Risk Factors For Serious Farm-work Related Injury Among Adult Males
Funder
National Health and Medical Research Council
Funding Amount
$665,930.00
Summary
This study addresses occupational injury among male adult farm workers. The health and safety performance of agricultural industries is among the worst in Australia. A recently published study of work-related fatalities from 1989 to 1992 found that rural industries ranked third, with a fatality rate 3-4 times that for all industries. The rural industries accounted for 80 deaths annually. Best estimates place the cost of farm injury between $0.5 and $1.29 billion per year. This study is designed ....This study addresses occupational injury among male adult farm workers. The health and safety performance of agricultural industries is among the worst in Australia. A recently published study of work-related fatalities from 1989 to 1992 found that rural industries ranked third, with a fatality rate 3-4 times that for all industries. The rural industries accounted for 80 deaths annually. Best estimates place the cost of farm injury between $0.5 and $1.29 billion per year. This study is designed to contribute to farm injury prevention by: (1) identifying factors associated with a higher risk of serious injury among adult farm workers and (2) determining the proportions of the farm workforce who are exposed to various injury risks. The study will recruit 300 seriously injured or killed farm workers from regional Victoria and collect information about themselves, their working life and the property on which they work. This information will be compared with 600 randomly selected farm workers who are not seriously injured to determine which personal, work and environmental factors place farm workers at higher risk of injury. The study will lead to the development of new or more refined prevention strategies and programs. A study of this kind has not been conducted before in Australia and would contribute to a continuing scientific basis for selection of interventions for farm injury and targeting of prevention programs, at a time of increasing momentum in agricultural health and safety.Read moreRead less
Osteoporosis is a major and increasing public health problem. Fracture, the ultimate consequence of osteoporosis is associated with significant morbidity, mortality and economic costs. The Dubbo Osteoporosis Epidemiology Study, starting in 1989, with over 2000 women and men, is one of the longest running epidemiological studies in osteoporosis worldwide. It has been at the forefront of epidemiological advances in osteoporosis. It has identified osteoporotic fracture risks including low bone dens ....Osteoporosis is a major and increasing public health problem. Fracture, the ultimate consequence of osteoporosis is associated with significant morbidity, mortality and economic costs. The Dubbo Osteoporosis Epidemiology Study, starting in 1989, with over 2000 women and men, is one of the longest running epidemiological studies in osteoporosis worldwide. It has been at the forefront of epidemiological advances in osteoporosis. It has identified osteoporotic fracture risks including low bone density and bone loss, muscle weakness and postural instability, as well as the extent of the problem in men, and the significant costs, ill-heath and mortality associated with fracture. Despite the clarification of risk factors over the past decade, there are significant gaps in knowledge about osteoporosis, particularly in the accurate prediction of fracture risk and in identification of factors related to fracture-associated mortality and survival post fracture. Although bone density is one of the best predictors of fracture risk, it incompletely discriminates between those who will fracture from those who will not. Although a number of clinical risk factors, and other measures of bone strength, such as quantitative ultrasound and geometry, have been shown to be independent predictors of fracture risk, it is not clear that these measures can be integrated with BMD to improve fracture prediction. The aim of the current study, is to develop and validate models using bone density, other measures of bone strength and clinical parameters that will more accurately predict fracture risk and mortality following fracture in older men and women. The more precise identification of those at high risk of fracture and at risk for poor outcomes following fracture will provide a rational basis for the development of more cost effective interventions for prevention of fracture and its associated morbidity and mortality.Read moreRead less
I am an epidemiologist using large scale cohort study methods to investigate potentially modifiable factors affecting common conditions, particularly those related to ageing.
The Predictors Of Knee Cartilage Loss: A 5 Year Natural History Study Based On An Existing Cohort
Funder
National Health and Medical Research Council
Funding Amount
$76,380.00
Summary
Osteoarthritis (OA) is the single biggest cause of disability in Western society. Despite this, relatively little is known about the factors that effect disease progression. This will be the first extended follow up study of cartilage volume in people with early OA. This study will build on our existing work where we have developed a cohort study of adults with early knee OA. These people were initially recruited in 1997-8. An extensive data base of potential risk factors for OA has been collect ....Osteoarthritis (OA) is the single biggest cause of disability in Western society. Despite this, relatively little is known about the factors that effect disease progression. This will be the first extended follow up study of cartilage volume in people with early OA. This study will build on our existing work where we have developed a cohort study of adults with early knee OA. These people were initially recruited in 1997-8. An extensive data base of potential risk factors for OA has been collected and both X-rays of the knee and MRI have been performed at baseline and 2 years. Extending the follow up from 2 to 5 years will allow not only more precise estimation of rates of cartilage loss and assessment of risk factors, but also enable assessment of the assumption of linearity of cartilage volume loss. It will also be possible to partition the observed variability in rates of loss into true between-subject variability and within subject residual variability. This partitioning will provide valuable information for the design of future studies in OA, similar to the establishment of statistical design principles for patterns of loss in bone mineral density.Read moreRead less