Bartels S, Niederman B, Waters T R
Ohio State University Extension, Butler County, USA.
J Agric Saf Health. 2000 Aug;6(3):191-201. doi: 10.13031/2013.1913.
A series of eight focus groups were convened to: (1) identify tasks and activities performed by youth on farms with the potential for causing non-traumatic work-related Musculoskeletal Disorders (MSDs); (2) determine the participants perceptions about risks of MSDs for youths performing those tasks; and (3) determine other factors that might relate to MSDs for youth working on farms, such as possible interventions for prevention. Seventy-two farm family members, 40 adults and 32 farm youth aged 8-18, participated in focus groups. Ten questions were posed to each of the eight groups about what tasks youth perform on the farm, how the work is assigned, and what risk factors are associated with the work. There was general agreement among the adults that maturity rather than age is the dominant factor for determining what tasks are performed by youth workers on the farm. Youth, on the other hand, believed that task urgency dictated what jobs were assigned to youth workers. Most adults indicated that lifting objects, forking, or shoveling was responsible for most of the serious non-traumatic injuries. Bending over while working, sitting in an awkward position looking back at equipment from a tractor, sitting in a cramped position, looking down at a combine header, and long hours of work were also identified as potential problems. Youth described muscle aches and strains of the legs, arms, shoulder, back or neck as everyday occurrences. According to the youth, "If it's not broken, you're fine". Only basic training is provided and most respondents believed that youth learned best through observation. There was general agreement that physician recommended guidelines for assigning youth to tasks would be ignored unless they carried the force of the law.
召开了一系列共八个焦点小组会议,目的如下:(1) 确定农场青年从事的有可能导致非创伤性工作相关肌肉骨骼疾病(MSD)的任务和活动;(2) 确定参与者对从事这些任务的青年患MSD风险的看法;(3) 确定可能与农场青年MSD相关的其他因素,例如可能的预防干预措施。72名农场家庭成员参与了焦点小组会议,其中40名成年人以及32名年龄在8至18岁的农场青年。针对八个小组中的每一组都提出了十个问题,内容涉及青年在农场从事哪些任务、工作如何分配以及与工作相关的风险因素有哪些。成年人普遍认为,决定农场青年工人从事何种任务的主要因素是成熟度而非年龄。另一方面,青年认为任务的紧迫性决定了分配给青年工人的工作。大多数成年人表示,提起重物、用叉子叉物或铲物是造成大多数严重非创伤性伤害的原因。工作时弯腰、坐在拖拉机上以别扭的姿势回头看设备、坐在狭窄的位置、低头看联合收割机割台以及长时间工作也被确定为潜在问题。青年称腿部、手臂、肩膀、背部或颈部的肌肉酸痛和拉伤是日常现象。据青年们说,“没坏就没事”。只提供基本培训,而且大多数受访者认为青年通过观察学习效果最佳。大家普遍认为,除非医生推荐的关于为青年分配任务的指导方针具有法律效力,否则会被忽视。