Prevention of Prevention of Agricultural Injuries: Agricultural Injuries: An Evaluation of an An Evaluation of an Education-based Education-based Intervention Intervention LM Hagel, W Pickett, P Pahwa, L Day, RJ Brison, B Marlenga, T Crowe, P Snodgrass, K Ulmer, JA Dosman
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Prevention of Agricultural Injuries: An Evaluation of an Education-based Intervention
Prevention of Agricultural Injuries: An Evaluation of an Education-based Intervention. LM Hagel, W Pickett, P Pahwa, L Day, RJ Brison, B Marlenga, T Crowe, P Snodgrass, K Ulmer, JA Dosman. Objective. - PowerPoint PPT Presentation
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Prevention of Agricultural Injuries: Prevention of Agricultural Injuries: An Evaluation of an Education-An Evaluation of an Education-
based Interventionbased Intervention
LM Hagel, W Pickett, P Pahwa, L Day,
RJ Brison, B Marlenga, T Crowe,
P Snodgrass, K Ulmer, JA Dosman
ObjectiveObjective
• To evaluate the effectiveness of an agricultural health and safety program in reducing risks for injury.
InterventionAgricultural Health and Safety Network
Features of the program• community-based• co-directed by members of the population
at risk• well funded• sustained program over 19 years
Supervised w large animals 42 47 48 1.04 (0.77 - 1.40)
Training and Supervision Young Workers
Years in AHSN Adjusted RR
High Low None None vs. High
(%) (%) (%) RR (95% CI)
Farm injuries 2006 9 9 7 0.99 (0.74 - 1.32)
By location of treatment
Hospital or emergency 3 3 2 1.00 (0.99 - 1. 01)
Non-hospital setting 6 6 5 1.00 (0.98 - 1.01)
Injuries
Limitations
• Non-compliance with intervention
• Not possible to evaluate safety consciousness among non-participants
• unable to control for effect of exposure to other interventions
Strengths
• large and longstanding intervention
• large study population:– 5 492 people, 2 386 farms
• robust evaluation:– “hard” outcome measures
Conclusion 1
• After 19 years, the educational interventions were not associated with observable differences in farm safety practices, physical farm hazards or farm-related injury outcomes
Conclusion 2There is a need for the agricultural sector to extend its injury prevention initiatives to the full public health model. Education alone is insufficient.