Abstract
Background Construction is one of the highest risky jobs for accident-related fatalities and injuries globally. This systematic review and meta-analysis aimed to estimate the pooled prevalence of work-related injury and its associated factors among construction workers in Ethiopia. Methods A systematic literature search was performed by using PubMed, Science Direct, and Google Scholar. A random-effects model was used to estimate the pooled prevalence of work-related injury and its associated factors. The heterogeneity of the studies was assessed by using the I2 test, and the presence of publication bias was evaluated by using funnel plot and Egger's test. Results After reviewing 292 articles, we included 10 studies that fulfilled the inclusion criteria in the meta-analysis. The findings from the 10 studies showed that the pooled prevalence of work-related injury in Ethiopia was 46.78% (95% CI: 32.17, 61.38). The subgroup analysis of this study showed that the highest prevalence was reported in Addis Ababa with the prevalence of 55.9% (25.42, 86.4), followed by a study conducted in Oromia Region with a prevalence of 43.3% (33.3, 53.3). Lack of occupational safety training (OR: 2.43, 95% CI: 1.76, 3.35), not using of personal protective equipment (OR: 2.32, 95% CI: 1.80, 2.99), and male workers (OR: 2.44, 95% CI: 1.15, 5.17) were the major factors significantly associated with the occurrence of work-related injury among construction workers. Conclusions This study confirmed that construction is still a high-risk job with a high prevalence of work-related injury in Ethiopia. The modifiable risk factors such as the use of personal protective equipment (PPE), lack of safety training, and gender were the major associated factors with injury. Therefore, a continuous safety training and awareness creation program on risk-taking behavior should be given to construction workers.
Highlights
Construction is one of the fastest growing sectors in Ethiopia where public and private sectors are investing high capital.e industrial sector showed 12.6% growth and constituted 28.1% of the total gross domestic product (GDP), and it contributed 39.5% to the overall economic expansion. e construction industry showed a 15% expansion and contributed 72.5% to the industrial output, signifying the leading role of the sector in roads, railways, dams, and residential houses construction [1, 2].Nearly 6.5 million people work at approximately 252,000 construction sites across the nation on any day [3]
A total of 292 articles were identified reporting the prevalence of work-related injury and its associated factors among construction workers by using electronic databases such as PubMed, Google Scholar, Science Direct, and other sources, of which, 70 articles were removed due to duplication
All the included studies were cross-sectional studies. e least number of participants in a study was 62 construction workers, and the largest comprised of 806 construction workers [12, 17]. e lowest prevalence (32.6%) of work-related injury was reported in the study conducted in Dessie, Amhara Region [11], whereas the highest prevalence of 84.7% was reported in a study conducted in Addis Ababa city (Table 1) [12]
Summary
Construction is one of the fastest growing sectors in Ethiopia where public and private sectors are investing high capital.e industrial sector showed 12.6% growth and constituted 28.1% of the total gross domestic product (GDP), and it contributed 39.5% to the overall economic expansion. e construction industry showed a 15% expansion and contributed 72.5% to the industrial output, signifying the leading role of the sector in roads, railways, dams, and residential houses construction [1, 2].Nearly 6.5 million people work at approximately 252,000 construction sites across the nation on any day [3]. OSHA’s construction worker safety report showed that each year there are at least 60,000 fatal accidents on construction sites around the world. Is systematic review and meta-analysis aimed to estimate the pooled prevalence of work-related injury and its associated factors among construction workers in Ethiopia. E findings from the 10 studies showed that the pooled prevalence of work-related injury in Ethiopia was 46.78% (95% CI: 32.17, 61.38). Lack of occupational safety training (OR: 2.43, 95% CI: 1.76, 3.35), not using of personal protective equipment (OR: 2.32, 95% CI: 1.80, 2.99), and male workers (OR: 2.44, 95% CI: 1.15, 5.17) were the major factors significantly associated with the occurrence of work-related injury among construction workers. Is study confirmed that construction is still a highrisk job with a high prevalence of work-related injury in Ethiopia. Conclusions. is study confirmed that construction is still a highrisk job with a high prevalence of work-related injury in Ethiopia. e modifiable risk factors such as the use of personal protective equipment (PPE), lack of safety training, and gender were the major associated factors with injury. erefore, a continuous safety training and awareness creation program on risk-taking behavior should be given to construction workers
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