John McNamara

Prevalence of Musculoskeletal Disorders Among Farmers: A Systematic Review

OBJECTIVE To determine the prevalence of musculoskeletal disorders (MSDs) among farmers and to establish the most common regional MSDs reported. METHODS Comprehensive electronic searches of Pubmed, Web of Science, CINAHL, SCOPUS, EMBASE, Agris Database, and Cochrane Library were carried out using keywords for MSDs and farmers. Pooled estimates of prevalence with 95% confidence intervals were calculated for overall MSD prevalence and the most common regional MSDs reported. RESULTS Twenty-four studies fulfilled the inclusion criteria and were incorporated into this review. From these studies, life-time prevalence of any form of MSD among farmers was 90.6% while 1-year MSD prevalence was 76.9% (95% CI 69.8-82.7). The majority of studies focused on spinal MSDs with low back pain (LBP) the most frequently investigated. Life-time LBP prevalence was 75% (95% CI 67-81.5) while 1-year LBP prevalence was 47.8% (95% CI 40.2-55.5). The next most common regional MSDs reported were upper (range 3.6-71.4%) and lower extremities (range 10.4-41%). CONCLUSIONS The systematic review identified the prevalence of MSDs by body region in farmers and established that LBP was the most common MSD, followed by upper and then lower extremity MSDs. Reported trends suggest that the prevalence of MSDs in farmers is greater than in non-farmer populations. Case-definition uniformity among MSD researchers is warranted. More studies are needed regarding upper and lower extremity MSDs, gender, workplace, and task context of MSDs.

Musculoskeletal disorders among Irish farmers

BACKGROUND Farming is an occupation that predisposes individuals to health problems including musculoskeletal disorders (MSDs). There is limited research regarding MSDs among farmers especially in Ireland. AIMS To establish the prevalence of MSDs, identify the most commonly affected body regions and to explore what factors may influence the development of the most common MSDs among farmers in Ireland. METHODS A questionnaire survey of Irish farmers was conducted. The study sample comprised 600 farmers (100 farmers from each of the six main farm enterprise systems in Ireland). RESULTS Of the 600 farmers, 56% had experienced a MSD in the previous year. The most commonly experienced MSDs were back pain (37%) and neck/shoulder pain (25%). Other MSDs experienced in the previous year included knee pain (9%), hand-wrist-elbow pain (9%), ankle/foot pain (9%) and hip pain (8%). Overall, MSDs were more common in farmers working longer hours (P < 0.05). Back pain was more prevalent in full-time farmers (P < 0.05), while prevalence of hip pain was greater in farmers who were older (P < 0.01), full time (P < 0.05), farming for longer (P < 0.01) and working for longer hours (P < 0.01). Farm enterprise was not a factor in influencing the development of MSDs. CONCLUSIONS These findings suggest that the number of hours worked by farmers, rather than enterprise specific tasks render farmers more susceptible to MSDs. Further investigation is needed to explore risk factors in the development of MSDs.

Risk factors for musculoskeletal disorders among farm owners and farm workers: A systematic review†

BACKGROUND A systematic review was undertaken to establish risk factors for the development of musculoskeletal disorders (MSDs) among farmers. METHODS Comprehensive electronic searches of Pubmed, Web of Science, CINAHL, SCOPUS, EMBASE, Agris Database, and Cochrane Library were carried out using a battery of key words for MSDs and farmers. The studies methods quality was assessed using a standardized checklist. RESULTS Thirty-three studies fulfilled the inclusion criteria. The median method score was 65% of the maximum attainable score, resulting in 15 studies of higher methodological. Risks were categorized into: Work characteristics (n = 11), personal characteristics (n = 5), and psychosocial factors (n = 5). Spinal MSD risk factors include exposure to working in tree crops, vibration, postural load, being an owner operator, age, education beyond high school, suffering from asthma or depression, having <8 hr nightly sleep, bad quality sleep, and geographic location. Upper extremity MSD risk factors include being an owner operator, dust with pig workers, numbness and coldness in younger milkers and numbness in milkers >43 years, age, and body height in dairy farmers. Lower extremity MSD risk factors include, duration of farming ≥10 years, working >5 hr daily in animal barns, milking >40 cows, years as a dairy farmer, farm work, age, body mass, and female gender. CONCLUSIONS In exploring risk factors the spine was the most researched body region, followed by lower and upper extremity. Given the variance between studies, it is recommended that future studies focus on specific types of farmers and should explore specific exposures for specific body parts using standardized case definitions.

Disability on Irish Farms—A Real Concern

ABSTRACT Farmers operate within hazardous environments while conducting their day-to-day tasks, potentially resulting in injury or disability. Disability can serve as a major life-changing event for the farmer, the farm family, and the farm business. In Ireland, the agricultural sector reported the highest incidence of disability, yet there is relatively little known on the impact of agricultural-based disability. In 2007, a questionnaire was appended to the Teagasc (Irish Agricultural and Food Development Authority) National Farm Survey to obtain some metric of the prevalence and impact of disability on Irish farms, in addition to quantifying service/support requirements of farm operators experiencing disability. Almost 5.9% (∼6611) of Irish farm operators reported disability, primarily caused through illness/disease. Arthritis (31.4%), back problems (17%), and heart circulatory problems (12.5%) were most frequently reported. The lowest prevalence of disability was found among tillage (1.4%) and dairy (4.1%) farms, with the highest prevalence among cattle farms (7.1%). Family farm income was lower on disability-experiencing farms relative to nondisability farms (€123 per hectare), with a lower participation in off-farm employment also identified. Many farm operators (∼20%) ceased off-farm employment following disability. Discontinuation of off-farm employment can further precipitate family farm income decline, but also place additional pressures on the farm business if quality services/supports are not available. The current provision of services/supports to farm operators experiencing disability is perceived largely insufficient across the entire service/support spectrum from when disability was first experienced through to retirement. Awareness and issues surrounding eligibility were the primary reasons for failing to avail of currently available service/supports.

Shoot regeneration from seedling explants of Acacia mangium Willd.

SummaryRegeneration of adventitious shoots was obtained in over 80% of explants, consisting of wounded cotyledonary nodes of Acacia mangium, by culturing germinated seedlings on DKW medium with combinations of N6-benzyladenine and either thidiazuron or N-(2-chloro-4-pyridyl)-N-phenylurea. Electron microscopy showed the presence of adventitious buds arising from wound tissue of the cotyledons and cotyledonary nodes. Shoot regeneration was also obtained at lower frequency in isolated cotyledon explants cultured with 6% sucrose alone (10%), or with 3% sucrose and 30.0 mg l−1 (0.1 μM) 2–4-dichlorophenoxyacetic acid (2,4-D; 16%). With 2,4-D,>60% of explants produced organized structures but these did not develop into shoots or somatic embryos. Shoot formation was not induced in either hypocotyl or root explants.

Work‐related musculoskeletal disorders among Irish farm operators

BACKGROUND To establish prevalence, risk factors, and impact of work-related musculoskeletal disorders (WMSDs) among farmers in Ireland. METHODS In summer 2009, a questionnaire was appended to the Teagasc (Irish Agricultural and Food Development Authority) National Farm Survey (n = 1,110) to obtain data on the prevalence, risk factors and impact of WMSDs amongst farm operators in Ireland. Data were collected by trained recorders and analyzed using chi-square tests, t-tests, Mann-Whitneys U-tests and logistic regression models. RESULTS The prevalence of WMSDs in the previous year was 9.4% (n = 103), with the most commonly affected body region being the low back 31% (n = 32). Nearly 60% (n = 57) of farmers reported missing at least a full days work as a consequence of their WMSD. Personal factors evaluated using binary regression analysis, were found not to influence whether or not a farmer experienced a WMSD. However, work-related factors such as larger European Size Units (ESUs, OR: 1.007, CI: 1.002-1.012), greater number of hectares farmed (OR: 2.501, CI: 1.208-4.920), higher income (OR: 1.859, CI: 1.088-3.177), dairy enterprise (OR: 1.734, CI: 1.081-2.781), and working on a full-time farm (OR: 2.156, CI: 1.399-3.321) increased the likelihood of experiencing a WMSD. Working on a full-time farm was the only factor found to independently predict WMSDs in the multiple regression analyses. CONCLUSIONS This study suggests that the prevalence of WMSDs can be reduced by the application of improved farm management practices. A more detailed examination of the risk factors associated with WMSDs is required to establish causality and develop effective interventions.

The lived experience of low back pain among Irish farmers: case studies.

ABSTRACT Low back pain (LBP) is the most commonly reported musculoskeletal disorder (MSD) among farmers. There is limited researching regarding the lived experience of LBP among farmers. Video interviews were conducted with three dairy farmers who reported having a significant episode of LBP. The interview data were transcribed and analyzed, and results were presented in relation to the constructs explored. The farmers experienced their first significant episode of LBP in their late 20s or early 30s and all attributed their LBP to farm work or a farm-related incident. Hours worked per day ranged from 9 to 13 hours. Tasks identified by farmers that they were unable to do due to LBP included physical work, working with sheep, building work, and “certain jobs.” Work changes made due to LBP included getting help, slowing down, avoiding strenuous work, carrying smaller loads, mechanizing the farm, using the tractor more, and wearing a back belt for certain jobs. Each farmer had his own way of preventing or managing his LBP, including a mix of active self-management and passive coping strategies such as swimming, using ice, spinal manipulation, and taking medication. The farmers were unable to quantify how much their LBP had cost them directly or indirectly. The case studies illustrate farmers engaging in ongoing work despite significant pain. All of the farmers have adapted at work and engaged in self-management strategies to reduce the occurrence of LBP. Given the rich data produced by these case studies, future case studies are recommended to gain greater insights into farmers’ experiences concerning LBP.

The Roles of Financial Threat, Social Support, Work Stress, and Mental Distress in Dairy Farmers’ Expectations of Injury

Farming is dangerous, with fatalities among the highest in any occupation. Farmers often work alone, for long hours, with unreliable equipment and in difficult weather conditions with hazardous chemicals and livestock. In addition, farmers make large financial commitments exposing them to high levels of financial risk. Exposure to such financial risk can give rise to subjective experiences of financial threat (FT) that are psychologically challenging. The current study attempted to characterize the role that FT plays in farm injuries. One hundred and twenty one dairy farmers completed a battery of questionnaires assessing FT, social support (SS), depression, anxiety, farm job stress, and health and safety beliefs. Mental distress directly predicted farmers’ expectations of injury and a direct effect of non-financial farm stress (FS) approached significance. Mental distress mediated these relationships as evidenced by significant indirect effects of FS and FT, and SS served to reduce distress. These findings support calls for interventions designed to reduce FS and FT and increase SS for farmers.

Staying Fit for Farming—A Health Booklet Designed for Irish Farmers

ABSTRACT The objectives of this study were to design a health booklet specifically targeted to farmers with clear and understandable messages through the use of simple terminologies, pictures, agricultural references, and farmer-related case studies; and to maximize the profile and reach of the booklet to empower farmers to take increased control of their own health. Seven focus groups were carried out with farmers and professionals from the agricultural sector to explore the health needs of farmers and their attitudes and behaviors in relation to their health. Findings from these focus groups informed the content and design of the booklet “Staying Fit for Farming—A Health Booklet for Farmers.” This booklet was launched on 25 September 2013 and received widespread publicity in both print and broadcast media. A high-quality print resolution of the booklet was made available nationally (approximately 70,500 print circulation sales) through the Irish Farmers Journal on 25 January 2014. The journal included a feature on the booklet, encouraging farmers to see the booklet as an important resource for their health and as a long-term source of health information. The booklet has been adopted by the Irish Heart Foundation as a resource for its “Farmers Have Hearts—Heart Health Checks” program. The booklet has helped push farmers’ health into the forefront identifying health as a key driver of “staying fit for farming.” The approach taken to consult with farmers and farm organizations helped ensure maximum buy-in from the target group to hopefully motivate farmers to take increased responsibility for their own health.

583 Evidence-based social learning for safety and health promotion among irish dairy farmers

Introduction Farming is an occupation that incurs high rates of occupational injuries and illness, including fatalities. Internationally, legislative approaches to improve agricultural occupational safety and health (OSH) practices have been inconsistent in achieving those objectives. Many alternative initiatives to influence agricultural OSH practices have been developed, frequently emphasising information provision. In Ireland, evaluation of information provision approaches, such as classroom-based learning, has found that this is ineffective for improving agricultural OSH practices. However, peer-based learning using communities of practice (COPs), such as Teagasc dairy farmer discussion groups, presents a promising context for agricultural OSH promotion in Ireland. Research has established the efficacy of farmer discussion groups for promoting adoption of novel technologies and production practices. Little research has been undertaken to assess whether they are effective for promoting agricultural OSH practices. This paper describes the extent to which Teagasc dairy discussion groups engage with agricultural OSH, and identifies the characteristics associated with agricultural OSH engagement. The results are evaluated with respect to the existing literature regarding effective social learning for farming and OSH promotion, to assess the suitability of these COPs for agricultural OSH promotion. Methods Information about discussion group characteristics and engagement with OSH topics was collected using a survey of Teagasc dairy discussion group members, and a survey of Teagasc dairy discussion group facilitators. The statistical software R was used to assess variation in discussion group engagement with OSH, and the group characteristics statistically associated with that variation. Result Analysis of the results is ongoing and will be completed in September 2017. Discussion The findings of this study, including the evaluation framework developed from literature review, can contribute to effective agricultural OSH promotion in Ireland, and internationally. This is especially true for other countries with existing farmer COPs, such as farmer discussion groups in New Zealand and Wales.