The changing structure of work and implications for the risk of work-related injury in developing countries: lessons learned from Xuan Tien, Vietnam
通过对越南农村社区2615户家庭的调查，发现同时从事农业和工业的男性工人工伤率远高于单一行业工人，为发展中国家工伤监测提供了改进方向。
<h3>Objectives</h3> Injuries are a leading cause of death and disability worldwide despite widespread under-reporting. Rapidly developing nations like Vietnam carry a substantial portion of the burden. Our objective was to improve approaches for work-related injury surveillance in developing countries to identify or prioritise prevention opportunities. <h3>Methods</h3> We administered a cross-sectional survey to 2615 households (99% response) in a rural, rapidly developing community in Viet Nam. We collected information about self-reported work-related injuries and annual hours worked in each industry. Using descriptive and regression analyses we explored the role of various employment scenarios (eg, overlapping work, work schedules) and activities leading to injury. <h3>Results</h3> 1169 work-related injuries were reported during the year (Incidence Rate (IR) 203/1000 Full Time Equivalents (FTE)). We found male workers with multiple jobs had higher injury rates than those with only one job. A common situation of working in both agriculture and industry increased the injury risk substantially in both agriculture work (IR 484/1000 FTE) and in the primary industry job (IR 378/1000 FTE) compared to working individually in those industries (266 and 232/1000 FTE respectively). We also assessed the impact of various activities and work schedules on the risk of injury. <h3>Conclusions</h3> Work and home life, agricultural work and work in industry are extremely intertwined in Vietnam. We documented the impact of the intersection of agriculture work with industrial work on the risk of occupational injuries in this one community and suggest necessary changes in surveillance methodology in economies undergoing shifts in employment.