Journal of agricultural medicine and community health (농촌의학ㆍ지역보건)

Korean Society for Rural Medicine and Community Health (한국농촌의학지역보건학회)
권호 표지
DOI QR코드

DOI QR Code

Demand for Priorities for Preventing Occupational Diseases among Farmers

농업인들의 업무상질환 예방을 위한 우선순위에 대한 요구도

  • Ae-Rim Seo (Department of Preventive Medicine, Institute of Medical Sciences, College of Medicine, Gyeongsang National University) ;
  • Ji-Youn Kim (Department of Nursing Science, Jinju Health College) ;
  • Bokyoung Kim (Department of Preventive Medicine, Institute of Medical Sciences, College of Medicine, Gyeongsang National University) ;
  • Gyeong-Ye Lee (Department of Preventive Medicine, Institute of Medical Sciences, College of Medicine, Gyeongsang National University) ;
  • Kyungsu Kim (National Institute of Agricultural Sciences, Rural Development Administration) ;
  • Ki-Soo Park (Department of Preventive Medicine, Institute of Medical Sciences, College of Medicine, Gyeongsang National University)
  • 서애림 (경상국립대학교 의과대학 예방의학교실 및 의과학연구원) ;
  • 김지연 (진주보건대학교 간호학부) ;
  • 김보경 (경상국립대학교 의과대학 예방의학교실 및 의과학연구원) ;
  • 이경예 (경상국립대학교 의과대학 예방의학교실 및 의과학연구원) ;
  • 김경수 (농촌진흥청 국립농업과학원) ;
  • 박기수 (경상국립대학교 의과대학 예방의학교실 및 의과학연구원)
  • Received : 2023.09.25
  • Accepted : 2023.11.15
  • Published : 2023.12.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: This study was a preliminary study for the prevention programs for farmers' occupational diseases. It selected the priorities recognized by farmers, such as occupational diseases, and also identifies the effectiveness and feasibility of prevention programs among diseases recognized by farmers. Therefore, we plan to use it as basis data for future farmer safety and health programs. Method: The subjects of the study were farmers living in the region, selected through a snowball recruitment method, and a total of 671 people were targeted. The priority selection method was the Basic Priority Rating System (BPRS) method, and among the occupational diseases, programs to prevent musculoskeletal diseases, cardiovascular and respiratory diseases, and pesticide poisoning were surveyed on the effectiveness and feasibility of farmers. Results: Among occupational diseases, the highest priority was musculo-skeletal disease, followed by respiratory disease and pesticide poisoning. Among the programs for musculoskeletal disease, 'use of agricultural work convenience equipment and auxiliary tools' had the highest perceived effectiveness and feasibility. Among the five programs for pesticide poisoning, 'equipment of protective equipment such as pesticide protective clothing/glove' had the highest effectiveness at 67.4%, and 'compliance with pesticide use instructions' had the highest level of feasibility at 64.3%. Among the four programs to prevent respiratory diseases, 'wearing a dust mask or gas mask' was the highest at 65.5% in terms of both effectiveness and feasibility. Conclusion: When carrying out safety and health programs for farmers, the priorities recognized by farmers should be taken into consideration, and the program contents should also be developed taking into account the size of effect and feasibility recognized by farmers.

이 연구는 농업인의 업무상질환에 대한 예방사업을 위한 사전 연구로서 업무상질환 등 농업인들이 인지하고 있는 우선순위를 선정하고, 또한 예방사업 역시 농업인들이 인지하고 있는 주요질환들의 사업 중 효과와 실천가능성을 파악하여 이후 농업인 안전보건사업의 근거자료로 활용하고자 한다. 연구 대상자는 지역에 거주하고 있는 농업인들을 눈덩이 모집 방식으로 선정하였으며 전체 671명을 대상으로 하였다. 우선순위 선정 방식은 BPRS 방법으로 하였으며, 각 업무상질환 중근골격질환, 심혈관 및 호흡기질환 그리고 농약 중독 예방을 위한 세부 사업에 대한 농업인들인 인지하는 효과와 실천가능성을 설문 조사하였다. 업무상질환 중 가장 높은 우선순위는 근골격질환이었으며, 호흡기질환, 농약 중독 등의 순이었으며, 근골격계질환의 세부 사업 중 '농작업편이장비, 보조도구 활용'이 인지하고 있는 효과정도와 실천가능성이 가장 높았다. 농약 중독 5가지 세부 사업 중 효과는 '농약 방제복/장갑 등 보호장비 구비'가 67.4%로 가장 높았으며, 실천가능성 정도는 '농약 사용법 준수'가 64.3%로 가장 높았다. 호흡기질환 예방을 위한 4가지 세부사업 중 효과와 실천 가능성 모두 '분진마스크 또는 방독마스크 착용'이 65.5%로 가장 높았다. 농업인들을 위한 안전보건사업을 수행할 때 근골격질환을 위한 사업을 우선적으로 하여야 할 것이며, 농약중독, 호흡기질환 역시 우선순위를 고려하여야 하며, 농업인들이 인지하고 있는 효과 크기와 실천 가능성을 함께 고려하여 사업 내용을 구성하여야 할 것이다.

Keywords

Acknowledgement

본 연구는 농촌진흥청 농업과학기술연구개발사업(RS-2022-RD010387)의 지원을 받아 수행되었습니다.

References

  1. Statistics Korea [Internet]. Agriculture, Forestry and Fisheries Survey 2022. Farm and farm population. [cited 2023 Sep 11]. Available from:https://www.index.go.kr/unity/potal/main/EachDtlPageDetail.do?idx_cd=2745
  2. Statistics Korea [Internet]. Ministry of Employment and Labor. Analysis of Industrial Accidents 2021. [cited 2023 Nov 13]. Available from:https://kosis.kr/statHtml/statHtml.do?orgId=118&tblId=DT_11806_N000&conn_path=I2
  3. Rural Development Administration [Internet]. Announcement of Farmer Occupational Disease Survey Results 2020. [cited 2023 Sep 11]. Available from: https://www.rda.go.kr/board/board.do?mode=list&prgId=day_farmprmninfoEntry
  4. Sibbald SL, Gibson JL, Singer PA, Upshur R, Martin DK. Evaluating priority setting success in healthcare: a pilot study. BMC Health Serv Res. 2010;10:131
  5. Martin D, Singer P. A strategy to improve priority setting in health care institutions. Health Care Anal. 2003;11(1):59-68 https://doi.org/10.1023/A:1025338013629
  6. Vilnius D, Dandoy S. A priority rating system for public health programs. Public Health Rep. 1990;105(5):463-70
  7. Rudan I, Kapiriri L, Tomlinson M, Balliet M, Cohen B, Chopra M. Evidence-based priority setting for health care and research: tools to support policy in maternal, neonatal, and child health in Africa. PLoS Med. 2010;7(7):e1000308
  8. Brownson RC, Baker BH, Leet TL, Gillespie KN, True WR, Evidence-based public health (2nd ed), Oxford University Press, 2011
  9. Centers for Disease Control and Prevention (CDC). The National Institute for Occupational Safety and Health (NIOSH). Simple Solutions: Ergonomics for Farm Workers (2001). [cited 2023 Sep 11]. Available from:https://www.cdc.gov/niosh/docs/2001-111/
  10. Lee CH. Work-related musculoskeletal disorders in Korean farmers J Korean Med Assoc 2012;55(11):1054-1062 (Korean) https://doi.org/10.5124/jkma.2012.55.11.1054
  11. Cho SH. (Community Care Preparation) Identification of Musculoskeletal Problems for the Elderly in Rural Areas and Presentation of Regional and Inter-university Health Management Models. J Kor Phys Ther 2023;35(2):37-42 (Korean) https://doi.org/10.18857/jkpt.2023.35.2.37
  12. Kwon SC, Ryou HC, In HK, Lee KS, Lee SJ. Effect of the Prevention Programs for Musculoskeletal Disorders in one Farming Village J Agri Med & Community Health 2008:33(1):1-10 (Korean) https://doi.org/10.5393/JAMCH.2008.33.1.001
  13. Park SY, Kim JK. The Effect of the Health Promotion Program for the Fruit Farm Workers J of Kor Con A. 2014;14:266-276 (Korean) https://doi.org/10.5392/JKCA.2014.14.08.266
  14. Lee WJ, Cha ES. Overview of pesticide poisoning in South Korea. J Rural Med 2009;4:53-58. (Korean) https://doi.org/10.2185/jrm.4.53
  15. Lee JY, Roh SC. Evaluation of exposure to organophosphorus pesticides according to application type and the protective equipment among farmers in South Korea. Korean J Pestic Sci 2016;20(2):172-180 (Korean) https://doi.org/10.7585/kjps.2016.20.2.172
  16. Lee HS, Lee JH, Roh SY, Kim HG, Lee KJ et al. Symptom prevalence and work-related risk factors of acute pesticide poisoning among Korean farmers in Gyeong-gi province. J Agric Med Community Health 2015;40(4):228-239 (Korean) https://doi.org/10.5393/JAMCH.2015.40.4.228
  17. Dosemeci M, Alavanja MC, Rowland AS, Mage D, Zahm SH et al. A quantitative approach for estimating exposure to pesticides in the Agricultural Health Study. Ann Occup Hyg. 2002;46(2):245-260
  18. Coble J, Thomas KW, Hines CJ, Hoppin JA, Dosemeci M et al. Updated Algorithm for Estimation of Pesticide Exposure Intensity in the Agricultural Health Study. Int J Environ Res Public Health 2011;8(12):4608-4622 https://doi.org/10.3390/ijerph8124608
  19. Gomez MI, Hwang SA, Lin S, Stark AD, May JJ, Hallman EM. Prevalence and predictors of respiratory symptoms among New York farmers and farm residents. Am J Ind Med 2004; 46:42-54 https://doi.org/10.1002/ajim.20018
  20. Frank AL, McKnight R, Kirkhorn SR, Gunderson P. Issues of agricultural safety and health. Annu Rev Public Health 2004;25:225-245 https://doi.org/10.1146/annurev.publhealth.25.101802.123007
  21. Lee H, Kim Km, Choi D, Jo L, Kim H, Choi W. The Status and Influencing Factors of Respiratory System Diseases in Korean Farmers with Disease Korean J Community Living Sci. 2020;31(4):779-792 (Korean) https://doi.org/10.7856/kjcls.2020.31.4.779