Risk Factors for Occupational Falls among Middle-aged and Elderly Farm Workers in Nan Province, Thailand
Risk Factors for Occupational Falls among Middle-aged and Elderly Farm Workers in Nan Province, Thailand
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DOI：
10.1080/1059924x.2022.2040071
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发表时间：
2022-02-12
影响因子：
2.4
通讯作者：
Hara，Kunio
中科院分区：
文献类型：
--
作者：
Arphorn，Sara;Ishimaru，Tomohiro;Hara，Kunio
随着劳动力老龄化，职业跌倒的发生率不断增加。然而，农场工人职业跌倒的危险因素尚未得到详细评估。本研究旨在确定泰国中老年农场工人职业跌倒的危险因素。我们使用自填问卷对泰国难府 419 名年龄 40 岁以上的农场工人进行了一项横断面研究。使用多元逻辑回归分析来检查与职业性跌倒相关的因素。 25.5% 的参与者经历过职业跌倒。男性因职业跌倒的几率是女性的 2.22 倍（95% 置信区间 [CI]：1.19–4.13）。与 40-49 岁的参与者相比，年龄 ≥60 岁的参与者发生职业性跌倒的可能性较小（比值比 [OR]：0.44；95% CI：0.20-0.96）。果农发生职业跌倒的可能性是稻农的 2.72 倍（95% CI：1.33-5.55）。体重指数≥30 kg/m2及以上的个体发生职业性跌倒的可能性是体重指数<25 kg/m2的个体的3.05倍（95% CI：1.11-8.40）。跌倒风险与性别和年龄相关的趋势可能表明，老年人和从事农业的妇女往往通过工作安排被分配较轻的职责。为了防止农业作业中跌倒，需要注意农场特有的任务和工作环境，例如水果种植的高处作业，以及肥胖导致的行走不稳等。
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/m2and over were 3.05 times more likely to experience occupational falls than those with body mass index <25 kg/m2(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.