Hand-arm vibration disorder among grass-cutter workers in Malaysia

Int J Occup Saf Ergon. 2016 Sep;22(3):433-8. doi: 10.1080/10803548.2016.1150571. Epub 2016 Apr 6.

Abstract

Introduction: Prolonged exposure to hand-transmitted vibration from grass-cutting machines has been associated with increasing occurrences of symptoms and signs of occupational diseases related to hand-arm vibration syndrome (HAVS).

Methods: A cross-sectional study was carried out using an adopted HAVS questionnaire on hand-arm vibration exposure and symptoms distributed to 168 male workers from the grass and turf maintenance industry who use hand-held grass-cutting machines as part of their work. The prevalence ratio and symptom correlation to HAVS between high and low-moderate exposure risk groups were evaluated.

Results: There were positive HAVS symptoms relationships between the low-moderate exposure group and the high exposure group among hand-held grass-cutting workers. The prevalence ratio was considered high because there were indicators that fingers turned white and felt numb, 3.63, 95% CI [1.41, 9.39] and 4.24, 95% CI [2.18, 8.27], respectively. Less than 14.3% of workers stated that they were aware of the occupational hand-arm vibration, and it seemed to be related to the finger blanching and numbness.

Conclusion: The results suggest that HAVS is under-diagnosed in Malaysia, especially in the agricultural sectors. More information related to safety and health awareness programmes for HAVS exposure is required among hand-held grass-cutting workers.

Keywords: hand-held grass cutter; hand–arm vibration syndrome; prevalence.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Hand-Arm Vibration Syndrome / epidemiology*
  • Humans
  • Maintenance
  • Malaysia / epidemiology
  • Male
  • Occupational Diseases / epidemiology*
  • Occupational Exposure
  • Prevalence
  • Surveys and Questionnaires
  • Vibration / adverse effects