Noise-induced hearing loss in agriculture: creating partnerships to overcome barriers and educate the community on prevention.

Noise-induced hearing loss (NIHL) is a common and preventable injury for farmers. Farmers are frequently exposed to excessive noise, ranking among the top three occupations and industries with the highest risk for hearing loss. Use of hearing protection among farmers is not common. Although the age when NIHL begins among farmers is unknown, its prevalence is higher among male adolescents who live and work on farms. The purpose of this paper is to describe how NIOSH created partnerships to promote hearing conservation for this hard-to-reach population. Partnerships included organizations and individuals who were trusted sources of information for the target population, young farmers 14-35 years of age and their families, and those who had linkages in rural communities. NIOSH engaged partners through exhibits and train-the-trainer workshops at state or national conventions. NIOSH workshops included basic information on NIHL as well as information on free or low-lost resources that participants could use in training others at schools and community events. People with hearing conservation expertise have an important role and many opportunities to improve the knowledge and implementation of hearing conservation among those in agriculture.

Evaluation of a four year intervention to reduce musculoskeletal hazards among berry growers.

PROBLEM: Fresh market berry production workers are exposed to physical risk factors for musculoskeletal injury. METHOD: We disseminated information through trade publications and other sources to berry managers in seven U.S. states about five prevention through design practices that were both safer and more profitable than traditional methods. We administered mail evaluation questionnaires prior to the intervention and after each of four intervention years to rolling, independent U.S. samples and to comparison New Zealand berry farm manager samples after years one through three. RESULTS: U.S. manager self-reports of reading trade publication information increased compared to baseline values for two of five practices and self-reported awareness increased for four of five practices. There were no increases in adoption. More U.S. than New Zealand managers reported getting information about two practices from trade publications and about four practices from public events. No U.S. versus New Zealand differences were observed in reported awareness or adoption for any practice. IMPACT ON INDUSTRY: This study showed that even a modest campaign can build awareness of safer practices fairly quickly in three to four years among small agricultural firms but that increasing adoption apparently requires more time. Widespread adoption of safer practices could help keep operators in business longer as they age by reducing the workload and musculoskeletal strain associated with labor intensive crop production for them and their workforce. Adoption of practices that also improve profits, like the five practices featured in this study, could also help managers stay in business.

Evaluation of an intervention to reduce musculoskeletal hazards among fresh market vegetable growers.

OBJECTIVES: We conducted an intervention to convince small, fresh market vegetable operations to adopt mesh bags and standard containers, two production practices that aid in crop handling and that are known to improve labor efficiency and reduce exposures to musculoskeletal injury hazards. METHODS: The intervention disseminated information about the practices to growers through trade publications, public events, university Extension, and growers already using the practices. A mail questionnaire was administered to vegetable growers (n=243 and 207) before and after the intervention. Strawberry growers were used as a comparison group and also received questionnaires (n=50 and 35). RESULTS: After the intervention, more vegetable growers reported seeing information about mesh bags in trade publications (37% vs. 59%) and information about standard containers at public events (33% vs. 49%). Levels of self-reported adoption increased for containers (38% vs. 54%) and approached significance for bags (8% vs. 17%). Aware, non-adopting grower perceptions of bag profitability improved (2.6 vs. 3.8). Strawberry grower control results were unchanged. CONCLUSIONS: Better information flow to growers may be able to increase the speed with which agricultural practices with better ergonomics are adopted, especially when the practices are more profitable.