No abstract

BackgroundTractors and other slow-moving self-propelled farm equipment are often used on public roadway to transfer goods from the farm to a market or distributer. Increased roadway exposure has led to a growing concern on the occurrence of farm equipment crashes. This study aims to compare characteristics of road segments with farm equipment crashes to road segments without farm equipment crashes in the state of Iowa.MethodsData were obtained from the Iowa Department of Transportation from 2005 to 2011 on all crashes involving farm equipment, and features of all Iowa roadways. Geographic Information Systems (GIS) was used to identify geospatial features, such as road type, speed limit, traffic volume surface type, road and shoulder width of where a crash occurred. Logistic regression models were used to measure the associations between road characteristics and the occurrence of farm equipment crashes. Crude and adjusted odds ratios and 95% confidence intervals were reported.ResultsA total of 1371 farm equipment crashes were reported in Iowa over the 6-year period and geocoded onto a street location. As traffic volume increased, the odds of a crash occurring also increased. Roadways with posted speed limits between 50 and 60 mph were associated with a higher odds of having crashes on them compared to roadways with speeds less than 35 mph (OR = 8.05, 95% CI: 6.59–9.84). Iowa routes (OR = 5.98, 95% CI: 4.97–7.20) had the highest odds of having crashes compared to local routes. Increased road width (OR = 0.90, 95% CI: 0.86–0.94) was associated with a 10% decrease in the odds of a crash.ConclusionsHigher traffic volume, higher posted speed limits, road type, and smaller road widths were associated with the occurrence of farm equipment crashes. Findings from this study can be used to guide policy to improve roadway design and conditions for all road users.Electronic supplementary materialThe online version of this article (doi:10.1186/s40621-016-0096-1) contains supplementary material, which is available to authorized users.

Precautions should be taken to limit or restrict youth from riding on or operating farm equipment. These findings reiterate the need to enforce policies that improve safety measures for youth involved in or exposed to agricultural tasks.

ObjectiveInjury, the most common type of pediatric trauma, can lead to a number of adverse psychosocial outcomes, including posttraumatic stress disorder. Currently, few evidence-based parent programs exist to support children hospitalized after a traumatic injury. Using methods in evaluation and intervention research, we completed a formative research study to develop a new program of psychological first aid, Link for Injured Kids, aimed to educate parents in supporting their children after a severe traumatic injury.MethodsUsing qualitative methods, we held focus groups with parents and pediatric trauma providers of children hospitalized at a Level I Children's Hospital because of an injury in 2012. We asked focus group participants to describe reactions to trauma and review drafts of our intervention materials.ResultsHealth professionals and caregivers reported a broad spectrum of emotional responses by their children or patients; however, difficulties were experienced during recovery at home and upon returning to school. All parents and health professionals recommended that interventions be offered to parents either in the emergency department or close to discharge among admissions.ConclusionsResults from this study strongly indicate a need for posttrauma interventions, particularly in rural settings, to support families of children to address the psychosocial outcomes in the aftermath of an injury. Findings presented here describe the process of intervention development that responds to the needs of an affected population.

No abstract