An outcome evaluation of a New Zealand farm safety intervention: a historical cohort study

Am J Ind Med. 2014 Apr;57(4):458-67. doi: 10.1002/ajim.22290. Epub 2013 Dec 17.

Abstract

Background: There is limited evidence that farm safety-related interventions based solely on an educational element have an effect on injury rates. Our aim was to evaluate a New Zealand national educational program, FarmSafe™ Awareness, for its effect on injury rates.

Methods: We used a before-after design followed by a historical cohort study of sheep, beef, and dairy farmers/workers. The outcomes were work-related injuries, identified from workers compensation data. Cox regressions were used to compare intervention with matched control group rates.

Results: FarmSafe™ Awareness was associated with significantly higher rates of work-related injury, than matched controls.

Conclusions: It is difficult to see how FarmSafe™ Awareness could be causing an increased rate of work-related injury. We detected no reporting bias, and selection bias is likely to act in the opposite direction to the observed results. We conclude that there is no evidence that FarmSafe™ Awareness prevents farm injury.

Keywords: agriculture; evaluation; health and safety; historical cohort study; injury.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Occupational / prevention & control*
  • Adolescent
  • Adult
  • Aged
  • Agricultural Workers' Diseases / prevention & control*
  • Agriculture / methods
  • Child
  • Cohort Studies
  • Female
  • Health Education / methods*
  • Humans
  • Male
  • Middle Aged
  • New Zealand
  • Occupational Injuries / prevention & control*
  • Proportional Hazards Models
  • Workers' Compensation
  • Young Adult