Predictors of Occupational Health Problems: Work-Related Illnesses and Injuries among Older Adult Agricultural Workers in Mueang District, Chiang Rai Province

Abstract

The objectives of this research were to examine occupational health and safety problems and to identify the predictors of these problems among older adult agricultural workers in Mueang District, Chiang Rai Province. A cross-sectional descriptive study was conducted with a sample of 360 farmers aged 60 years and older, selected through a multi-stage random sampling technique. Data were collected using a validated and reliable questionnaire. Statistical analysis included descriptive statistics and inferential statistics, utilizing multiple logistic regression with a significance level of 0.05. The results revealed that the overall work environment and safety behaviors among older adult agricultural workers were at a safe level for 202 participants (56.11%). Regarding occupational health and safety problems, 187 participants (51.95%) reported experiencing problems. Multivariable analysis identified three significant predictors of occupational health problems 1) Safety training: workers who had never received safety training were 4.02 times more likely to experience problems compared to those who had been trained (Adjusted OR = 4.016, 95% CI = 2.525–6.369, p < 0.001) 2) Pesticide use: users were 2.00 times more likely to experience problems (Adjusted OR = 1.998, 95% CI = 1.232–3.240, p = 0.005); and 3) Unsafe work environment and behaviors: these increased the risk by 2.34 times (Adjusted OR = 2.336, 95% CI = 1.464–3.731, p < 0.001). The findings suggest that managing the physical environment in conjunction with implementing workshop-based training programs tailored to their lifestyles and ensuring safe chemical control are crucial mechanisms. These interventions effectively reduce health risks and enhance the quality of work life for older adult farmers in the area.