{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T05:29:48Z","timestamp":1790573388627,"version":"4.1.0"},"reference-count":39,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T00:00:00Z","timestamp":1618790400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"The National Institute for Occupational Safety and Health, Centers for Disease Control and Pre-vention","award":["U54 OH007548"],"award-info":[{"award-number":["U54 OH007548"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Background: There is no national surveillance of agricultural injuries, despite agricultural occupations being among the most hazardous in the U.S. This effort uses workers\u2019 compensation (WC) data to estimate the burden of agricultural injuries and the likelihood of experiencing an injury by body part involved, cause, and nature in farming operations. (2) Methods: WC data from 2010 to 2016 provided by a large insurance company covering small to medium-sized farm operations from 14 U.S. states was used. We investigated the associations between injury characteristics and WC costs and the risk of having a more severe versus a less severe claim. The proportion of costs attributable to specific claim types was calculated. (3) Results: Of a total 1000 claims, 67% were medical only. The total cost incurred by WC payable claims (n = 866) was USD 21.5 million. Of this, 96% was attributable to more severe claims resulting in disabilities or death. The most common body part injured was the distal upper extremity. Falling or flying objects and collisions were the most expensive and common causes of injury. (4) Conclusions: Characterizing the cost and severity of agricultural injury by key injury characteristics may be useful when prioritizing prevention efforts in partnership with insurance companies and agricultural operations.<\/jats:p>","DOI":"10.3390\/ijerph18084309","type":"journal-article","created":{"date-parts":[[2021,4,19]],"date-time":"2021-04-19T11:21:38Z","timestamp":1618831298000},"page":"4309","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Cost, Severity and Prevalence of Agricultural-Related Injury Workers\u2019 Compensation Claims in Farming Operations from 14 U.S. States"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3923-6606","authenticated-orcid":false,"given":"Navneet Kaur","family":"Baidwan","sequence":"first","affiliation":[{"name":"UAB\/Lakeshore Collaborative, University of Alabama at Birmingham, Birmingham, AL 35294, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marizen R.","family":"Ramirez","sequence":"additional","affiliation":[{"name":"Division of Environmental Health Sciences, University of Minnesota, Minneapolis, MN 55455, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fred","family":"Gerr","sequence":"additional","affiliation":[{"name":"Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa, IA 52246, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Boonstra","sequence":"additional","affiliation":[{"name":"Biostatistics, College of Public Health, University of Iowa, Iowa, IA 52242, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0514-7664","authenticated-orcid":false,"given":"Joseph E.","family":"Cavanaugh","sequence":"additional","affiliation":[{"name":"Biostatistics, College of Public Health, University of Iowa, Iowa, IA 52242, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carri","family":"Casteel","sequence":"additional","affiliation":[{"name":"Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa, IA 52246, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1002\/ajim.20387","article-title":"Workers\u2019 compensation experience of Colorado agriculture workers, 2000\u20132004","volume":"49","author":"Douphrate","year":"2006","journal-title":"Am. J. Ind. Med."},{"key":"ref_2","first-page":"117","article-title":"Injuries among children and youth in farm households: Regional Rural Injury Study-I","volume":"7","author":"Gerberich","year":"2001","journal-title":"Inj. Prev. J. Int. Soc. Child Adolesc. Inj. Prev."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"51","DOI":"10.13031\/2013.7226","article-title":"Traumatic injuries in agriculture","volume":"8","author":"Hard","year":"2002","journal-title":"J. Agric. Saf. Health"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Hendricks, K.J., Goldcamp, M., and Myers, J.R. (2020, November 14). Fatal and Non-Fatal Falls in United States Agriculture Production to Youth Less than 20 Years Old. Written for Presentation at: The 2002 Summer Conference of the National Institute for Farm Safety Inc., Ponte Vedra Beach, FL, USA, 23\u201327 June 2003. Available online: http:\/\/citeseerx.ist.psu.edu\/viewdoc\/download?doi=10.1.1.204.5686&rep=rep1&type=pdf.","DOI":"10.13031\/2013.15672"},{"key":"ref_5","first-page":"214","article-title":"Health and safety risks in production agriculture","volume":"169","author":"McCurdy","year":"1998","journal-title":"West. J. Med."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1054\/JHSB.1998.0189","article-title":"Hand injuries in agricultural accidents","volume":"24","author":"Hansen","year":"1999","journal-title":"J. Hand Surg."},{"key":"ref_7","unstructured":"(2020, November 14). Census of Fatal Occupational Injuries Summary. U.S. Bureau of Labor Statistics, Available online: https:\/\/www.bls.gov\/news.release\/cfoi.nr0.htm."},{"key":"ref_8","unstructured":"(2020, November 14). Employer-Reported Workplace Injuries and Illnesses. U.S. Bureau of Labor Statistics, Available online: https:\/\/www.bls.gov\/news.release\/osh.nr0.htm."},{"key":"ref_9","unstructured":"Runyan, J.L. (2018, June 11). A Review of Farm Accident Data Sources and Research: Review of Recently Published and Current Research. U.S. Department of Agriculture. Published 1993. Available online: http:\/\/nasdonline.org\/static_content\/documents\/1241\/d001045.pdf."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/S0033-3549(04)50039-0","article-title":"Costs of Occupational Injuries in Agriculture","volume":"116","author":"Leigh","year":"2001","journal-title":"Public Health Rep."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1002\/ajim.4700180209","article-title":"Injury surveillance in agriculture","volume":"18","author":"Gunderson","year":"1990","journal-title":"Am. J. Ind. Med."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1002\/ajim.22685","article-title":"Workers\u2019 compensation claims not reported in the Survey of Occupational Injuries and Illnesses: Injury and claim characteristics","volume":"60","author":"Wuellner","year":"2017","journal-title":"Am. J. Ind. Med."},{"key":"ref_13","unstructured":"Chari, R., Kress, A.M., and Madrigano, J. (2020, November 14). Injury and Illness surveillance of U.S. Agricultural Workers. Assessment of Recommendations and Actions. RAND Corporation. Available online: https:\/\/www.rand.org\/content\/dam\/rand\/pubs\/research_reports\/RR1500\/RR1500\/RAND_RR1500.pdf."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1421","DOI":"10.2105\/AJPH.92.9.1421","article-title":"Occupational injury and illness surveillance: Conceptual filters explain underreporting","volume":"92","author":"Azaroff","year":"2002","journal-title":"Am. J. Public Health"},{"key":"ref_15","unstructured":"Agriculture-Related Injuries (2018, March 06). Report from the Ohio Commission on the Prevention of Injury 2003. Ohio Commission on the Prevention of Injury, Available online: http:\/\/www.publicsafety.ohio.gov\/links\/agriculture.pdf."},{"key":"ref_16","unstructured":"(2014). Workers\u2019 Compensation Insurance: A Primer for Public Health, National Institute for Occupational Safety and Health."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1097\/01.jom.0000205864.81970.63","article-title":"How much work-related injury and illness is missed by the current national surveillance system?","volume":"48","author":"Rosenman","year":"2006","journal-title":"J. Occup. Environ. Med."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1016\/j.annepidem.2007.11.003","article-title":"Capture-recapture estimates of nonfatal workplace injuries and illnesses","volume":"18","author":"Boden","year":"2008","journal-title":"Ann. Epidemiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"881","DOI":"10.1002\/ajim.22357","article-title":"Heat-related illness in Washington State agriculture and forestry sectors","volume":"57","author":"Spector","year":"2014","journal-title":"Am. J. Ind. Med."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"251","DOI":"10.1093\/occmed\/kql018","article-title":"A descriptive study of workers\u2019 compensation claims in Washington State orchards","volume":"56","author":"Hofmann","year":"2006","journal-title":"Occup. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"557","DOI":"10.2105\/AJPH.82.4.557","article-title":"Occupational injuries among minors doing farm work in Washington State: 1986 to 1989","volume":"82","author":"Heyer","year":"1992","journal-title":"Am. J. Public Health"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1656","DOI":"10.2105\/AJPH.81.12.1656","article-title":"Occupational injuries and illnesses among Washington State agricultural workers","volume":"81","author":"Demers","year":"1991","journal-title":"Am. J. Public Health"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"203","DOI":"10.13031\/jash.12196","article-title":"Using Workers\u2019 Compensation Claims Data to Characterize Occupational Injuries in the Commercial Grain Elevator Industry","volume":"23","author":"Ramaswamy","year":"2017","journal-title":"J. Agric. Saf. Health"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1016\/j.jsr.2009.04.003","article-title":"An analysis of injury claims from low-seam coal mines","volume":"40","author":"Gallagher","year":"2009","journal-title":"J. Saf. Res."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1002\/ajim.21016","article-title":"Work-related injuries and fatalities among farmers in South Korea","volume":"55","author":"Lee","year":"2012","journal-title":"Am. J. Ind. Med."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"425","DOI":"10.1016\/0001-4575(94)00080-6","article-title":"Nonfatal farm injuries in Ontario: A population-based survey","volume":"27","author":"Pickett","year":"1995","journal-title":"Accid. Anal. Prev."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1080\/10599240902773215","article-title":"Tractor-related injuries: An analysis of workers\u2019 compensation data","volume":"14","author":"Douphrate","year":"2009","journal-title":"J. Agromed."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"103","DOI":"10.13031\/2013.16070","article-title":"Nonfatal occupational injury among California farm operators","volume":"10","author":"McCurdy","year":"2004","journal-title":"J. Agric. Saf. Health"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"856","DOI":"10.1002\/ajim.22194","article-title":"Distribution and characteristics of occupational injuries and diseases among farmers: A retrospective analysis of workers\u2019 compensation claims","volume":"56","author":"Karttunen","year":"2013","journal-title":"Am. J. Ind. Med."},{"key":"ref_30","unstructured":"(2020, November 14). Injuries, Illnesses and Fatalities. Bureau of Labor Statistics, U.S. Department of Labor, Survey of Occupational Injuries and Illnesses, in Cooperation with Participating State Agencies, Available online: https:\/\/www.bls.gov\/iif\/oshwc\/osh\/case\/cd_r1_2019.htm."},{"key":"ref_31","unstructured":"Wei, Z. (2020, November 14). Preventing Low Back Pain in Agriculture. Publication #: 500-0992. The Cook College\/NJAES Office of Communications and Public Relations. National Agricultural Safety Database. Available online: https:\/\/nasdonline.org\/1162\/d000956\/preventing-low-back-pain-in-agriculture.html."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"1398","DOI":"10.1002\/ajim.22372","article-title":"The effectiveness of insurer-supported safety and health engineering controls in reducing workers\u2019 compensation claims and costs","volume":"57","author":"Wurzelbacher","year":"2014","journal-title":"Am. J. Ind. Med."},{"key":"ref_33","unstructured":"(2020, November 14). Walking-Working Surfaces and Personal Protective Equipment (Fall Protection Systems); Final Rule. 29 CFR Part 1910. Federal Register\/Vol. 81, No. 223\/Friday, Available online: https:\/\/www.osha.gov\/laws-regs\/federalregister\/2016-11-18."},{"key":"ref_34","unstructured":"OSHA (2020, November 14). Fact Sheet- Farm Safety. U.S. Department of Labor. Occupational Safety and Health Administration, Available online: https:\/\/www.osha.gov\/OshDoc\/data_General_Facts\/FarmFactS2.pdf."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1442","DOI":"10.1002\/ajim.22263","article-title":"A model for occupational safety and health intervention diffusion to small businesses","volume":"56","author":"Sinclair","year":"2013","journal-title":"Am. J. Ind. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1080\/001401399185874","article-title":"Under-reporting of work-related disorders in the workplace: A case study and review of the literature","volume":"42","author":"Pransky","year":"1999","journal-title":"Ergonomics"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"914","DOI":"10.1097\/01.jom.0000226253.54138.1e","article-title":"Underreporting of work-related injury or illness to workers\u2019 compensation: Individual and industry factors","volume":"48","author":"Fan","year":"2006","journal-title":"J. Occup. Environ. Med."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/00043764-199804000-00006","article-title":"What percentage of workers with work-related illnesses receive workers\u2019 compensation benefits?","volume":"40","author":"Biddle","year":"1998","journal-title":"J. Occup. Environ. Med."},{"key":"ref_39","unstructured":"Sengupta, I., Baldwin, M., and Reno, V. (2018, March 09). Workers\u2019 Compensation: Benefits, Coverage, and Costs\u20142011 Data. Published 2003. National Academy of Social Insurance. Available online: https:\/\/www.nasi.org\/research\/2013\/report-workers-compensation-benefits-coverage-costs-2011."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/8\/4309\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T05:49:39Z","timestamp":1760161779000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/18\/8\/4309"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,4,19]]},"references-count":39,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,4]]}},"alternative-id":["ijerph18084309"],"URL":"https:\/\/doi.org\/10.3390\/ijerph18084309","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4,19]]}}}