Sorensen J A, Jenkins P, Bayes B, Clark S, May J J
New York Center for Agricultural Medicine and Health, One Atwell Rd., Cooperstown, NY 13326, USA.
J Agric Saf Health. 2010 Jan;16(1):31-40. doi: 10.13031/2013.29247.
Tractor rollovers are the most frequent cause of death in the farm community. Rollover protection structures (ROPS) can prevent the injuries and fatalities associated with these events; however, almost half of U.S. farms lack these essential devices. One promising strategy for increasing ROPS use is social marketing. The purpose of this study was to assess the costs associated with the New York ROPS Social Marketing Campaign in relation to the cost of fatalities and injuries averted as a result of the campaign to determine whether cost savings could be demonstrated in the initial years of program implementation. A total of 524 farmers who had retrofitted a tractor through the program were mailed a survey to assess the number of rollovers or close calls that occurred since ROPS installation. Responses were obtained from 382 farmers, two of whom indicated that they had a potential fatality/injury scenario since retrofitting their tractor through the program. The cost savings associated with the intervention was estimated using a decision-tree analysis adapted from Myers and Pana-Cryan with appropriate consumer price index adjustments. The data were compared to the cost of the New York ROPS Social Marketing Campaign to arrive at an associated cost-savings estimate relative to the intervention. This study indicates that a net savings will likely be demonstrated within the third year of the New York ROPS Social Marketing initiative. These data may provide evidence for researchers hoping to generate support from state and private agencies for similar initiatives.
拖拉机翻车是农场社区最常见的死亡原因。翻车保护结构（ROPS）可以预防与这些事故相关的伤亡；然而，美国几乎一半的农场缺少这些关键设备。增加ROPS使用的一个有前景的策略是社会营销。本研究的目的是评估纽约ROPS社会营销活动的相关成本，以及与该活动避免的伤亡成本相比，以确定在项目实施的最初几年是否能证明有成本节约。通过该项目对拖拉机进行了改装的524名农民收到了一份调查问卷，以评估自安装ROPS以来发生的翻车或险些翻车事故的数量。从382名农民那里获得了回复，其中两人表示自通过该项目对拖拉机进行改装以来，他们有可能遭遇致命/受伤情况。使用从迈尔斯和帕纳 - 克里安改编而来并经过适当消费者价格指数调整的决策树分析来估计与干预相关的成本节约。将这些数据与纽约ROPS社会营销活动的成本进行比较，以得出相对于干预的相关成本节约估计。这项研究表明，在纽约ROPS社会营销倡议的第三年可能会出现净节约。这些数据可能为希望从州和私人机构获得对类似倡议支持的研究人员提供证据。
