Skip to main content

Advertisement

Log in

Implementation of effective policies for the prevention of unintentional injuries: a feasibility study in European countries

  • Original Article
  • Published:
Journal of Public Health Aims and scope Submit manuscript

Abstract

Aim

The study objective was to assess the feasibility for injury prevention-related policy transfer among European countries.

Subject and methods

A prototype for policy feasibility evaluation was developed and used. Each prototype included six dimensions of barriers/facilitators regarding education, engineering and enforcement. Public health experts from Europe and the USA scored the feasibility of transferability for the selected policies in their own country.

Results

We found that availability of materials and public acceptability was considered as contributing to a successful policy transfer, whereas lack of financial resources was seen as a barrier. Prevention policies were more likely to be implemented in the construction and manufacturing occupational areas. Use of personal protective equipment and multiple component interventions received higher feasibility scores compared to environmental modifications or law enforcement.

Conclusion

We conclude that in Europe, country-specific processes undertaken before the initiation of a policy transfer may be used to highlight concurrent facilitators/barriers and guide cost-effective preventive efforts.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Afukaar FK (2003) Speed control in developing countries: issues, challenges and opportunities in reducing road traffic injuries. Int J Inj Contr Saf Promot 10:77–81

    Article  Google Scholar 

  • Alexe DM, Skalkidis I, Petroulaki K, Petridou E (2006) Delphi technique as a tool in assessing injury priorities and actions for injury prevention in the European Union. Afr Saf Promot 4:119–129

    Google Scholar 

  • Anderson P, Baumberg B (2006) Alcohol in Europe: a public health perspective. Institute of Alcohol Studies, London. http://ec.europa.eu/health-eu/doc/alcoholineu_content_en.pdf. Accessed 20 May 2007

  • APOLLO Project (2005–2008) http://ec.europa.eu/eahc/projects/database.html?prjno=2004119. Accessed 30 March 2011

  • Apsler R, Char AR, Harding WM, KleinTM (1999) The effects of .08 BAC laws. Report No. DOT HS 808 892, US Department of Transportation, National Highway Traffic Safety Administration, National Center for Statistics and Analysis, Washington, DC

  • Australian Water Safety Council (2004a) National Water Safety Plan (2004–2007), Australian Water Safety Council, Sydney. http://www.watersafety.com.au/NWSP_04-07_Nov_2004.pdf. Accessed 10 May 2007

  • Australian Water Safety Council (2004b) Evaluation of the Australian National Water Safety Plan (1999–2003). Australian Water Safety Council, Sydney. http://www.watersafety.com.au/Eval_Report_2004.pdf. Accessed 10 May 2007

  • Brinkerhoff D (2001) Policy implementation: what USAID has learned, Center for Democracy and Governance, Bureau for Global Programs, Field Support, and Research. US Agency for International Development, Washington, DC

    Google Scholar 

  • British Government (1998) Agriculture at risk, a report to the nation, agricultural, occupational and environmental health: policy strategies for the future. Statutory Instrument 1998 No. 2306. The Provision and Use of Work Equipment Regulations 1998. http://www.opsi.gov.uk/si/si1998/19982306.htm. Accessed 20 October 2007

  • CookC HF, Thompson R (2000) A meta-analysis of response rates in web- and internet-based surveys. Educ Psychol Meas 60:821–836

    Article  Google Scholar 

  • ETSC (European Transport Safety Council) (1999) Police enforcement strategies to reduce traffic casualties in Europe. ETSC report, European Transport Safety Council, Brussels. http://www.etsc.eu/oldsite/strategies.pdf. Accessed 5 May 2007

  • European Agency for Health and Safety at Work (2004) Factsheet 36: accident prevention in the construction sector. European Agency for Health and Safety at Work. http://osha.europa.eu/en/publications/factsheets/36/view. Accessed 20 February 2010

  • Eurostat (2004) Work and health in the EU: a statistical portrait, data 1994–2002. Office for Official Publications of European Communities, Brussels

  • Haddon W (1970) On the escape of tigers: an ecologic note. Am J Public Health 60:2229–2234

    Google Scholar 

  • Horder J, Bosanquet N, Stocking B (1986) Ways of influencing the behaviour of general practitioners. J Roy Coll Gen Pract 36(292):517–521

    CAS  Google Scholar 

  • Ministerial Council on Drug Strategy (2006) National alcohol strategy 2006–2009: towards safer drinking cultures. Ministerial Council on Drug Strategy, Canberra. http://www.alcohol.gov.au/internet/alcohol/publishing.nsf/Content/B83AD1F91AA632ADCA25718E0081F1C3/$File/nas-06-09.pdf. Accessed 10 April 2007

  • Nilsen P, Timpka T, Nordenfelt L, Lindqvist K (2005) Towards improved understanding of injury prevention program sustainability. Saf Sci 43(10):815–833

    Article  Google Scholar 

  • Observatoire national interministériel de sécurité routière (ONSR) (2006) Impact du contrôle sanction automatisé sur la sécurité routière (2003-2005) Observatoire national interministériel de sécurité routière (ONSR), Paris

  • Office of Public Sector Information (1998) Statutory Instrument 1998 No. 2306: The provision and use of work equipment regulations, http://www.opsi.gov.uk/si/si1998/19982306.htm. Accessed 14 October 2007

  • Office of Public Sector Information (1989, prepared 2000) Statutory instrument No. 635 health and safety: the electricity at work regulations. http://www.opsi.gov.uk/si/si1989/Uksi_19890635_en_1.htm. Accessed 15 October 2007

  • Österberg E, Karlsson T (2002) Alcohol policies in EU member states and Norway in the second half of the twentieth century: alcohol policies in EU member states and Norway—a collection of country reports. Stakes, Helsinki

  • Peden M, Scurfield R, Sleet D (2004) World report on road traffic injury prevention. World Health Organization, Geneva

    Google Scholar 

  • Petridou E, Kyllekidis S, Jeffrey S, Chishti P, Dessypris N, Stone DH (2007) Unintentional injury mortality in the European Union: how many more lives could be saved? Scand J Public Health 35(3):278–287

    Article  PubMed  Google Scholar 

  • Petridou E, Manti E, Ntinapogias A, Negri E, Szczerbinska K (2009) What works better for community-dwelling older people at risk to fall? A meta-analysis of multifactorial versus physical exercise-alone interventions. J Aging Health 21(5):713–729

    Article  PubMed  Google Scholar 

  • Saari J (2001) Successes and failures in occupational injury prevention. Inj Prev 7:1–3

    Article  PubMed  CAS  Google Scholar 

  • Health and Safety Executive (2007) Why fall for it? Preventing falls in agriculture, published by the Health and Safety Executive INDG369 (rev1). http://www.hse.gov.uk/pubns/indg369.pdf. Accessed 10 October 2008

  • Schopper D, Lormand JD, Waxweiler R (2006) Developing policies to prevent injuries and violence: guidelines for policy-makers and planners. World Health Organization, Geneva

    Google Scholar 

  • Sethi D, Racioppi F, Baumgarten I, Vida P (2006) Injuries and violence in Europe. Why they matter and what can be done. World Health Organization, Geneva

    Google Scholar 

  • Sethi D, Racioppi F, Segui-Gomez M (2008) European report on child injury prevention. World Health Organization, Geneva

    Google Scholar 

  • Southeastern Louisiana University (2007) Drug and alcohol abuse prevention policy for employees. SLU, Hammond, LA. http://www2.selu.edu/documents/policies/empl/p2_drug_abuse_prevention_REVISED.pdf. Accessed 20 May 2007

  • Stone D (2001) Learning lessons, policy transfer and the international diffusion of Policy Ideas Working Paper No. 69/01, Center for the Study of Globalisation and Regionalisation, Coventry, UK

  • The National Institute for Occupational Safety and Health (NIOSH) (1997) Preventing worker injuries and deaths caused by falls from suspension scaffolds. DHHS (NIOSH) publication No. 92-108, CDC, Atlanta, GA. http://www.cdc.gov/niosh/92-108.html. Accessed 20 October 2007

  • The National Institute for Occupational Safety and Health (NIOSH) (2003) Work-related roadway crashes- challenges and opportunities for prevention, federal regulations and standards addressing occupational roadway safety, 49 CFR 392. National Institute for Occupational Safety and Health (NIOSH) Publication No. 2003-119. CDC, Atlanta, GA. http://www.cdc.gov/niosh/docs/2003-119/2003-119c.html#three. Accessed 15 October 2007

  • The National Institute for Occupational Safety and Health (NIOSH) (2003)Work-related roadway crashes- challenges and opportunities for prevention, strategies for preventing work-related roadway crashes. National Institute for Occupational Safety and Health (NIOSH) Publication No. 2003-119. CDC, Atlanta, GA. http://www.cdc.gov/niosh/docs/2003-119/2003-119e.html. Accessed 22 October 2007

  • The National Institute for Occupational Safety and Health (NIOSH) (2004) Worker Health Chartbook 2004, chap 2: fatal and non-fatal injuries, and selected illnesses and conditions. National Institute for Occupational Safety and Health (NIOSH) Publication No. 2004-146 CDC, Atlanta, GA. http://www.cdc.gov/niosh/docs/2004-146/ch2/ch2-3.asp.htm. Accessed 1 March 2010

  • US Department of Health and Human Services (USDHHS), Public Health Service, National Institutes of Health, National Institute on alcohol abuse and alcoholism (1997) Ninth special report to the U.S. Congress on alcohol and health from the Secretary of Health and Human Services. USDHHS, Washington, DC

  • US Department of Labor (2007) 29 Code of Federal Regulations C.F.R. Part 1928 - Occupational safety and health standards for agriculture, Title 29- Labor, protective frames for wheel-type agricultural tractors-test procedures and performance requirements. USDL, Washington, DC. http://law.justia.com/us/cfr/title29/29-9.1.1.1.2.html#29:9.1.1.1.2.3.1.2. Accessed 10 October 2007

Download references

Acknowledgements

This research was supported in part by DG SANCO (Agreement No: 2004119) and in part by the University of Athens. The authors acknowledge the contributions of the public health professionals who agreed to participate in the study.

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Iris T. Vlachantoni.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vlachantoni, I.T., Ntinapogias, A. & Petridou, E. Implementation of effective policies for the prevention of unintentional injuries: a feasibility study in European countries. J Public Health 21, 97–107 (2013). https://doi.org/10.1007/s10389-012-0520-0

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10389-012-0520-0

Keywords

Navigation