Background: Agricultural workers in New Zealand have high rates of occupational injury compared to most other occupational groups. They are also over-represented in work-related fatal injury statistics. While it is recognised that the personal and social costs of occupational injuries to agricultural workers are considerable, the ability to develop and evaluate evidence-based injury control strategies for this group has been limited by the lack of quality information on occupational exposures and injury events.
Aim: The aim of this thesis was to develop and pilot a comprehensive occupational exposure and acute injury outcome data collection system for agricultural workers which will provide an evidence base for a public health approach to acute occupational injury control within the agricultural sector of New Zealand. The thesis objectives were therefore to:
* Develop study methods to collect occupational exposure and injury outcome information.
* Assess the likely validity of these study methods.
* Determine the feasibility of implementing the study methods.
* Suggest modifications to the study methods to enhance their validity and feasibility.
Methods: Pastoral farms in the Waitaki region of New Zealand were identified using a database of New Zealand farm owners. The owners and workers on these farms were contacted and asked to participate. Participants were required to complete an Initial Questionnaire which included items on farm and personal characteristics, the farm environment, training, safety perceptions and attitudes and safety behaviour. Participants were then monitored for six months. During the monitoring period each participant completed a monthly log of their work activities during the preceding week. Any work-related injuries to workers on participating farms were also recorded and reported monthly. Participants who were injured were followed up for an interview to obtain detailed injury event information. At the end of the monitoring period a second Questionnaire was administered to assess change during the study. Participants were asked about any occupational injury events during the study as part of one of the monthly logs and the second Questionnaire to provide a comparison measure to the monthly reports. A random third of participating farms were visited at the end of the study to assess the validity of participants� reports on the farm environment.
Results: Sixty-two farms were recruited into the study, a recruitment rate of 24%. This resulted in 82 study participants. Fifty-seven farms and 72 participants completed the study, resulting in retention rates of 92% and 88% respectively. Return of study items was high, with the lowest observed level of return being 92%. Levels of response error were low in most of the study items, with exceptions being the recording of the hours spent handling animals (37%) and total hours worked (22%). Most postal items (over 68%) were returned before a reminder call was made.
Participants� reports about the farm environment closely matched the observations made during the visits, with little evidence of significant misreporting. The validity of reported injury events during the study could not be determined, as the two methods of capturing injury events identified different events.
Conclusions: Within the limitations of the study, most of the study methods appeared to be feasible and have acceptable validity. The low recruitment rate and issues with validating the capture of injury events indicated that modifications to the study design were necessary to achieve acceptable validity and feasibility, however. Recommendations were made on how feasibility and validity might be improved.
| Identifer | oai:union.ndltd.org:ADTP/266451 |
| Date | January 2006 |
| Creators | Horsburgh, Simon, n/a |
| Publisher | University of Otago. Dunedin School of Medicine |
| Source Sets | Australiasian Digital Theses Program |
| Language | English |
| Detected Language | English |
| Rights | http://policy01.otago.ac.nz/policies/FMPro?-db=policies.fm&-format=viewpolicy.html&-lay=viewpolicy&-sortfield=Title&Type=Academic&-recid=33025&-find), Copyright Simon Horsburgh |
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