title: Improving hearing health for farming families.
abstract: BACKGROUND
  Occupational noise injury and hearing loss are common features of agricultural workforces internationally. Farmsafe Australia has identified hearing health as one of its 4 key priority goals and targets. Currently, approximately 60-70% of Australian farmers have measurable hearing loss, compared with 27% of those in the general Australian community. This article describes the findings of a community based demonstration project to address hearing health issues conducted in the Australian state of New South Wales. This program sought to implement local demonstration projects in 3 communities to identify what works well in hearing health promotion with farmers and what could be applied more broadly throughout Australia.
  
  
  METHODS
  Local advisory groups were established in each community to guide project development and implementation. Project implementation focused on 3 major aspects: (1) increasing awareness of priority noise injury prevention and hearing health practices; (2) improving access to hearing health services; and (3) networking services in local communities. Area-specific training was undertaken for stakeholders to maximize local information links. Service utilization data were monitored and analysed.
  
  
  RESULTS
  There was variability among sites; however in general there was an increased awareness of hearing health issues by farming families and expanded opportunities for farmers to access screening services. Utilization rates of hearing services also increased markedly in one community. Local hearing health networks were strengthened by linkages to key stakeholders outside the health sector. Previously unidentified methods of promoting hearing health (eg using agricultural retail outlets that supply hearing protection equipment and are accepted by farmers as an information source) were identified and utilized.
  
  
  CONCLUSIONS
  Hearing health promotion with farmers in local communities can be enhanced through utilization and strengthening of local networks. Integration of hearing health initiatives with other agencies already working with farming families will be important in developing and enhancing long-term sustainable outcomes. Continued work at a national level to assist in stimulating local action will be required to build on the potential gains in reducing noise injury in the farming community.
authors.affiliation: University of Sydney & Australian Centre for Agricultural Health and Safety, Port Macquarie, New South Wales, Australia. tonylower@gmail.com
authors.forename: Tony
authors.initials: T
authors.lastname: Lower
authors.forename: Lyn
authors.initials: L
authors.lastname: Fragar
authors.forename: Julie
authors.initials: J
authors.lastname: Depcynzksi
authors.forename: Kathy
authors.initials: K
authors.lastname: Challinor
authors.forename: Jan
authors.initials: J
authors.lastname: Mills
authors.forename: Warwick
authors.initials: W
authors.lastname: Williams
mesh_terms: D000382:Agricultural Workers' Diseases / Q000453:epidemiology / Q000517:prevention & control*; D003153:Community Health Services / Q000458:organization & administration; D004430:Ear Protective Devices / Q000706:statistics & numerical data; D006293:Health Promotion / Q000458:organization & administration*; D006304:Health Status; D006317:Hearing Loss, Noise-Induced / Q000453:epidemiology / Q000517:prevention & control*; D006320:Hearing Tests; D006801:Humans; D009517:New South Wales / Q000453:epidemiology; D009623:Noise, Occupational / Q000009:adverse effects / Q000517:prevention & control*; D019035:Rural Health Services / Q000458:organization & administration*; D012424:Rural Population / Q000706:statistics & numerical data*; D012944:Social Support