Lighting and marking policies are associated with reduced farm equipment-related crash rates: A policy analysis of nine Midwestern US states

Marizen Ramirez, Ronald Bedford, Hongqian Wu, Karisa Harland, Joseph E. Cavanaugh, Corinne Peek-Asa

Research output: Contribution to journalArticlepeer-review

11 Scopus citations

Abstract

Objective: To evaluate the effectiveness of roadway policies for lighting and marking of farm equipment in reducing crashes in Illinois, Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota and Wisconsin. Methods: In this ecological study, state policies on lighting and marking of farm equipment were scored for compliance with standards of the American Society of Agricultural and Biological Engineers (ASABE). Using generalized estimating equations negative binomial models, we estimated the relationships between lighting and marking scores, and farm equipment crash rates, per 100 000 farm operations. Results: A total of 7083 crashes involving farm equipment was reported from 2005 to 2010 in the Upper Midwest and Great Plains. As the state lighting and marking score increased by 5 units, crash rates reduced by 17% (rate ratio=0.83; 95% CI 0.78 to 0.88). Lighting-only (rate ratio=0.48; 95% CI 0.45 to 0.51) and marking-only policies (rate ratio=0.89; 95% CI 0.83 to 0.96) were each associated with reduced crash rates. Conclusions: Aligning lighting and marking policies with ASABE standards may effectively reduce crash rates involving farm equipment.

Original languageEnglish (US)
Pages (from-to)621-626
Number of pages6
JournalOccupational and Environmental Medicine
Volume73
Issue number9
DOIs
StatePublished - Sep 2016

Bibliographical note

Funding Information:
This research was supported by the Great Plains Center for Agricultural Safety and Health, funded by National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention. Grant Number U50 OH007548-11.

Publisher Copyright:
© Published by the BMJ Publishing Group Limited.

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