Bhattarai Devendra, Singh Suman Bahadur, Baral Dharanidhar, Sah Ram Bilakshan, Budhathoki Shyam Sundar, Pokharel Paras K
School of Public Health and Community Medicine, B P Koirala Institute of Health Sciences, Ghopa 18, Dharan, Nepal.
Lifeline Institute of Health Sciences, Damak, Nepal.
J Occup Med Toxicol. 2016 Oct 26;11:48. doi: 10.1186/s12995-016-0137-2. eCollection 2016.
Agriculture work is one of the most hazardous occupations across countries of all income groups. In Nepal, 74 % of people are working in the agricultural sector. This study aims to identify patterns and factors associated with injuries among farmers of rural Nepal.
A community-based cross-sectional study was conducted in a rural village in eastern Nepal. House to house visit was done to collect data from the farmers. The study included 500 farmers from Shanishchare village in Morang district of Nepal. A pre-tested semi-structured questionnaire was used to collect data on socioeconomic profile, agriculture work and injury. Prevalence of injuries among farmers in the last 12 months was calculated along with factors associated with the injuries.
The overall prevalence of work- related injuries among farmers was 69 % in the last 12 months. Common injuries among the farmers were cuts (79.7 %), puncture wound (11.3 %) and laceration (7.5 %). Hand tools were responsible for most of the injuries followed by slipping at work, sharp instruments, animals and fall from height. Upper limb injury comprised of 67 % of all injuries and the most involved part was fingers (43 %). The average number of years worked in farming by the respondents was 23.6 ± 13.6 years. Age and working experience of the farmers was found to be significantly associated with the occurrence of injuries among the farmers.
The prevalence of injury among farmers in this study was high. Further research is needed to identify interventions to reduce the agricultural injuries in Nepal.
农业工作是所有收入群体国家中最危险的职业之一。在尼泊尔，74%的人口从事农业部门工作。本研究旨在确定尼泊尔农村农民受伤的模式及相关因素。
在尼泊尔东部的一个乡村开展了一项基于社区的横断面研究。通过挨家挨户走访从农民那里收集数据。该研究纳入了尼泊尔莫朗区沙尼什查雷村的500名农民。使用经过预测试的半结构化问卷收集社会经济概况、农业工作及受伤情况的数据。计算过去12个月农民中受伤的患病率以及与受伤相关的因素。
在过去12个月中，农民工作相关受伤的总体患病率为69%。农民中常见的受伤类型为割伤（79.7%）、刺伤（11.3%）和撕裂伤（7.5%）。大多数受伤是由手工工具造成的，其次是工作时滑倒、锐器、动物和高处坠落。上肢损伤占所有损伤的67%，其中最常受累的部位是手指（43%）。受访者从事农业工作的平均年限为23.6±13.6年。发现农民的年龄和工作经验与农民受伤的发生显著相关。
本研究中农民受伤的患病率很高。需要进一步开展研究以确定减少尼泊尔农业伤害的干预措施。
