Agricultural Injuries with Dementia: Double Whammy?
Kanika Arora, Jonathan Davis, Lila Basnet, Julie Bobitt

TL;DR
Older farmers with dementia face unique injury risks in agriculture, requiring targeted prevention strategies.
Contribution
First study to examine how dementia impacts agricultural injuries in older adults using national trauma data.
Findings
Individuals with agricultural injuries and dementia (group 1) had a unique injury profile combining agricultural and dementia-related trauma.
Group 1 was more likely to experience severe injuries and require ICU/surgery compared to non-agricultural injuries with dementia (group 3).
Injury prevention programs should be tailored for older farmers with dementia due to their distinct risk patterns.
Abstract
Older adults make up about one-third of U.S. producers and account for nearly 80% of agricultural fatalities. Moreover, agricultural workers have higher odds of developing dementia, a neurodegenerative disorder with significant safety implications due to impaired judgement, memory loss, and problems with balance, vision, and communication. Farm environments with heavy equipment and livestock further amplify these risks. Despite the fact that older farmers continue to work well into advanced ages, no prior study has examined how dementia impacts agricultural injuries. We examine mechanisms and severity of agricultural injuries with dementia among those 60 years and older using national trauma data from the Trauma Quality Programs Participant Use File (TQP-PUF) over 2017-2021. Using multivariable logistic and ordered logistic regressions, we compare agricultural injuries in individuals…
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Taxonomy
TopicsAgriculture and Farm Safety · Musculoskeletal pain and rehabilitation · Injury Epidemiology and Prevention
