Working conditions related to slip, trip and fall injuries among elderly workers in the agricultural sector, Nong Suea District, Pathum Thani Province
Keywords:elderly workers, safety, occupational injuries, risk factors
This study was aimed to determine the working conditions and factors related to slips trips and falls among elderly workers in agricultural sector in Nong Suea District, Pathum Thani Province. A cross-sectional survey by using questionnaire was completed by 481 elderly workers. The data of questionnaire included demographic data, working conditions and the data related to slips, trips, and falls. Data analysis was performed and presented using frequency, percentage, mean, standard deviation and multinomial logistic regression. The results revealed that most elderly workers were women (59.00%), with average age of 69.77 years (SD = 7.18); average working duration of 6.26 days per week (SD = 1.51), and 7.32 hours per day (SD = 2.14). Most working conditions involved using agricultural tools/ equipment (95.80%), doing manual material handling (82.08%). The elderly workers had experienced slips, trips, and falls in the past 12 months (38.78%). The three body parts with highest prevalence rates of injuries were knee (40.54%), leg (37.30%), and foot (27.57%). The associated factors of slips, trips, and falls were working in the farmland covering the area of more than 30 rai per year (ORadj = 2.04: 95% CI; 1.29-3.24), uncomfortable feeling while using agricultural tools (ORadj = 1.83: 95% CI; 1.10-3.03), and uneven terrains or walkways while working (ORadj = 1.69: 95% CI; 1.04-2.75). Therefore, relevant authorities should pay more attention to and address the risk factors associated with occupational ergonomics so as to raise safety awareness among elderly workers, with the aim to prevent slips, trips, and falls due to inappropriate working conditions. This can be achieved by taking into account the capabilities and limitations of elderly workers. Findings from this study may be utilized to improve working conditions among elderly workers.
Department of Labour Protection and Welfare. Thai elderly population: present and future. Bangkok: Department of Labour Protection and Welfare; 2014. (in Thai)
National Statistical Office. Older workers in Thailand’s workforce, 2014 [Internet]. Bangkok: National Statistical Office; 2015 [cited 2016 Oct 3]. 60 p. Available from: http://service.nso.go.th/nso/nsopublish/service/survey/pocket_work _elderly57.pdf (in Thai)
Palmer KT, Goodson N. Ageing, musculoskeletal health and work. Best Pract Res Clin Rheumatol 2015;29:391-404.
Thai Health Promotion Foundation. Health among elderly workers, 2011. Bangkok: Thai Health Promotion Foundation; 2011. (in Thai)
Pathum Thani Provincial Agricultural Extension Office. Annual agricultural technical report, Pathum Thani Province, 2014-2015. Pathum Thani: Pathum Thani Provincial Agricultural Extension Office; 2015. (in Thai)
Jorncharoen P, Srisuwan S. Oil palm cultivation of farmers, Nong Suea District, Pathum Thani Province. Proceedings of 52nd Kasetsart University annual conference; 2014 Feb 4-7; Kasetsart University. Bangkok: Kasetsart University; 2014. (in Thai)
Davis KG, Kotowski SE. Understanding the ergonomic risk for musculoskeletal disorders in the United States agricultural sector. Am J Ind Med 2007;50:501-11.
Health and Safety Executive. Ageing and work-related musculoskeletal disorders; A review of the recent literature. Norwich: Health and Safety Executive; 2010.
Department of Disease Control, Ministry of Public Health. Research plan for the prevention and control of diseases and health threats, 2017-2021. Nonthaburi: Department of Disease Control, Ministry of Public Health; 2016. (in Thai)
Bentley T, Tappin D, Moore D, Legg S, Ashby L, Parker R. Investigating slips, trips and falls in the New Zealand dairy farming sector. Ergonomics 2005;48:1008-19.
Franklin RC. Epidemiology of farm injuries in New South Wales, Australia. Sydney: University of Sydney; 2007.
Struttmann TW, Reed DK. Injuries to tobacco farmers in Kentucky. South Med J 2002;95:850-6.
Mackey M, Maher CG, Wong T, Collins K. Study protocol: the effects of work-site exercise on the physical fitness and work-ability of older workers. BMC Musculoskelet Disord 2007;8:9.
Ekburanawat W. Elderly worker. Bangkok: Nopparat Rajathanee Hospital; 2012. (in Thai)
Australia Physiotherapy Association. Ageing Australia workforce. Camberwell: Australia Physiotherapy Association; 2016.
Algarni FS, Gross DP, Senthilselvan A, Battié MC. Ageing workers with work-related musculoskeletal injuries. Occup Med (Lond) 2015;65:229-37.
Department of Older Persons. Second National Strategic Plan for the Elderly 2002-2021, 1st Revision 2009 [Internet]. 2016 [cited 2018 Sep 25]. Available from: http://www.dop.go.th/download/laws/law_th_20152309144546_1.pdf (in Thai)
Sadenghan P. Elderly employment in Thailand. Journal of HR intelligence 2015;10:94-104. (in Thai)
Pongwichai S. Statistical analysis by computer. 21th ed. Bangkok: Chulalongkorn University; 2012. (in Thai)
Osborne A, Blake C, McNamara J, Meredith D, Phelan J, Cunningham C. Musculoskeletal disorders among Irish farmers. Occup Med (Lond) 2010;60:598-603.
Kang MY, Lee MJ, Chung H, Shin DH, Youn KW, Im SH, et al. Musculoskeletal disorders and agricultural risk factors among Korean farmers. J Agromedicine 2016;21:353-63.
Park H, Sprince NL, Whitten PS, Burmeister LF, Zwerling C. Risk factors for back pain among male farmers: analysis of Iowa farm family health and hazard surveillance study. Am J Ind Med 2001;40:646-54.
Bentley TA, Haslam RA. Identification of risk factors and countermeasures for slip, trip and fall accidents during the delivery of mail. Appl Ergon 2001;32:127-34.
Chino C, Jiamjarasrangsri W. Characteristics and factors related to occupational injuries in farmers in Sankamphaeng District, Chiangmai, Thailand. Thammasat Medical Journal 2015;15:242-50. (in Thai)
Chaothaworn C, Chanprasit C, Jongrungrotsakul W. Health status related to risk at work among shallot farmers, Cham Pa Wai Subdistrict, Mueang District, Phayao Province. Nursing Journal 2014;41:35-47. (in Thai)
Health and Safety Executive. Health and safety at work, summary statistics for Great Britain, 2016 [Internet]. [cited 2016 Oct 17]. Available from: https://www.hse.gov.uk/statistics/overall/hssh1516.pdf?pdf=hssh1516
Mattila TE, Kaustell KO, Rautiainen RH, Pitkanen TJ, Lotjonen T, Suutarinen J. Slip, trip and fall injuries in potato, sugar beet and open field vegetable production in Finland. Ergonomics 2008;51:1944-59.
Smith P, Bielecky A, Ibrahim S, Mustard C, Saunders R, Beaton D, et al. Impact of pre-existing chronic conditions on age differences in sickness absence after a musculoskeletal work injury: a path analysis approach. Scand J Work Environ Health 2014;40:167-75.
Canadian Center for Occupational Health and Safety. Aging workers, 2009 [Internet]. [cited 2017 Nov 27]. Available from: https://www.ccohs.ca/oshanswers/psychosocial/aging_workers.html
Lertwisuttipaiboon S. Work condition improvement for elderly workers: ergonomics issues. Journal of Safety and Health 2016;9:61-9. (in Thai)
International Ergonomics Association. Ergonomics guidelines for occupational health practice in industrially developing countries 2010 [Internet]. ชื่อเมือง: International Ergonomics Association; 2009 Aug [cited 2017 Jun 17]. 99 p. Available from: http://www.icohweb.org/site_new/multimedia/news/pdf/ERGONOMICS%20GUIDELINES%20Low%20res%20Final%20April%202010.pdf
Thelin A, Vingard E, Holmberg S. Osteoarthritis of the hip joint and farm work. Am J Ind Med 2004;45:202-9.
Kitti Intranon. Ergonomics. Bangkok: Active Print; 2005. (in Thai)
Mirmohammadi SJ, Mehrparvar AH, Mostaghaci M, Davari MH, Bahaloo M, Mashtizadeh S. Anthropometric hand dimensions in a population of Iranian male workers in 2012. Int J Occup Saf Ergon 2016;22:125-30.
Rashid S.N.S.A, Hussain RM, Yusuff RM. Designing homes for the elderly based on the anthropometry of older Malaysians. Asian J Gerontol Geriatr 2008;3:75-83.
Charoenporn N. Ergonomics. 2nd ed. Nonthaburi: Sukhothai Thammathirat Open University; 2011. (in Thai)
Office of the Compensation Fund. Situation of work-ralated hazards or illness in construction sector in 2011-2015. Bangkok: Social Security Office, Minitry of Labour; 2016. (in Thai)
Bugajska J, Sagan A. Chronic musculoskeletal disorders as risk factors for reduced work ability in younger and ageing workers. Int J Occup Saf Ergon 2014;20:607-15.
Kolstrup CL. Work-related musculoskeletal discomfort of dairy farmers and employed workers. J Occup Med Toxicol 2012;7:23.
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