Characteristics of agricultural and occupational injuries by workers’ compensation and other payer sources

Celestin Missikpode, Corinne Peek-Asa, Brad Wright, Marizen Ramirez

Research output: Contribution to journalArticle


Background: Workers’ compensation claims data are routinely used to identify and describe work-related injury for public health surveillance and research, yet the proportion of work-related injuries covered by workers’ compensation, especially in the agricultural industry, is unknown. Methods: Using data from the Iowa Trauma Registry, we determined the sensitivity and specificity of the use of workers’ compensation as a payer source to ascertain work-related injuries requiring acute care comparing agriculture with other rural industries. Results: The sensitivity of workers’ compensation as a payer source to identify work-related agricultural injuries was 18.5%, suggesting that the large majority of occupational agricultural injuries would not be accurately identified through workers’ compensation records. For rural nonagricultural, rural occupational injuries, the sensitivity was higher (64.2%). Work-related agricultural injuries were most frequently covered by private insurance (39.6%) and public insurance (21.4%), while rural nonagricultural injuries were most frequently covered by workers’ compensation (65.2%). Conclusions: Workers’ compensation claims data will not include the majority of work-related agricultural injuries.

Original languageEnglish (US)
Pages (from-to)969-977
Number of pages9
JournalAmerican Journal of Industrial Medicine
Issue number11
StatePublished - Nov 1 2019
Externally publishedYes



  • agricultural industry
  • and specificity
  • sensitivity
  • work-related injuries
  • workers’ compensation

PubMed: MeSH publication types

  • Journal Article
  • Research Support, U.S. Gov't, P.H.S.
  • Research Support, Non-U.S. Gov't

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