldir aðilar veittu styrk til þessara rannsókna:
Framleiðnisjóður bænda, The University of Iowa
Environmental Health Sciences Research Center
(ES05605), Rannsóknaráð fslands (040465031) og
sjóður Odds Ólafssonar árið 2004.
Heimildir
1. Rafnsson V, Gunnarsdóttir H. Mortality among farmers in
Iceland. Int J Epidemiol 1989; 18:146-51.
2. Sigurðarson SÞ, Guðmundsson G, Kline JN, Tómasson K.
Respiratory disorders are not more common in farmers.
Results from animal farmers in Iceland. Resp Med 2008; 102:
1839-43.
3. Guðmundsson G, Tómasson K. Almenn heilsa íslenskra
bænda. Læknablaðið 2009; 95: 655-9.
4. Burney PG, Luczynska C, Chinn S, Jarvis D. The European
Community Respiratory Health Survey. Eur Respir J 1994; 7:
954-60.
5. Goldberg D. The Detection of Psychiatric Illness by
Questionnaire. Maudsley Monograph No.21. Oxford
University Press, Oxford 1986.
6. Solomon C. Accidental injuries in agriculture in the UK.
Occup Med 2002; 52: 461-6.
7. Solomon C, Poole J, Palmer KT, Coggon D. Non-fatal
occupational injuries in British agriculture. Occup Environ
Med 2007; 64:150-4.
8. Mariger SC, Grisso RD, Perumpral JV, Sorenson AW,
Cristensen NK, Miller RL. Virginia agricultural health and
safety survey. J Agric Saf Health 2009; 15: 37-47.
9. Sprince NL, Park H, Zwerling C, et al. Risk factors for animal-
related injury among Iowa large-livestock farmers: a case-
control study nested in the Agricultural Health Study. J Rural
Health 2003; 19:165-73.
10. Harrel WA. Factors influencing involvement in farm
accidents. Percept Mot Skills 1995; 81: 592-4.
11. Tómasson K, Guðmundsson G. Geðheilsa og líðan íslenskra
bænda. Læknablaðið 2009; 95: 763-9.
12. Holmberg S, Stiemström EL, Thelin A, Svardsudd K.
Musculoskeletal symptoms among farmers and non-farmers:
a population-based study. Int J Occup Environ Health 2002;
8: 339-45.
13. Brown JA, McDonough P, Mustard CA, Shannon HS.
Healthcare use before and after a workplace injury in British
Columbia, Canada. Occup Environ Med 2006; 63: 396-403.
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workers with psychosocial barriers. Austr Fam Phys 2006; 35:
958-61.
15. Tiesman HM, Peek-Asa C, Whitten P, Sprince NL, Stromquist
A, Zwerling C. Depressive symptoms as a risk factor for
unintentional injury: a cohort study in a rural county. Injury
Prevention 2006; 12:172-7.
Occupational accidents in lcelandic farmers.
Risk factor analysis using questionnaire
Background: There is limited information on occupational
injuries among lcelandic farmers. It has been suggested
that they are common. This is thought to be in part
because of the unique work environment of farmers.The
aims of the study were to study occupational accidents
among farmers and their effects on absence from work,
doctor visits and well-being.
Methods: A cross sectional study of all animal farmers in
lceland operating running a farm of more than 100 animal
(sheep) units. A total of 2042 farmers were sent a detailed
questionnaire concerning general health symptoms,
occupational injuries and doctor visits (response rate 54%).
Results: Occupational accidents were common among
middle aged and older farmes and lead often to prolonged
absence from work. Livestock was most common cause
of the accidents, while the association with using alcohol
while working was clear. Those involved in occupational
accidents more commonly visited a doctor for
musculoskeletal symptoms and pain. They also estimated
physical and mental well-being worse and had more
psychiatric symptoms.
Conclusions: Occupational accidents were common
among farmers and lead to prolonged absence from work.
They lead to more doctor visits and and worse wellbeing.
These results can be used to reinforce health care and
preventive measures against occupational accidents
among farmers.
Gudmundsson G, Tomasson K.
Occupational accidents in lcelandic farmers. Risk factor analysis using questionnaire. Icel Med J 2009; 95: 831-5
Key words: Farming, occupational accidents, sick leave, symptoms, alcohol.
Correspondence: Gunnar Guðmundsson, ggudmund@landspitali.is
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Barst: 5. júlí 2009, - samþykkt til birtingar: 21. október 2009.
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