23 Sep Farmworkers and Professional Drivers Face the Highest Fatal Injury Risk in the U.S. Workforce: Q&A on a 2026 Five-Year Analysis
MedicalResearch.com Interview with:
Steven M. Sweat, JD
Founding Attorney, Steven M. Sweat, Personal Injury Lawyers, APC, Los Angeles
Fatal occupational injury statistics answer two distinct questions: which occupations carry the highest risk of death per worker, and which account for the largest number of deaths in absolute terms. A 2026 five-year analysis of federal workplace fatality data addressed both questions, and its answers point to two populations of particular concern to clinicians and public health researchers: farmworkers, who face the highest fatal injury risk per worker of any occupation analyzed, and professional drivers, who record the largest number of on-the-job deaths. According to the BLS (U.S. Bureau of Labor Statistics) Census of Fatal Occupational Injuries, fatal work injury rates for agricultural workers reached 19.0 to 19.4 per 100,000 workers in 2024 — among the highest of any occupational category tracked by federal surveillance.
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Dr. Shan[/caption]
Zhilei Shan, MD, PhD
Postdoctoral fellow on Nutritional Epidemiology
Harvard T.H. Chan School of Public Health
MedicalResearch.com: What is the background for this study?
Response: Unhealthy sleep behaviors and sleep disturbances are associated with higher risk of multiple diseases and mortality. The current profiles of sleep habits and disturbances, particularly the differences between workdays and free days, are unknown in the contemporary US.
MedicalResearch.com: What are the main findings?
Response: In this nationally representative cross-sectional analysis with 9004 adults aged 20 years or older, differences in sleep patterns between workdays and free days were observed. The mean sleep duration was 7.59 hours on workdays and 8.24 hours on free days (difference, 0.65 hour). The mean sleep and wake times were at 11:02 PM and 6:41 AM, respectively, on workdays and 11:25 PM and 7:41 AM, respectively, on free days (differences, 0.23 hour for sleep time and 1.00 hour for wake time). With regard to sleep disturbances, 30.5% of adults experienced 1 hour or more of sleep debt,46.5% experienced 1 hour or more of social jet lag, 29.8% had trouble sleeping, and 27.2% experienced daytime sleepiness.

Dr. Gamboa Madeira[/caption]
Sara Gamboa Madeira
Medical Doctor - General & Family Physician
PhD Student - EnviHealth&Co - Faculty of Medicine
Lisbon University
MedicalResearch.com: What is the background for this study?
Response: One in every five employees work in shifts across Europe1. Shift work have been associated with an increased risk for several cardiovascular diseases2 and three main mechanism have been proposed: unhealthy behaviours, disturbed sleep, and circadian misalignment.
This study focused on the role of circadian misalignment, which we assessed via social jetlag. Social jetlag is calculated using the Munich Chronotype Questionnaire3 by the difference between sleep behaviour on free-days (mainly driven by the individual “biological clock”, also called chronotype) and sleep behaviour on workdays (mainly drive by the “social clock”, namely work schedules). Chronotype is an individual feature which ranges from early/morning people to late/evening people (from proverbial lark to owls), with the majority of the population falling in between as a Gaussian distribution. Therefore higher levels of social jetlag mean a greater mismatch between what your biological clock need (e.g. go to sleep at 9pm) and what your social obligations impose on you (e.g. work until midnight).