Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Center of Excellence on Environmental Health and Toxicology (EHT), OPS, MHESI, Bangkok, Thailand.
J Agromedicine. 2022 Oct;27(4):402-408. doi: 10.1080/1059924X.2022.2040071. Epub 2022 Feb 10.
As the workforce ages, the incidence of occupational falls is increasing. However, risk factors for occupational falls in farm workers have not been evaluated in detail. The current study sought to identify the risk factors for occupational falls among middle-aged and elderly farm workers in Thailand. We conducted a cross-sectional study using a self-administered questionnaire among 419 farm workers aged ≥40 years in Nan province, Thailand. Multiple logistic regression analysis was used to examine the factors associated with occupational falls. Occupational falls were experienced by 25.5% of participants. Men had 2.22 times higher odds of occupational falls than women (95% confidence interval [CI]: 1.19-4.13). Participants aged ≥60 years were less likely to experience occupational falls compared with those aged 40-49 years (odds ratio [OR]: 0.44; 95% CI: 0.20-0.96). Fruit growers were 2.72 times more likely to experience occupational falls than rice growers (95% CI: 1.33-5.55). Individuals with body mass index ≥30 kg/m and over were 3.05 times more likely to experience occupational falls than those with body mass index <25 kg/m (95% CI: 1.11-8.40). The sex- and age-related trends in fall risk may indicate that elderly individuals and women in agriculture tend to be assigned lighter duties through work accommodation. To prevent falls during agricultural work, it is necessary to pay attention to farm-specific tasks and work environments, such as working at a height in fruit cultivation, as well as instability of walking caused by obesity.
随着劳动力老龄化，职业性跌倒的发生率正在增加。然而，尚未详细评估农业工人职业性跌倒的危险因素。本研究旨在确定泰国中老年农业工人职业性跌倒的危险因素。我们在泰国那空府对 419 名年龄≥40 岁的农业工人进行了横断面研究，使用自我管理问卷。多因素逻辑回归分析用于检查与职业性跌倒相关的因素。25.5%的参与者经历过职业性跌倒。男性发生职业性跌倒的可能性是女性的 2.22 倍（95%置信区间 [CI]：1.19-4.13）。与 40-49 岁年龄组相比，≥60 岁的参与者发生职业性跌倒的可能性较低（比值比 [OR]：0.44；95%CI：0.20-0.96）。与种植水稻的农民相比，种植水果的农民发生职业性跌倒的可能性高 2.72 倍（95%CI：1.33-5.55）。身体质量指数≥30 kg/m 的个体发生职业性跌倒的可能性是身体质量指数<25 kg/m 的个体的 3.05 倍（95%CI：1.11-8.40）。与跌倒风险相关的性别和年龄趋势可能表明，农业中的老年个体和女性往往通过工作适应分配较轻的任务。为了防止农业工作中的跌倒，有必要关注特定于农场的任务和工作环境，例如在水果种植中高处作业，以及肥胖引起的行走不稳定。
