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Yamamoto K, Motomiya M, Ono K, Matsui Y, Yasui K, Iwasaki N. Initial patient demographics affecting return to original work after traumatic hand injury in a rural area in Japan: A retrospective single-center study. J Orthop Sci 2024; 29:1280-1286. [PMID: 37839976 DOI: 10.1016/j.jos.2023.09.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 08/23/2023] [Accepted: 09/05/2023] [Indexed: 10/17/2023]
Abstract
BACKGROUND Time off work after traumatic hand injury not only affects individuals but also has socioeconomic repercussions, becoming a serious problem from the viewpoint of labor shortages. In depopulated rural areas, the impact of labor shortages due to time off work is more serious than in urban areas; however, few studies have examined return to original work in rural areas. The purpose of this study was to investigate the patient demographics at the time of hand injury that affect return to original work in a rural area of Japan. METHODS We retrospectively examined 246 patients with traumatic hand and/or forearm injuries who were working at the time of injury, and who underwent surgical operations and postoperative rehabilitation in a level II hospital in a rural agricultural area. We examined patients' initial demographic data, including gender, age, occupation (white or blue collar), employment status (self-employed, full-time, or part-time workers), complications other than hand injury, workers' compensation, dominant hand injury, and injury severity as determined using the modified Hand Injury Severity Score. Multivariate logistic regression analysis examined the association between initial patient demographics and return to original work within 150 days after injury. RESULTS In total, 186 patients (76 %) were able to return to original work within 150 days. A multivariate logistic regression analysis showed that three explanatory variables (i.e., severity of injury, complications other than hand injury, and female gender) significantly compromised return to original work. CONCLUSIONS In the treatment of traumatic hand injury, intensive support should be provided for return to original work for patients who are expected to have difficulty returning to work quickly. In addition, labor shortages can be mitigated by sharing information with the workplace about patients' prospects of return to original work.
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Affiliation(s)
- Kazuhiro Yamamoto
- Department of Medical Technology Occupational Therapy, Obihiro Kosei Hospital, Obihiro, Japan
| | - Makoto Motomiya
- Department of Orthopaedic Surgery, Obihiro Kosei Hospital Hand Center, Obihiro, Japan.
| | - Kota Ono
- Ono Biostat Consulting (Kota Ono is also an employee of AbbVie GK.), Japan
| | - Yuichiro Matsui
- Section for Clinical Education, Faculty of Dental Medicine, Hokkaido University, Sapporo, Japan; Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan
| | - Keigo Yasui
- Department of Orthopaedic Surgery, Obihiro Kosei Hospital, Obihiro, Japan
| | - Norimasa Iwasaki
- Department of Orthopaedic Surgery, Faculty of Medicine and Graduate School of Medicine, Hokkaido University, Sapporo, Japan
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Ishimaru T, Arphorn S, Vudhironarit C, Thanachoksawang C, Theppitak C, Kiatkitroj K, Lertvarayut T, Manothum A, Hara K. Effectiveness of Participatory Training for Prevention of Slips, Trips, and Falls: A Cluster Randomized Controlled Trial of Corn Farmers in Thailand. Asia Pac J Public Health 2024; 36:574-579. [PMID: 39054847 DOI: 10.1177/10105395241265542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/27/2024]
Abstract
This study evaluated the effectiveness of a participatory training program for mitigating the risk of slips, trips, and falls (STFs) in agriculture. We conducted a cluster randomized controlled trial of corn farmers over six months in Thailand. The participatory training intervention comprised lectures, group discussions, and presentation sessions centered around a specifically developed action checklist for occupational fall prevention. Sixty-two individuals were included in the intervention group, with 169 included in the control group. The results revealed a reduction in the incidence of STFs in the intervention group from 42% to 23%; however, this difference was not statistically significant. The study highlights the potential of participatory training for enhancing occupational safety for farmers. However, the absence of statistical significance necessitates cautious interpretation of the results. Future research should examine larger sample sizes, involve employers in the training process, and implement repetitive training interventions.
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Affiliation(s)
- Tomohiro Ishimaru
- Department of Medical Humanities, School of Medicine, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan
| | - Sara Arphorn
- Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Bangkok, Thailand
- Center of Excellence on Environmental Health and Toxicology (EHT), OPS, MHESI, Bangkok, Thailand
| | - Chayaphorn Vudhironarit
- Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Bangkok, Thailand
| | - Chatchai Thanachoksawang
- Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Bangkok, Thailand
- Center of Excellence on Environmental Health and Toxicology (EHT), OPS, MHESI, Bangkok, Thailand
| | - Chalermsiri Theppitak
- School of Occupational Health and Safety, Suranaree University of Technology, Nakhon Ratchasima Thailand
| | - Kanpitcha Kiatkitroj
- Program of Occupational Health and Safety, Faculty of Public Health, Naresuan University, Phitsanulok, Thailand
| | - Teepapipat Lertvarayut
- Department of Public Health, Faculty of Physical Education, Srinakharinwirot University, Ongkharak, Thailand
| | - Aniruth Manothum
- Department of Industrial Arts, Faculty of Industrial Technology, Lampang Rajabhat University, Lampang, Thailand
| | - Kunio Hara
- Department of Occupational Safety and Health Management, School of Health Sciences, University of Occupational and Environmental Health, Japan, Kitakyushu, Japan
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Kang JY, Song SW, Hong H, Kim WJ, Kang Y, Kang JH, Lee SK, Bu J, Ko SY, Lee SH. Clinical characteristics and outcomes of injuries in agricultural and nonagricultural workers visiting the emergency department: a propensity-matched analysis. Clin Exp Emerg Med 2024; 11:68-78. [PMID: 37439139 PMCID: PMC11009704 DOI: 10.15441/ceem.23.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Revised: 06/29/2023] [Accepted: 06/30/2023] [Indexed: 07/14/2023] Open
Abstract
OBJECTIVE Agriculture is a hazardous industry. However, previous studies have focused on injuries to agricultural workers without comparison with injuries to nonagricultural workers. Therefore, we compared the clinical characteristics and outcomes of injuries reported at an emergency department (ED) between agricultural workers and nonagricultural workers. METHODS We established a prospective ED-based agricultural injury surveillance system at a tertiary university hospital. Adult patients visiting the ED for an injury were divided into farmer and non-farmer groups depending on their engagement with agriculture. Using an adjusted multivariate analysis and propensity score matching (age, sex, inhabitant, and insurance type), we compared the clinical characteristics and outcomes of injuries between the farmer and non-farmer groups. RESULTS In total, 38,556 injured adult patients (37,746 in the non-farmer group and 810 in the farmer group) were available for the unmatched sample analysis. The 1,620 matched subjects were equally classified after one-to-one nearest-neighbor propensity score matching. A multivariate logistic regression analysis of the unmatched sample revealed higher adjusted odds ratios (ORs) for intensive care unit admission (adjusted OR, 1.752; P=0.003) and overall surgery (adjusted OR, 1.870; P<0.001) in the farmer group. In contrast, univariate logistic regression analyses of the propensity score-matched sample found a higher OR in the farmer group only for overall surgery (OR, 1.786; P<0.001). CONCLUSION Injuries of agricultural workers had higher odds only of requiring surgery; differences in injury-related mortality between groups were not statistically significant in either the matched or unmatched sample analyses.
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Affiliation(s)
- Jong Yeon Kang
- Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
| | - Sung Wook Song
- Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
| | - Hansol Hong
- Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
| | - Woo Jeong Kim
- Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
| | - Youngjoon Kang
- Department of Medical Education, Jeju National University School of Medicine, Jeju, Korea
| | - Jeong Ho Kang
- Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
| | - Sung Kgun Lee
- Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
| | - Jihwan Bu
- Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
| | - Seo Young Ko
- Department of Emergency Medicine, Jeju National University School of Medicine, Jeju, Korea
| | - Soo Hoon Lee
- Department of Emergency Medicine, Jeju National University Hospital, Jeju, Korea
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Chaiklieng S, Chagkornburee C, Suggaravetsiri P. Situations of work-related diseases and injuries among agriculturists in the upper northeast regions of Thailand. F1000Res 2023; 11:145. [PMID: 37224323 PMCID: PMC10170183 DOI: 10.12688/f1000research.73221.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/03/2023] [Indexed: 09/19/2024] Open
Abstract
Background: Agriculturists exposed to health hazards are affected by increased occupational disease. This retrospective study aimed to investigate situations of work-related diseases and injuries among agriculturists in upper northeast Thailand. Methods: The secondary data of international classification of diseases 10 th revision (ICD-10) case reports of occupational disease among farmers, from the database of the Health Data Center (HDC), were used. The registered farmers data was collected as a dataset from the provincial agricultural office and the data of ICD-10 code utilised from the hospital information system (HIS) of healthcare services in Udon Thani and Roi-Et provinces, which was extracted for cases of work-related diseases and injuries of registered agriculturists. The annual morbidity rate of occupational diseases was analysed and presented at a rate per 100,000 farmers. Results: Among farmers in the HDC database, lung disease, which was not reported as occupational disease of the HDC database, was the highest ranking of all diseases, followed by work-related musculoskeletal disorders (WMSDs), noise- and heat-related diseases, and pesticide toxicity, respectively, while the injury rate was as high as that of WMSDs. Those morbidity rates of Roi-Et and Udon Thani provinces were representative of the morbidity ranking of diseases of the nation and had increasing trends from 2014 to 2016. The number of farmers in the HDC database did not consistently reflect the number of registered farmers in the agricultural database. Conclusions: Situations of work-related diseases and injuries discovered among registered farmers reflect the health problems of Thai agriculturists, and the underestimation in the reported disease rate in the health database is explained by big data analysis, which showed that work-related cases with an identifying code of Y96 had rarely been reported among agriculturists. Therefore, Thai agriculturists should be supported in registration with occupational diseases and injuries surveillance as holistic healthcare.
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Affiliation(s)
- Sunisa Chaiklieng
- Department of Environmental Health, Occupational Health and Safety, Faculty of Public Health, Khon Kaen University,, Khon Kaen, 40002, Thailand
| | - Chuthamas Chagkornburee
- Master of Science Program in Occupational Health and Safety, Faculty of Public Health, Faculty of Public Health, Khon Kaen University, Muang Khon Kaen, Khon Kaen, 40002, Thailand
| | - Pornnapa Suggaravetsiri
- Department of Epidemiology and Biostatistics, Faculty of Public Health, Khon Kaen University, Khon Kaen, 40002, Thailand
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Occupational and geographical differentials in financial protection against healthcare out-of-pocket payments in Nepal: Evidence for universal health coverage. PLoS One 2023; 18:e0280840. [PMID: 36706091 PMCID: PMC9882914 DOI: 10.1371/journal.pone.0280840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2022] [Accepted: 01/09/2023] [Indexed: 01/28/2023] Open
Abstract
BACKGROUND The low-and middle-income countries, including Nepal, aim to address the financial hardship against healthcare out-of-pocket (OOP) payments through various health financing reforms, for example, risk-pooling arrangements that cover different occupations. World Health Organization (WHO) has recommended member states to establish pooling arrangements so that the financial risks owing to health uncertainty can be spread across population. This study aims to analyse the situation of financial protection across occupations and geography using nationally representative annual household survey (AHS) in Nepal. METHODS We measured catastrophic health expenditure (CHE) due to OOP using two popular approaches-budget share and capacity-to-pay, and impoverishment impact at absolute and relative poverty lines. This study is the first of its kind from south-east Asia to analyse disaggregated estimates of financial protection across occupations and geography. The inequality in financial risk protection was measured using concentration index. Data were extracted from AHS 2014-15 -a cross-sectional survey that used standard consumption measurement tool (COICOP) and International Standard Classification of Occupations (ISCO). RESULTS We found a CHE of 10.7% at 10% threshold and 5.2% at 40% threshold among households belonging to agricultural workers. The corresponding figures were 10% and 4.8% among 'plant operators and craft workers'. Impoverishment impact was also higher among these households at all poverty lines. In addition, CHE was higher among unemployed households. A negative concentration index was observed for CHE and impoverishment impact among agricultural workers and 'plant operators and craft workers'. In rural areas, we found a CHE of 11.5% at 10% threshold and a high impoverishment impact. Across provinces, CHE was 12% in Madhesh and 14.3% in Lumbini at 10% threshold, and impoverishment impact was 1.9% in Madhesh, Karnali and Sudurpachim at US $1.90 a day poverty line. CONCLUSION Households belonging to informal occupations were more prone to CHE and impoverishment impact due to healthcare OOP payments. Impoverishment impact was disproportionately higher among elementary occupations, agricultural workers, and 'plant operators and craft workers'. Similarly, the study found a wide urban/rural and provincial gap in financial protection. The results can be useful to policymakers engaged in designing health-financing reforms to make progress toward UHC.
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Hassani M, Hesampour R, Bartnicka J, Monjezi N, Ezbarami SM. Evaluation of working conditions, work postures, musculoskeletal disorders and low back pain among sugar production workers. Work 2022; 73:273-289. [DOI: 10.3233/wor-210873] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND: It is generally agreed that musculoskeletal disorders (MSDs) are a severe health concern, particularly for agricultural laborers. OBJECTIVES: The study aimed to identify risk factors and work-related disorders among agricultural workers at Amirkabir agro-industry company in Iran. METHOD: A total of 158 workers, of which 66 were manual harvesting workers (four postures), 40 were fertilizer transportation workers (three postures), and 52 were spraying workers (one posture), were included in the study. The research used questionnaires to collect data, and the postures were analyzed using 3DSSPP software. Related risk factors such as age, body mass index, work experience, working hours, and sports activity were analyzed. RESULTS: The incidence rate of lower back pain (94%), knee pain (82%), neck pain (69%), upper-back (63%), and shoulder (63%) were calculated. The logistic regression revealed that working hours and sports activities are significantly correlated to the wrist/hand and neck MSD with 5.62 and 6.38 times more likely among manual harvesting workers. The 3DSSPP software estimated that the lower back pain, especially in the first posture, for manure transportation workers was very high. Maximum L5-S1 compression, shear, and moment forces in the first posture among manure transportation workers were 7113 N and 472 N, -381 N-m, respectively. CONCLUSION: The 3DSSPP results also illustrated that compression, shear, and moment forces exceeded the NIOSH limit for the other postures. After interventions, compression, shear, and moment forces among all farm workers decreased. These findings emphasize that farm workers need to be under surveillance continuously at their workstations where interventions and improvement in specific tasks are required.
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Affiliation(s)
- Mehrdad Hassani
- Department of Biosystems Engineering, Faculty of Agriculture, University of Tabriz, Tabriz, Iran
| | - Reza Hesampour
- Department of Agricultural Machinery and Mechanization, Ramin University of Agriculture and Natural Resources, Mollasani, Iran
| | - Joanna Bartnicka
- Department of Organization and Management, Silesian University of Technology, Gliwice, Poland
| | - Nasim Monjezi
- Department of Biosystems Engineering, Shahid Chamran University of Ahvaz, Ahvaz, Iran
| | - Sahebeh Mirzaei Ezbarami
- Department of Biomedical Engineering, Islamic Azad University Science and Research Branch, Tehran, Iran
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Pant PR, Deave T, Banstola A, Bhatta S, Joshi E, Adhikari D, Manandhar SR, Joshi SK, Mytton JA. Home-related and work-related injuries in Makwanpur district, Nepal: a household survey. Inj Prev 2021; 27:450-455. [PMID: 33148799 PMCID: PMC8461414 DOI: 10.1136/injuryprev-2020-043986] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 10/01/2020] [Indexed: 01/08/2023]
Abstract
OBJECTIVE To describe the epidemiology of home-related and work-related injuries, their mechanisms, inequalities and costs associated with these injuries. METHODS A household survey was undertaken in three palikas of Makwanpur district between April and June 2019. Data were collected electronically on non-fatal injuries that occurred in the previous 3 months and fatal injuries that occurred in the previous 5 years. FINDINGS 17 593 individuals were surveyed from 3327 households. Injury rates were 8.0 per 1000 population for home injuries and 6.4 per 1000 for work-related injuries; 61.0% of home injuries were among women and 69.9% of work-related injuries among men. Falls were the cause of 48% home injuries, affecting 50.9% of men and 46.5% of women. Burns/scalds were higher in women than men, affecting 17.4% of women reporting home injuries. Cuts and piercings accounted for 39.8% of all work-related injuries and 36.3% were falls. Injury incidence varied by ethnic group: home injuries were highest in Brahmin (12.0 per 1000) and work-related injuries highest in Rai groups (21.0 per 1000). The total mean costs (transport and treatment) of work-related injury was US$143.3 (SD 276.7), higher than for home injuries (US$130.4, SD 347.6). The number of home (n=74, 64.9%) and work-related (n=67, 77.9%) injuries were higher in families below the poverty line than families in the next income bracket (home: n=22, 19.3%; work: n=11, 12.8%). CONCLUSIONS Home-related and work-related fall injuries are common. The inequalities in injury identified in our study by rurality, age, sex, income level and ethnic group can help target injury prevention interventions for vulnerable groups.
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Affiliation(s)
- Puspa Raj Pant
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | - Toity Deave
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | - Amrit Banstola
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
| | - Sumiksha Bhatta
- Kathmandu Medical College Public Limited, Nepal Injury Research Centre, Kathmandu, Nepal
| | - Elisha Joshi
- Kathmandu Medical College Public Limited, Nepal Injury Research Centre, Kathmandu, Nepal
| | - Dhruba Adhikari
- Mother and Infant Research Activities (MIRA), Kathmandu, Nepal
| | - Sunil Raja Manandhar
- Mother and Infant Research Activities (MIRA), Kathmandu, Nepal
- Department of Paediatrics, Kathmandu Medical College Public Limited, Kathmandu, Nepal
| | - Sunil Kumar Joshi
- Department of Community Medicine, Kathmandu Medical College Public Limited, Kathmandu, Nepal
| | - Julie A Mytton
- Faculty of Health and Applied Sciences, University of the West of England, Bristol, UK
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Petit P, Bosson-Rieutort D, Maugard C, Gondard E, Ozenfant D, Joubert N, François O, Bonneterre V. The TRACTOR Project: TRACking and MoniToring Occupational Risks in Agriculture Using French Insurance Health Data (MSA). Ann Work Expo Health 2021; 66:402-411. [PMID: 34562080 DOI: 10.1093/annweh/wxab083] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 09/09/2021] [Accepted: 09/13/2021] [Indexed: 12/29/2022] Open
Abstract
OBJECTIVES A vast data mining project called 'TRACking and moniToring Occupational Risks in agriculture' (TRACTOR) was initiated in 2017 to investigate work-related health events among the entire French agricultural workforce. The goal of this work is to present the TRACTOR project, the challenges faced during its implementation, to discuss its strengths and limitations and to address its potential impact for health surveillance. METHODS Three routinely collected administrative health databases from the National Health Insurance Fund for Agricultural Workers and Farmers (MSA) were made available for the TRACTOR project. Data management was required to properly clean and prepare the data before linking together all available databases. RESULTS After removing few missing and aberrant data (4.6% values), all available databases were fully linked together. The TRACTOR project is an exhaustive database of agricultural workforce (active and retired) from 2002 to 2016, with around 10.5 million individuals including seasonal workers and farm managers. From 2012 to 2016, a total of 6 906 290 individuals were recorded. Half of these individuals were active and 46% had at least one health event (e.g. declared chronic disease, reimbursed drug prescription) during this 5-year period. CONCLUSIONS The assembled MSA databases available in the TRACTOR project are regularly updated and represent a promising and unprecedent dataset for data mining analysis dedicated to the early identification of current and emerging work-related illnesses and hypothesis generation. As a result, this project could help building a prospective integrated health surveillance system for the benefit of agricultural workers.
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Affiliation(s)
- Pascal Petit
- Univ. Grenoble Alpes, CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC, Grenoble, France
| | - Delphine Bosson-Rieutort
- School of Public Health, Department of Management, Evaluation and Health Policy, University of Montreal, Montreal, Canada.,Centre de recherche en santé publique, Université de Montréal et CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montréal, Canada
| | - Charlotte Maugard
- Univ. Grenoble Alpes, CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC, Grenoble, France
| | - Elise Gondard
- Univ. Grenoble Alpes, CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC, Grenoble, France
| | | | | | - Olivier François
- Univ. Grenoble Alpes, CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC, Grenoble, France
| | - Vincent Bonneterre
- Univ. Grenoble Alpes, CNRS, Grenoble INP, CHU Grenoble Alpes, TIMC, Grenoble, France
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Chweya RN, Mambo SN, Gachohi JM. Demographic, occupational and societal risk exposures to physical injuries in a rural community in Western Kenya: a 12-week longitudinal study. BMJ Open 2021; 11:e053161. [PMID: 34521680 PMCID: PMC8442073 DOI: 10.1136/bmjopen-2021-053161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2021] [Accepted: 08/24/2021] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVE We studied factors associated with the weekly occurrence of physical injuries in a rural setting to determine injury-related burden and risk exposures. DESIGN Prospective cohort study. SETTING Suna-West subcounty, Migori County, Western Kenya. PARTICIPANTS 390 study participants (subjects) cluster sampled from 92 households, recruited and followed up for 12 weeks, between August and October 2019. METHODS We collected data weekly on occurrence of injuries, individual-level and household-level independent variables using a standard interviewer-administered questionnaire adapted from the WHO survey tool for injuries. Analyses related occurrence of injuries and independent variables using a multilevel Poisson regression model, adjusting for age and sex. OUTCOME MEASURES Quantifying injury-related burden and patterns by demographic, occupational and societal risk exposures. RESULTS We documented 44 injuries, coming from 38 subjects dwelling in 30 of the 92 study households. On average, each study subject and household experienced 1.2 and 1.5 episodes of injuries across the 12 study weeks. Open wounds and bruises were the most frequent injuries commonly reported among middle-aged (18-54 years) and young (5-17 years) subjects at 32.2 and 7.6 episodes per 1000-person week, respectively. The common cause of injuries among young, middle-aged and old subjects (>54 years) were falls, road accidents and person-related assault or being hit by an object, each at 15.2, 18.9, and 11.4 episodes per 1000-person week, respectively. Subjects not domesticating animals (incidence rate ratio (IRR)=7.6, 95% CI 1.4 to 41.7) and those making a visit outside the local subcounty of residence (IRR=2.2, 95% CI 1.5 to 3.1) were at higher risk of reporting injuries. CONCLUSION We provide evidence of a higher burden of physical injuries associated with demographic, occupational and societal risk exposures with the most injuries resulting from falls. Further studies could better define granular characteristics constituting these factors.
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Affiliation(s)
- Reagan Ngoge Chweya
- School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
| | - Susan Njoki Mambo
- School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
| | - John Mwangi Gachohi
- School of Public Health, Jomo Kenyatta University of Agriculture and Technology, Nairobi, Kenya
- Global Health Program Kenya, Washington State University, Nairobi, Kenya
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Lampert T, Costa J, Santos O, Sousa J, Ribeiro T, Freire E. Evidence on the contribution of community gardens to promote physical and mental health and well-being of non-institutionalized individuals: A systematic review. PLoS One 2021; 16:e0255621. [PMID: 34358279 PMCID: PMC8345884 DOI: 10.1371/journal.pone.0255621] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 07/20/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION There has been growing interest in community gardens as an effective and affordable health promotion strategy. However, most available evidence is derived from qualitative studies, whereas quantitative research on this subject is limited. OBJECTIVES To synthetize the literature about physical and mental health outcomes associated with community gardening. Two main questions were addressed: a) is there evidence, from quantitative studies, that community gardening is associated to physical and mental health and well-being of non-institutionalized individuals? b) Does community gardening provokes any discomfort in terms of physical health, i.e., bodily pain, to their beneficiaries? METHODS A systematic review of the literature was carried out following PRISMA guidelines by searching relevant electronic databases (PubMed, Scopus, and Web of Science). Empirical, quantitative studies published in English with no restrictions concerning the date of publication were considered eligible. The quality of the evidence was appraised using the tool developed by the National Heart, Lung, and Blood Institute of the National Institutes of Health for Observational Cohort and Cross-Sectional Studies. RESULTS Overall, 8 studies were considered eligible, of which seven studies were rated as having good methodological quality (one scored as fair). Community gardeners had significantly better health outcomes than their neighbours not engaged in gardening activities in terms of life satisfaction, happiness, general health, mental health, and social cohesion. CONCLUSION Community gardens are associated to health gains for their users, irrespective of age, being an affordable and efficient way of promoting physical and mental health and well-being. To encourage the design, maintenance, and prospective evaluation of supportive urban environments promoting healthy and, at the same time, sustainable lifestyles, is essential to achieve public health gains and environmental sustainability.
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Affiliation(s)
- Tarsila Lampert
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Joana Costa
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | - Osvaldo Santos
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
- EnviHeB Lab, Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
- Unbreakable Idea Research, Lisboa, Portugal
| | - Joana Sousa
- Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
- Laboratório de Nutrição, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal
| | | | - Elisabete Freire
- Departamento das Ciências Sociais do Território, Faculdade de Arquitectura, Universidade de Lisboa, Lisboa, Portugal
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Arphorn S, Lertvarayut T, Kiatkitroj K, Theppitak C, Manothum A, Hara K, Ishimaru T. Association between physical capacity and occupational falls among middle-aged and older farmers in Thailand: Using the self-check risk assessment tool in Japan. J Occup Health 2021; 63:e12287. [PMID: 34734459 PMCID: PMC8566839 DOI: 10.1002/1348-9585.12287] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2021] [Revised: 09/22/2021] [Accepted: 10/15/2021] [Indexed: 12/02/2022] Open
Abstract
OBJECTIVES Declining physical capacity caused by aging increases the risk of occupational falls on the same level and to lower levels. In emerging countries in Asia, the development of a program for older farmers to assess their risk of occupational falls is valuable. The current study aimed to evaluate the relationship between physical capacity and experience of occupational falls among middle-aged and older Thai farmers. METHODS We conducted a cross-sectional survey of 419 Thai farmers aged 40 years and over during March and April, 2021. For the assessment of physical capacity, we used the Self-Check Risk Assessment of Falls and Other Accidents in the Workplace tool developed in Japan, consisting of five physical test components. Multiple logistic regression and receiver operating characteristic curves were used to analyze the data. RESULTS The results revealed that 25.5% of participants had experienced occupational falls in the past 12 months. For each of the five physical test components, there was no significant association between physical capacity and experience of occupational falls. The area under the receiver operating characteristic curve was less than 0.60 for each of the five physical test components. A similar trend was observed when the analysis was limited to participants aged 50 years and over. CONCLUSIONS The current study did not reveal any associations between physical capacity in each test and experience of occupational falls among middle-aged and older Thai farmers. Because the mechanisms underlying occupational falls are complex, multiple intervention approaches may be important for preventing accidents.
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Affiliation(s)
- Sara Arphorn
- Department of Occupational Health and SafetyFaculty of Public HealthMahidol UniversityBangkokThailand
| | - Teepapipat Lertvarayut
- Department of Occupational Health and SafetyFaculty of Public HealthMahidol UniversityBangkokThailand
| | - Kanpitcha Kiatkitroj
- Department of Occupational Health and SafetyFaculty of Public HealthMahidol UniversityBangkokThailand
| | - Chalermsiri Theppitak
- School of Occupational Health and SafetyInstitute of Public HealthSuranaree University of TechnologyNakhon RatchasimaThailand
| | - Aniruth Manothum
- Department of Industrial ArtsFaculty of Industrial TechnologyLampang Rajabhat UniversityLampangThailand
| | - Kunio Hara
- Department of Occupational Safety and Health ManagementSchool of Health SciencesUniversity of Occupational and Environmental Health, JapanKitakyushuJapan
| | - Tomohiro Ishimaru
- Department of Environmental EpidemiologyInstitute of Industrial Ecological SciencesUniversity of Occupational and Environmental Health, JapanKitakyushuJapan
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Moradhaseli S, Ataei P, Van den Broucke S, Karimi H. The Process Of Farmers' Occupational Health Behavior by Health Belief Model: Evidence From Iran. J Agromedicine 2020; 26:231-244. [PMID: 33151845 DOI: 10.1080/1059924x.2020.1837316] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Farm work is considered among the highest risk jobs throughout the world. Occupational health behavior is a critical factor that influences agricultural job-related injuries and diseases. Yet, while educational programs have been set up to encourage farmers to behave more safely, many of these programs do not sufficiently take into account the factors that induce farmers to exhibit risky behavior. The present study aimed to explore the factors underpinning farmers' occupational health behavior using the Health Belief Model (HBM). The study was conducted using aquestionnaire survey of 382 farmers representative of the farmers of Kermanshah province, Iran. The face and content validity of the questionnaire was confirmed by apanel of experts in occupational health, and its reliability by apilot study establishing internal consistency measured by Cronbach's alpha. The results showed that four dimensions of the HBM (perceived susceptibility, perceived benefits, cues to action, and perceived self-efficacy) influence farmers' occupational health behavior (FOHB), with the theoretical model accounting for 54.9% of the variance of FOHB. The findings confirm the potential of the HBM to explain FOHB and the relevance of using the theory in studying farmers' protective behaviors such as the use of chemical pesticides, protection against sunlight, protection of hearing, etc.
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Affiliation(s)
- Somayeh Moradhaseli
- Department of Agricultural Extension & Education, College of Agriculture, Tarbiat Modares University (TMU), Tehran, Iran
| | - Pouria Ataei
- Department of Agricultural Extension & Education, College of Agriculture, Tarbiat Modares University (TMU), Tehran, Iran
| | - Stephan Van den Broucke
- Faculty of Psychology and Educational Sciences, Psychological Sciences Research Institute, Université Catholique de Louvain, Louvain, Belgium
| | - Hamid Karimi
- Department of Agricultural Extension and Education, Faculty of Agriculture, University of Zabol, Zabol, Iran
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Kaewdok T, Sirisawasd S, Taptagaporn S. Agricultural Risk Factors Related Musculoskeletal Disorders among Older Farmers in Pathum Thani Province, Thailand. J Agromedicine 2020; 26:185-192. [PMID: 32735182 DOI: 10.1080/1059924x.2020.1795029] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
Background Agriculture is one of the most hazardous jobs in terms of occupational illness, especially musculoskeletal disorders (MSDs). This paper is a cross-sectional study designed to identify agricultural risk factors related to MSDs among older farmers.Methods A convenience sampling method was used to select 481 older farmers from the Nong Suea district in Pathum Thani province. A three-part questionnaire generated data that included demographics, work conditions, and environment, and self-reported MSDs. Multiple logistic regression analysis was used to identify the risk factors for MSDs.Results The results indicated the prevalence of musculoskeletal symptoms in the past 7 days and 12 months were 87.9% and 88.9%, respectively. The three body parts with highest prevalence rates of MSDs were lower extremities (65.4%), lower back (42.6%), and shoulders (29.9%). Factors significantly associated with reporting MSDs during the past 12 months (p value <.05) were women (adjusted odds ratio = 2.52: 95% CI; 1.19-5.36), using agricultural tools (adjusted odds ratio = 4.40: 95% CI; 1.18-13.79), prolonged static postures (adjusted odds ratio = 3.81: 95% CI; 1.05-13.82), and lifting >10 kg (adjusted odds ratio = 2.87: 95% CI; 1.22-6.82).Conclusions Study results revealed older farmers had high prevalence of MSDs and various related risk factors. Occupational ergonomic issues for promoting safety awareness of agricultural risk factors among elderly farmers should be considered.
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Affiliation(s)
- Teeraphun Kaewdok
- Faculty of Public Health, Thammasat University, Rangsit Campus, Pathum Thani, Thailand
| | | | - Sasitorn Taptagaporn
- Faculty of Public Health, Thammasat University, Rangsit Campus, Pathum Thani, Thailand
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Upper Limb's Injuries in Agriculture: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17124501. [PMID: 32585878 PMCID: PMC7345507 DOI: 10.3390/ijerph17124501] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 06/11/2020] [Accepted: 06/16/2020] [Indexed: 01/08/2023]
Abstract
Agriculture is one of the most hazardous economic sectors, and it accounts for many accidents and occupational diseases every year. In Italy, about one-third of injuries involve the upper extremity, with long-term consequences for the workers and economic damage for agricultural companies and farms. This systematic review describes upper limb injuries among farmworkers, especially hand injuries, and highlights the main dangerous risk factors. Literature review included articles published in the major databases (PubMed, Cochrane Library, Scopus), using a combination of some relevant keywords. This online search yielded 951 references; after selection, the authors analyzed 53 articles (3 narrative reviews and 50 original articles). From this analysis, it appears that younger male farmers are mostly involved, especially in the harvesting season. The upper limb and hand are often the body parts that sustain most damage as these are mostly involved in driving tractors or tools. The most frequent type of lesions are open wounds, lacerations, fractures, strains, and overexertion lesions. Sometimes, a distracting element (such as mobile phone use, quarrels, working hours load) is present; poor use of protective devices and lack of safety design in tools can also increase the risk of accidents. For these reasons, in the agricultural sector, a system of health promotion and good practices is needed to promote workers' awareness of the sources of risk, highlight more dangerous situations and apply organizational behavioral measures.
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15
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Xavier DM, Cezar-Vaz MR, Bonow CA, Schimith MD. Work accidents with children and youth in a rural environment in southern Brazil. Rev Lat Am Enfermagem 2020; 28:e3243. [PMID: 32022155 PMCID: PMC7000182 DOI: 10.1590/1518-8345.3188.3243] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2018] [Accepted: 10/01/2019] [Indexed: 11/25/2022] Open
Abstract
OBJECTIVE to know the prevalence of occupational accidents in children and youth who work with their families in the rural environment and to identify the associated factors. METHOD exploratory, descriptive and analytical study with quantitative approach, developed in three rural areas. Participants were 211 children and young people who assisted the family in rural work. Data collection was performed using a semi-structured questionnaire. Bivariate analysis was performed using Pearson's chi-square, Fisher's exact, Student's t and Mann-Whitney tests and multivariate analysis using Poisson regression. RESULTS the prevalence of self-reported occupational accidents was 55%. It was highlighted: insect bites (44%), burns (40.5%), falls (27.6%), injury with a working tool (16.4%), electric shock (15.5 %), burn by animal (8.6%), animal bite (6.9%) and pesticide poisoning (2.6%). These were related to shared housing, leisure activity - riding a motorcycle, product resulting from lettuce cultivation and use of personal protective equipment. CONCLUSION it is believed that these findings may enhance the development of public policies aimed at preserving the health of these children and young people, regulate working conditions and reduce occupational risks in the rural environment.
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Affiliation(s)
| | | | - Clarice Alves Bonow
- Universidade Federal de Pelotas/UFPel, Departamento de Enfermagem,
Pelotas, RS, Brazil
| | - Maria Denise Schimith
- Universidade Federal de Santa Maria, Departamento de Enfermagem,
Santa Maria/UFSM, RS, Brazil
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Ashraf L, Agrawal P, Rahman A, Salam SS, Li Q. Burden of Lesser-Known Unintentional Non-Fatal Injuries in Rural Bangladesh: Findings from a Large-Scale Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E3366. [PMID: 31547240 PMCID: PMC6766074 DOI: 10.3390/ijerph16183366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Revised: 09/09/2019] [Accepted: 09/11/2019] [Indexed: 11/17/2022]
Abstract
Around 90% of all fatal and non-fatal unintentional injuries occur in low- and middle-income countries (LMICs). The magnitude of unintentional injuries is unclear due to limited research and data. This paper describes the burden of lesser-known injuries (LKIs-cut injuries, unintentional poisoning, machine injuries, electrocution, injury by blunt objects, and suffocation) in rural Bangladesh, using data from the Saving of Lives from Drowning (SoLiD) project in Bangladesh. Descriptive statistics were used to report counts and rates of injuries by socio-demographic factors, injury characteristics, and circumstantial details. The annual morbidity rate of LKIs was 6878 injuries per 100,000 persons, involving 3.4% (40,520) of the population. Cut injury (44,131.2/100,000 per year) and injury by blunt objects (19768.6/100,000 per year) attributed in large numbers to the overall burden of LKIs. Males (66.1%) suffered more injuries than females. More than half (52.9%) occurred among people aged 25 to 64 years. Those involved in agriculture suffered the most injuries, mainly cut injuries (9234.1/100,000 per year) and machine-related injuries (582.9/100,000 per year). Most injuries occurred in the home setting. Increased awareness about packaging, storage, and the proper handling of appliances can help lower the frequency of LKIs. Safe architecture and awareness about home injuries is required to reduce injuries occurring in the home environment.
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Affiliation(s)
- Lamisa Ashraf
- MPH 2019 Graduate, Johns Hopkins Bloomberg School of Public Health; 615 N Wolfe Street, Baltimore, MD 21205, USA.
| | - Priyanka Agrawal
- International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA.
| | - Aminur Rahman
- Center for Injury Prevention and Research, Bangladesh, House B 162, Rd No. 23, Dhaka 1206, Bangladesh.
| | - Shumona Sharmin Salam
- International Center for Diarrheal Disease Research, Bangladesh, 68, Shaheed Tajuddin Ahmed Sarani Mohakhali, Dhaka 1212, Bangladesh.
| | - Qingfeng Li
- International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street, Baltimore, MD 21205, USA.
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Health behaviors, outcomes and their relationships among young men aged 18-24 years in a rural area of north India: A cross-sectional study. PLoS One 2019; 14:e0220285. [PMID: 31348808 PMCID: PMC6662032 DOI: 10.1371/journal.pone.0220285] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/10/2018] [Accepted: 07/14/2019] [Indexed: 12/02/2022] Open
Abstract
Background There is limited information related to health behaviors and their related
factors among young men in rural setting of India. This study was conducted
to investigate multiple health risk behaviors and outcomes among young men
aged 18–24 years in rural India. Methods This was a community-based cross-sectional survey conducted in the Ballabgarh
block of Faridabad district, Haryana, India. Information regarding
socio-demographic details, substance use, injury & violence, mental
health and sexual behaviors were collected using a semi-structured interview
schedule. Age adjusted prevalence estimates of behaviors and outcomes are
computed along with 95% Confidence Intervals. Mediation analysis was carried
out to examine relationships between socio-demographic variables, select
behaviors and outcomes reported in the study. Results A total of 836 young men participated in the study, with mean (SD) age of
20.6 (1.9) years. The age-adjusted prevalence (with 95% Confidence Interval)
for ever use of tobacco, alcohol, and other substances was 34.2% (33.9,
34.5), 23.4% (23.2, 23.6), and 4.5% (4.4, 4.5), respectively. Loneliness and
suicidal thoughts were reported by 237 and 35 youth men with age adjusted
prevalence as 28.6%, 95% CI: 28.4–28.8 and 4.3%, 95% CI: 4.23–4.31,
respectively. A total of 330 young men met serious injury in past one year
(prevalence 39.3%, 95%CI: 39.01–39.67). Almost one-third of men (prevalence
30.6%, 95%CI: 30.34–30.85) had engaged in pre-marital sexual intercourse.
Current substance use was found to be significant mediator for associations
with socio-demographic variables studied for dependent variables viz.
pre-marital sexual intercourse and serious injury. Conclusion High prevalence of various risk behaviors and outcomes was found in young men
aged 18–24 years in our rural setting. It is imperative that multi-component
health intervention package be rolled out to address these.
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Rostamabadi A, Jahangiri M, Naderi Mansourabadi B, Javid M, Ghorbani M, Banaee S. Prevalence of Chronic Diseases and Occupational Injuries and their Influence on the Health-Related Quality of Life Among Farmers Working in Small-Farm Enterprises. J Agromedicine 2019; 24:248-256. [DOI: 10.1080/1059924x.2019.1592047] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Affiliation(s)
- Akbar Rostamabadi
- Department of Occupational Health Engineering, Ashtian Health Care Center, Arak University of Medical Sciences, Arak, Iran
- Student Research Committee, Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mehdi Jahangiri
- Research Center for Health Science, Institute of Health, Associate Professor, Department of Occupational health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Bahram Naderi Mansourabadi
- Student Research Committee, Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Marzieh Javid
- Student Research Committee, Department of Occupational Health Engineering, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Mohammad Ghorbani
- Department of Public Health, School of Health, Torbat Heydariyeh University of Medical Sciences, Torbat Heydariyeh, Iran
| | - Sean Banaee
- College of Health Sciences, Old Dominion University, Norfolk, VA, USA
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Ohlendorf D, Marx J, Clasen K, Wanke EM, Kopp S, Groneberg DA, Uibel S. Comparison between the musician-specific seating position of high string bow players and their habitual seating position - a video raster stereographic study of the dorsal upper body posture. J Occup Med Toxicol 2018; 13:34. [PMID: 30450121 PMCID: PMC6219205 DOI: 10.1186/s12995-018-0217-6] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 10/18/2018] [Indexed: 12/01/2022] Open
Abstract
Background Effects of playing high stringed bow instruments on the upper body posture have not been analysed so far. The instrument-specific seating position when playing in an orchestra is compared to the habitual seating position. Methods Three dimensional back scans were performed in 13 professional violinists and viola players of a radio orchestra (8 f / 5 m). Trunk position in their habitual seating position and in the instrument- specific seating position imitating playing was compared. Statistical differences were calculated using Wilcoxon Matched Pairs Test with Bonferroni Holm correction. Results Significant differences were found between the seated position with instrument and without (p < 0.001, 0.03, 0.02 or 0.01) in the spine (trunk length, sagittal trunk decline, lumbar bending angle, maximal rotation, standard deviation rotation, lumbar lordosis), the shoulder (scapula distance, scapula rotation, scapula angle right) and pelvis distance. Conclusions Playing an instrument changes the static seating position by increased rotation of the spine and specific shoulder adaptations holding the instrument (left arm) and the bow (right arm), with minor effects on the pelvis. This forced position may result in chronic health effects. The method used in this study is an approach to better understand the involved muscular structures and possible resulting health damages.
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Affiliation(s)
- Daniela Ohlendorf
- 1Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt/Main, Germany
| | - Jennifer Marx
- 1Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt/Main, Germany
| | - Kathrin Clasen
- 2School of Dentistry, Department of Orthodontics, Goethe University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt am Main, Germany
| | - Eileen M Wanke
- 1Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt/Main, Germany
| | - Stefan Kopp
- 2School of Dentistry, Department of Orthodontics, Goethe University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt am Main, Germany
| | - David A Groneberg
- 1Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt/Main, Germany
| | - Stefanie Uibel
- 1Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University Frankfurt/Main, Theodor-Stern-Kai 7, Building 9A, 60590 Frankfurt/Main, Germany
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Klingelhöfer D, Zhu Y, Braun M, Bendels MH, Brüggmann D, Groneberg DA. Aflatoxin – Publication analysis of a global health threat. Food Control 2018. [DOI: 10.1016/j.foodcont.2018.02.017] [Citation(s) in RCA: 41] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
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Agricultural Farm-Related Injuries in Bangladesh and Convenient Design of Working Hand Tools. JOURNAL OF HEALTHCARE ENGINEERING 2018; 2018:4273616. [PMID: 29682269 PMCID: PMC5845494 DOI: 10.1155/2018/4273616] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/02/2017] [Revised: 10/23/2017] [Accepted: 01/04/2018] [Indexed: 11/25/2022]
Abstract
Injuries during cultivation of land are the significant causes of recession for an agricultural country like Bangladesh. Thousands of tools are used in agricultural farm having much probability of getting injury at their workplaces. For the injury prevention, proper hand tool designs need to be recommended with ergonomic evaluations. This paper represents the main causes of agricultural injuries among the Bangladeshi farmers. Effective interventions had been discussed in this paper to reduce the rate of injury. This study was carried out in the Panchagarh district of Bangladesh. Data on 434 agricultural injuries were collected and recorded. About 67% injuries of all incidents were due to hand tools, and the remaining 33% were due to machinery or other sources. Though most of the injuries were not serious, about 22% injuries were greater than or equal to AIS 2 (Abbreviated Injury Scale). The practical implication of this study is to design ergonomically fit agricultural hand tools for Bangladeshi farmers in order to avoid their injuries.
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