The Effectiveness of Interventions for Preventing Injuries in the Construction Industry – a Systematic Review

Details

• Personal Author:
  Hale AR ; Haslam RA ; Hoonakker PLT ; Hsiao H ; Lappalainen J ; Lehtola MM ; van der Molen HF ; Verbeek JH
• Description:
  Background: occupational injury rates among construction workers are the highest among the major industries. A number of injury-prevention interventions have been proposed, yet the effectiveness of these is uncertain. Thus a systematic review evaluating the effectiveness of interventions for preventing occupational injuries among construction workers was conducted. Methods: Seven databases were searched, from the earliest available dates through June 2006, for published findings of injury prevention in construction studies. Acceptable study designs included RCTs; controlled before-after studies; and interrupted time series (ITS). Effect sizes of similar interventions were pooled into a meta-analysis in January 2007. Results: of 7522 titles found, four ITS studies and one controlled ITS study met the inclusion criteria. The overall methodologic quality was low. No indications of publication bias were found. Findings from a safety-campaign study and a drug-free-workplace study indicated that both interventions significantly reduced the level and the trend of injuries. Three studies that evaluated legislation did not decrease the level (ES 0.69; 95% CI = - 1.70, 3.09) and made the downward trend (ES 0.28; 95% CI = 0.05, 0.51) of injuries less favorable. Conclusions: limited evidence was found for the effectiveness of a multifaceted safety campaign and a multifaceted drug program, but no evidence was found that legislation is effective to prevent nonfatal or fatal injuries in the construction industry. [Description provided by NIOSH]
• Subjects:
  Construction Industry Occupational Health Risk Assessment Risk Factors Safety Safety Management Workplace
• Keywords:
  Construction-industry Construction-workers Injury-prevention Risk-analysis Risk-factors Safety-education Safety-measures Safety-practices Safety-research Statistical-analysis Work-analysis Workplace-monitoring Workplace-studies

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• ISSN:
  0749-3797
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 3 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DSR - Division of Safety Research
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  77-85
• Volume:
  35
• Issue:
  1
• NIOSHTIC Number:
  nn:20034109
• Citation:
  Am J Prev Med 2008 Jul; 35(1):77-85
• Federal Fiscal Year:
  2008
• NORA Priority Area:
  Agriculture, Forestry and Fishing ; Construction
• Peer Reviewed:
  True
• Source Full Name:
  American Journal of Preventive Medicine
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:d2e8c00658357221ccd08c63054a00be7f99cd480d3f6b757f952bcabf86eff29a46bdf2f73c19f45f994d7dd94dffa3915a3150556f0384e5baa0fdb6ccba00
• Download URL:
  https://stacks.cdc.gov/view/cdc/189475/cdc_189475_DS1.pdf
• File Type:
  [PDF - 205.21 KB ]