Personal safety issues related to the use of pesticides in agricultural production in the Al-Batinah region of Northern Oman Said Al Zadjalia,b, Stephen Morseb, Jonathan Chenowethb and Mike Deadmanc* a Ministry of Environment and Climate Affairs, P O Box 321 Muscat 100, Sultanate of Oman. b Centre for Environmental Strategy, Faculty of Engineering and Physical Sciences, University of Surrey, Guildford, Surrey, GU2 7JH, UK. c Department of Crop Sciences, College of Agricultural and Marine Sciences, Sultan Qaboos University, P O Box 34, Al Khod 123, Sultanate of Oman. HIGHLIGHTS Pesticide-related safety standards are frequently poor on many farms in Northern Oman Pesticides are frequently stored within the living accommodation of farm workers Safety standards generally increase with the education status of farm workers A local farmers’ association (FA) has the effect of raising safety standards on member’s farms Farm workers appear more likely to conform to the behaviour shown by owners of FA farms, with increased safety awareness aligned to national standards ABSTRACT The level of uptake and use of Personal Protective Equipment (PPE) by farm workers in Oman is low; the conditions under which pesticides are stored are frequently below acceptable international standards. Research was undertaken to explore the drivers working against safe storage of agrochemicals and effective personal protection usage by pesticide application personnel. Results from a survey of over 200 respondents, representing workers on, and owners of, farms either within or outside a local farmer’s association (FA), suggest that FA membership raises standards of behaviour both in terms of safe pesticide storage and use of PPE. Age of respondents had no apparent effect on the likelihood of PPE (gloves and masks) use. PPE use was, however, highest among respondents with more advanced educational backgrounds. Positive responses for glove and mask use, when applying pesticides, were higher for owners and workers on FA farms compared to non-FA farms. Lowest reported use of PPE was amongst workers on non-FA farms. Analysis of responses appears to indicate that behaviour patterns of workers on FA farms mirror that of the farm owners. This was not the case on non-FA farms. The results suggest that conformity to social norms, in this case acceptable work-environment behaviour, is a powerful driver behind raised usage levels of PPE on farms in Oman. *Corresponding author: mikedead@squ.edu.om Keywords: pesticides, pesticide storage, personal protective equipment, socioeconomic aspects, safety, Oman 1. Introduction Previous research in Oman has suggested that membership of a local farmers’ association can bring about an apparent increase in the level of adoption of safepractice procedures related to pesticide use at the farm level (Al Zadjali et al., 2013; 2014). This appears to affect the choice of pesticide products with fewer prohibited pesticides encountered on farms that belong to a local association (Al Zadjali et al., 2014). For example, on farms within the local association 1.3% of products encountered were prohibited under local legislation compared to 4.9% on farms not in the local association (Al Zadjali et al., 2014). Similarly farms outside of the association were more likely to be using older pesticide types, especially organophosphates and pyrethroids, whilst farms within the association were more likely to be using neonicotinoid (not currently restricted in Oman) and strobin containing products (Al Zadjali et al., 2014). Membership of an association also appears to raise the level of awareness with regard to methods used for the safe disposal of pesticide waste (Al Zadjali et al., 2013). These papers by Al Zadjali et al (2013; 2014) appear to be the first, not just from Oman, but also elsewhere, to report an effect of farmers’ association membership on improved safe use of pesticides at the farm level. However, even if membership of a local association decreases the use of prohibited pesticides and improves the procedures adopted for the safe disposal of pesticide waste, changes in other aspects of pesticide use remain to be determined – in particular the use of personal protective equipment (PPE) and the safe storage of pesticide products before and after use. These are important issues given the increasing political emphasis being placed on encouraging the establishment of more local associations across the country and given that local legislation places the onus of PPE purchase on the farm owner. Previous work (Al Zadjali et al, 2013, 2014; Al Zadjali, 2014) has described in general the economic and social benefits that accrue to members of the local association. In a multi-year survey covering more than 8500 smallholder farmers in 26 countries, Matthews (2008) found that the highest proportion of those applying pesticides but declining to use some elements of PPE was in Asian countries, with Bangladesh being the highest. The reasons for low uptake of PPE adoption in countries such as Bangladesh are unclear but could have important ramifications for Oman where nationals from this country make up the overwhelming majority of farm workers (Al Zadjali et al., 2013). The likely reasons for low use of PPE have been classified into four main strands by Feola and Binder (2010). First, socio- demographic factors such as age, education and gender and/or socio-economic factors such as income and education status (Salameh et al., 2004; Mekonnen and Agonafir, 2002) may be disincentives to PPE use. Second, the significant cost may limit farmers’ access to equipment, especially for smaller scale farmers (Yassin et al, 2002; Matthews, 2008). Feola & Binder’s (2010) third strand suggests the importance of contingent and/or external factors such as pesticide label information accessibility (Gomes et al., 1999; Waichmann et al., 2007) and discomfort felt by those working in the field (Cole, et al., 2002); this may be important in Oman where temperatures during the growing season can reach 40oC. The fourth strand identified by Feola and Binder (2010) include personal values and cultural orientation influencing risk perception (Palis et al., 2006). Feola and Binder (2010) raise a further category of factors influencing PPE use – social norms including peer pressure. Citing influences such as symbolic sanction (including mockery) it has been suggested that these factors might, through social conformity, work against the use of protective equipment (Feola and Binder, 2010). In the current study the presence of a recently constituted local farmers’ association in the northern part of Oman (Al Zadjali et al., 2013) provides the opportunity to examine a further factor related to social norms, namely employer pressure or expected behaviour norms applied to workers. The extent to which workers on farms conform to behaviour patterns prescribed by farm owners could provide insights into further mechanisms by which PPE use could be increased. In effect, is there evidence to suggest that membership of a farmers association, and the various factors that may be associated with that such as exposure to information, training and 'peer' pressure, results in enhanced use of PPE amongst farm workers employed by farm owners? While at first glance this covers similar drivers to those noted by Feola and Binder (2010) it raises the important issue of targeting. If farm owners become convinced over the need for PPE then can they not override the constraints to PPE adoption that one may see amongst farm workers? To date this potentially important contribution has not been explored in the literature. 2. Materials and methods A detailed description of the study area has been given by Al Zadjali et al. (2013; 2014). The study was based within the Al-Batinah region since it represents the most important agricultural region of Oman and has similarities in terms of crop production methods to much of the region (Al Zadjali, 2014). From 171 farms randomly selected from those listed in the agricultural census database in Al-Batinah North and South governorates, face to face interviews were carried out between January and November 2012 (but excluding the May – September summer months when agricultural activities are minimal). A structured questionnaire was implemented with 213 farm worker and farm owner respondents. Respondents were divided into those from farms belonging to the recently constituted FA and those from non-FA farms. Within each group the respondents were divided into workers and owners in roughly equal proportion. 'Owners' here are defined as those who actually own the farm and derive the benefits from selling produce. They may not necessarily be resident on the farm, but they are the ones who may become members of a farmers association. 'Workers' are in essence the labourers who work and, in most cases, live on the farm. The worker respondents were represented by the ‘foreman’ or senior- most labourer present (Al Zadjali et al., 2013; 2014). The workers cannot become members of a farmers association, only the owners. Thus there were four categories of respondent in total: (a) FA - farm owner (b) FA - farm worker (c) Non-FA - farm owner (d) Non-FA - farm worker The emphasis of the survey was to determine the level of adherence to safety procedures related to pesticide storage, pesticide application and the use of personal protective equipment. Exploring differences in attitude between the owners of the farm – those with the responsibility it might be thought to supply guidelines for safe pesticide use and provision of personal protective equipment, and those employed as essentially migrant workers – those with the responsibility for pesticide application procedures and ultimately for deciding whether or not to implement safety procedures including the use of protective equipment, was a key objective of the survey. General questions about farm size and labourer’s nationality were included. Farms were grouped into sizes classes as very small (<2.5 ha), small (2.6 - 5.0 ha), small – medium (5.1 – 10.0 ha), medium (10.1 – 15.0 ha), medium - large (15.1 – 30.0 ha) and large (> 30.0 ha). Information on respondents’ age and education status were also included so as to explore differences between the FA and non-FA categories and how this might explain any differences in knowledge and practice. The questionnaire was semi-structured in nature. For question on pesticide storage, responsibility for pesticide application and types of clothing worn during application respondents were given prepared lists of key words (see Table 1) and asked to indicate their response. Two additional Likert scale questions were also included to determine the supply/use of specific pieces of personal protective equipment, namely facemasks and gloves. No attempt was made to distinguish types of gloves or masks at this stage. Data were analysed for significant differences in response to Likert scale questions using the Kruskal-Wallis test for mean rank separation with P<0.05 taken to indicate a significant difference between mean ranks. Where significant differences in respondent group mean rank were indicated (P<0.05), individual mean rank values were separated by calculating the z-value for the threshold of significance using the method of Gwet (2011) implemented for Microsft Excel 2010. 3. Results 3.1 Sample description The profile of the sample, average farm size and average respondent age has been described elsewhere (Al Zadjali et al., 2013; 2014). Briefly, the 213 respondents were distributed between FA farm workers (52), FA Farm owners (54), non-FA farm workers (51) and non-FA farm owners (56). All respondents were male. Among the farm workers, Bangladeshi nationals represented the largest group in both FA and non-FA farms (87 in total, 87% of workers and 40.8% of all respondents). All owners of FA and non-FA farms were Omani nationals. Farm size varied from less than 1 ha to over 500 ha, with an average of 16.8 ha. There were generally more very small and small farms within the non-FA group, whilst the FA group had more farms within the medium – large and large size classes (Supplementary Table 1). The age profile of the respondents is shown in Supplementary Table 1. Respondent were aged between 23 and 72 years with an average of 44.1. Workers (mean 39.7) and owners (45.5) on FA farms were generally younger than those on non-FA farms (40.1 and 50.1 respectively for workers and owners) and workers (39.9) were generally younger than owners (47.9). The educational background of the respondents is shown in Supplementary Table 1. A considerable proportion of the respondents had no formal education (44, 20.7%) or had just elementary education (70, 32.9%). Thirty one respondents (14.6%) were educated to a tertiary level. Workers from FA farms generally had higher levels of education than those from nonFA farms, and owners of farms belonging to the FA generally had a higher level of education than owners of non-FA farms. 3.2 Safety issues related to pesticide use When respondents were asked about the place of storage of pesticides prior to use all workers and owners from FA farms who responded reported that agrochemicals were stored in a dedicated area on the farm (Table 1). In contrast, on non-FA farms 60.8% of workers and 23.2% of owners reported that pesticides were stored within the building used for accommodation by the workers themselves. The discrepancy between the information provided by workers and owners might suggest either that owners are unaware of the location of pesticide storage, or that they are reporting that pesticides are stored in a separate place whilst the reality might be different. For non-FA farms as farm size increased the proportion of farms using dedicated pesticide storage facilities increased from 40.0% (very small size class) to 58.0% (medium size class) and 100% (large size class). << TABLE 1 NEAR HERE >> When asked who applies pesticides on the farm, 63.5% of workers on FA farms reported that identifiable key workers were assigned this duty. This is lower than the result obtained from FA farm owners where 81.5% of owner respondents indicated that only key workers apply pesticides. This time it is possible that owner respondents were inflating the apparent likelihood of pesticide application responsibilities being assigned to specific individuals (Table 1). On non-FA farms, the reported level of pesticide application duties being assigned to specific individuals was broadly similar for workers (31.4% of respondents) and owners (33.9%). Workers on FA farms were more likely to wear specified items of protective clothing (Table 1). In each case, workers on FA farms reported a greater use of overalls, hats and boots; goggles or glasses appeared to be more widely used by workers on non-FA farms than by those on FA farms. Amongst the farm owner respondents, the reported use of personal protective clothing was, in all cases, higher for FA farm owners than for non-FA farm owners (Table 1). Again there was a discrepancy between the reported use of protective clothing by FA farm workers and the supply of such equipment by FA farm owners. For overalls, hats and goggles/glasses the reported supply by owners was higher than the actual reported use by workers. Either equipment is supplied and not used or owners of FA farms are exaggerating the level of supply to their workers. Interestingly, the discrepancy between supply and use of protective clothing was lower for non-FA farms (Table 1). The results of the first of two specific Likert-scale questions concerning personal protective equipment are shown in Table 2. Kruskal-Wallis analysis of mean rank showed significant differences between the four groups (H = 70.81, P < 0.0001). Asked about the use of facemasks by those applying pesticides, similar responses were obtained from workers and owners on FA farms, with a large majority of respondents indicating that facemasks are always (13/47 for workers and 24/53 for owners) or usually (32/47 for workers, 25/53 for owners) worn. In contrast there was a discrepancy in the responses obtained on non-FA farms (Table 2). The majority of non-FA farm owners reported that facemasks are usually (22/56) or sometimes (20/56) worn. Workers on non-FA farms however mostly reported that facemasks are sometimes (10/51) or never (26/51) worn. Here it appears that owners of non-FA farms may be inflating the reported supply or usage of personal protective equipment. It is also possible that facemasks are supplied but workers decline to use them. << TABLE 2 NEAR HERE >> In order to determine whether response to the question about facemask supply/use was affected by age, each group of respondents was sub-divided into age class cohorts (Supplementary Table 2). No significant differences in mean rank were observed in either the farm worker or farm owner groups of FA and non-FA farms even though in all groups except the FA farm owners, mean rank was higher amongst the older cohorts suggesting a increasing commitment to protective equipment with increasing age. In a similar way respondents from each of the four groups were separated according to the highest level of education reported (Supplementary Table 3). Except in the case of the FA farm owners, mean rank was highest with increasing levels of education, suggesting a greater commitment to personal protective equipment. The differences in mean rank within the non-FA farm workers and owners were significant (P < 0.05, Supplementary Table 3) and in both cases those with no education showed the lowest mean rank (lowest commitment to protective equipment). The second Likert-scale question concerned the use/supply of gloves by those applying pesticides (Table 3). There were significant differences in mean rank of the Likert-scale responses between the four groups. The lowest mean rank, and thus lowest level of commitment to the use of gloves was shown by non-FA farm workers; the highest mean rank was shown by FA farm owners, significantly different from the other groups (H = 66.00, P < 0.0001); FA farm workers and non-FA owners showed intermediate responses. << TABLE 3 NEAR HERE >> As with the first Likert-scale question, each of the respondent groups were divided into age cohorts and each was analysed using the Kruskal-Wallis method for mean rank separation (Supplementary Table 4). There were no significant differences in mean rank within increasing cohort age for any of the four groups. Only in the case of FA farm workers did mean rank appear to increase with age suggesting an increasing commitment to glove use. When the four groups of respondents were each divided into education status cohorts, significant differences were observed within the non-FA farm workers and owners, but not within the FA farm workers and owners (Supplementary Table 5). Within both the non-FA farm workers and non-FA farm owners mean rank increased with education level indicating a greater commitment to the use of gloves. Although no significant differences were observed for the FA farm groups, in the case of the FA farm workers mean rank increased with education status, suggesting that those with higher levels of education showing a greater commitment to the use of gloves. The effect of farm size on PPE use was not clear. Although Kruskal-Wallis analyses indicated a significant difference in mean rank of the Likert responses concerning glove and mask use between different farm size groups, this was only true for the complete sample, i.e. FA and non-FA farms combined (Hmasks = 18.4, P = 0.002; Hgloves = 13.1, P = 0.02). Identification of specific farm size class, pair-wise differences using the Gwet (2011) methodology was not possible either for within whole sample or, naturally given P > 0.05 for both masks and gloves, within the specific FA/non-FA – worker/owner categories. 4. Discussion The farm-based survey showed some worrying responses about the storage of pesticides. Although on FA farms all respondents, owners and workers stated that pesticides are stored in a separate place (with many actually indicating a specific a pesticides store), and observation tends to support these answers, on non-FA farms over 60% of workers said that pesticides are stored in their living quarters (Table 1). Observation suggests that these quarters are both the places where workers prepare food and eat as well as where they sleep, and the storage of pesticide in this space is clearly a significant concern. Amongst non-FA farm owners 22% stated that pesticides are stored within the living quarters. The discrepancy might be the result of workers taking short-cuts and storing these products close at hand or in the most secure place on the farm. Alternatively, it could simply be that the owners are unfamiliar with the practices on their farms or perhaps are trying to give the best 'spin' they can on what they think is happening. Farm size does appear to influence pesticide storage practices, on smaller farms pesticides are more likely to be stored within farm workers’ accommodation building; this is perhaps because such smaller farms are unlikely to have either the space or the financial resources to provide separate storage facilities. Nonetheless, a major concern and common theme for nonFA farms is that owners do not appear to be fully aware of practices being done on their farms by their employees. Previous studies have examined the storage of pesticides. For example, Matthews (2008) reported that in many developing countries pesticides are stored in the living quarters, perhaps because here they are considered safe from theft. In India Weinberger and Srinivasan (2009) found that the education status of farm worker respondents had an effect on the stated storage site of pesticides; those with primary education were more likely to store pesticides in their accommodation compared to those with secondary education who were more likely to use a farm shed for storage. The importance of education with regard to pesticide use is no surprise. In a study of the language and literacy barriers to health and safety training of agricultural workers in the USA, Arcury et al. (2010) state that a lack of education affects work- related health and safety training in three ways: (1) workers have limited literacy skills, (2) such workers lack the skills needed for learning and (3) their ability to learn complex concepts is limited. In the current context one might imagine that a lack of education would limit their ability to understand pesticide labels (including storage and PPE use information), follow instructions related to disposal of pesticides (Al Zadjali et al., 2013) and conceptualize the consequences of poor pesticide usage practices, including ill-health (Palis et al., 2006). Clearly, this group should be a particular target for future outreach activities to increase their skills base. Amongst the questions asked about the use of PPE the responses to questions about the use of gloves and the use of masks were similar and in both cases showed clear differences between those on FA farms and those on non-FA farms. Summing positive responses (always use gloves/masks plus usually wear gloves/masks), Table 2 gave an indication that, amongst FA farm workers, a clear majority use PPE (94% for masks and 88% for gloves). This was similar for FA farm owners where use was stated to be 90% and 88% for masks and gloves respectively). Interestingly, about 50% of non-FA farm owners stated that PPE is used by those that apply pesticides; in contrast, worker responses on these farms indicated PPE uptake of only approximately 25%. Worryingly, it is possible that respondents are over stating the use of PPE. In the current report no further examination of glove or mask types is presented, rather it will be the subject of further detailed studies as will the reasons for non-use of gloves and masks such as discomfort caused by high prevailing temperatures (Cole et al., 2002). Education status was a stronger determinant of the use of personal protective equipment than age or experience; the effect of farm size is unclear but would warrant further study. Those with a higher level of education were more likely to use masks and gloves when mixing and applying pesticides than those with no education or education only to primary level. Weinberger and Srinivasan (2009) found that, in India, education to secondary level reduced the apparent spurning of personal protective equipment relative to those with only primary education. In Mexico Blanco-Muñoz and Lacasaña (2011) reported that the use of gloves while mixing pesticides was more frequent among workers who had completed high school (36.36%) whereas amongst those who had a lower education level glove use was lower (5.56%). Similarly, the use of a mask was more frequent among those with a higher education level (27.27% versus 0% for those with lower education status). In the current study, however, it was also apparent that the education status of workers on FA farms was higher than those on non-FA farms. Indeed owners of FA farms appear to preferentially hire workers with better educational backgrounds (Al Zadjali, 2014). Consequently it may be difficult to disentangle the relative importance of place of work (FA/non-FA farm) and education on PPE uptake. However, it is considered likely that, as Feola and Binder (2010) point out, social norms were important given that workers on FA farms were expressing behaviour patterns similar to the owners of those farms but that this was not the case on non-FA farms where stated use of PEE was different between workers and owners (Table 1). From the current study it is not possible to claim per se that membership of an FA has an impact on pesticide storage practices and uptake of PPE as owners of FA farms could also be those who had such knowledge in the first place or show a greater willingness to learn about the consequences of poor pesticide usage practices. The FA could act as a magnate to attract farmers who are more environmentally aware rather than changing farmer behaviour. Thus membership of an FA could be more of an indicator of such awareness rather than a driver. Nonetheless it is apparent that the attitudes of more enlightened owners are reflected in the behaviour patterns of those who work on their farms, and this is an important contribution. It suggests that extension services should concentrate their PPE awareness raising activities on owners, especially those that are not members of an FA. Given that the use of living quarters for storing pesticides, as well as the poor use of protective equipment, poses such a high level of risk for farm workers these are vital issues that need to be addressed in Oman. 5. Conclusion Research was conducted to explore differences among farm types in the safe storage of pesticides, the identification of key individuals responsible for pesticide applications and the use of personal protective equipment (PPE) by pesticide applicators. Safety standards for pesticide storage on farms in northern Oman are poor. Pesticides are frequently stored within the living accommodation of farm workers. The application of pesticides is frequently performed by any available worker rather than a dedicated responsible individual. The level of use of PPE is low. Differences emerged between farms within a local farmer’s association (FA) and farms not in the association. On FA farms pesticides were seldom stored within the accommodation of the farm workers, identifiable individuals were frequently assigned pesticide application duties and the level of PPE use was high. In all cases opposite responses were most frequent on non-FA farms. Respondent age had little effect on PPE use although a higher education status appeared to bring a higher level of PPE use. Responses from workers on FA farms, unlike those on non-FA farms, were similar to those elicited from farm owners. Responses from workers on FA farms were different from those of workers on non-FA farms. This would appear to indicate that behaviour is being modified by the social and working environment where standards set by farm owners become powerful driving forces for improved safety levels on farms. This provides important evidential support for policy vectors given the institutional encouragement of nascent farmer associations in additional regions of the country. Conflict of interest The authors declare no conflict of interest. Appendix A. Supplementary data Supplementary data to this article can be found online at References Al Zadjali SAI. Knowledge Diffusion, Pesticide Related Decision-Making and the Farming Community of Northern Sultanate of Oman. PhD Thesis UK: University of Surrey; 2014: 271 pp. Al Zadjali S, Morse S, Chenoweth J, Deadman M. Disposal of pesticide waste from agricultural production in the Al Batinah region of Northern Oman. Science of the Total Environment 463-464; 2013: 237–242. Al Zadjali S, Morse S, Chenoweth J, Deadman M. Factors determining pesticide use practices by farmers in the Sultanate of Oman. Science of the Total Environment 476–477; 2014: 505–512. Arcury TA, Estrada JM, Quandt SA. Overcoming language and literacy barriers in safety and health training of agricultural workers. Journal of Agromedicine 2010; 15: 236–248. Blanco-Muñoz J, Lacasaña M. 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Weinberger K, Srinivasan R. Farmers' management of cabbage and cauliflower pests in India and their approaches to crop protection. Journal of Asia Pacific Entomology 2009; 12: 253-259. Yassin MM, Abu Mourad TA, Safi JM. Knowledge, attitude, practice, and toxicity symptoms associated with pesticide use among farm workers in the Gaza Strip. Occupational and Environmental Medicine 2002; 59: 387-393. Table 1 Storage of pesticides, responsibility for pesticide application procedures and use of personal protective clothing reported by farm workers and farm owners in Al-Batinah region of northern Oman. Figures are the percentage of respondents who reported a particular practice (no response figures are excluded). Workersa FA Ownersa Non-FA FA Non-FA 0.0 60.8 0.0 23.2 96.2 39.2 100.0 69.6 Where are pesticides stored prior to use? Worker accommodation Separate place Who has responsibility for the application of pesticides? Identified key workers Any available worker 63.5 31.4 81.5 33.9 36.5 66.7 16.7 57.1 What clothing does the pesticide applicator wear when spraying pesticides? Normal clothes 88.5 80.4 74.1 80.4 Overalls 23.1 13.7 25.9 3.6 Hat 19.2 2.0 27.8 1.8 Boots 40.4 3.9 33.3 10.7 Glasses/goggles 3.8 15.7 24.1 16.1 a: Data excludes those who gave no response Table 2 Answers to the question “Is a facemask used by those applying chemical pesticides?” from respondents on farms in Al-Batinah Governorates surveyed for pesticide use. Response frequency workers Response frequency owners Response (score) FA Non-FA FA Non-FA Always (5) 13 5 24 7 Usually (4) 32 8 25 22 Sometimes (3) 2 10 5 20 Rarely (2) 0 2 0 2 Never (1) 0 26 0 1 No responsea 5 0 1 4 N, excluding no responses 47 128.17a Mean rank a: excluded from Kruskal-Wallis analysis. b b: 51 53 56 53.31c 136.48a 92.25b values with no letter in common are significantly different, see Gwet (2011). Table 3 Answers to the question “Are gloves used by those applying chemical pesticides?” from respondents on farms in Al-Batinah Governorates surveyed for pesticide use. Response frequency workers Response (score) Response frequency owners FA Non-FA FA Non-FA Always (5) 8 5 23 7 Usually (4) 38 8 25 20 Sometimes (3) 5 10 5 21 Rarely (2) 0 2 1 3 Never (1) 0 26 0 1 No responsea 1 0 1 4 N, excluding no responses 51 124.04bc Mean rank a: excluded from Kruskal-Wallis analysis. b b: 51 54 56 56.08a 140.77c 95.16b values with no letter in common are significantly different, see Gwet (2011). Supplementary Table 1 Farm size distribution and age and education background of respondents from farms in Al-Batinah Governorates surveyed for the supply and use of personal protective equipment. Farmer Association members Area (ha) Farm size class Very small Small Small-medium Medium Medium-large Large Mean farm area (ha) Whole sample Respondent age (years)a Owner Worker Highest education level gained Owner <2.5 2.6 – 5.0 5.1 – 10.0 10.1 – 15.0 15.1 – 30.0 >30.0 Number Mean area (ha) 1.7 3.9 7.1 12.0 21.3 54.3 5 15 21 22 29 14 Non-Farmer Association members Number Mean area (ha) 1.6 3.8 7.4 11.8 21.7 182.6 11 30 34 17 10 5 17.5 16.0 20-29 30-39 40-49 50-59 60-69 70-79 20-29 30-39 40-49 50-59 60-69 70-79 5 13 15 14 7 0 0 24 22 2 0 0 1 2 24 24 4 1 3 29 13 4 2 0 None 3 6 7 14 19 11 6 33 9 2 2 22 9 8 11 29 8 2 5 7 Elementary Grade 8 Grade 9 Higher Worker None Elementary Grade 8 Grade 9 Higher a: 4 workers from FA farms refused to give or did not know their age. Supplementary Table 2 Kruskal-Wallis analysis of mean rank of responses to the question “Is a facemask used by those applying chemical pesticides?” based on age classes within each of the respondent groups. Mean rank workers Age class FA 20-29 Mean rank owners Non-FA FA 21.00 37.60 Non-FAb 30-39 22.71 23.16 28.88 13.00 40-49 24.93 28.88 23.53 25.14 50-59 29.75 32.75 29.18 27.30 27.50 22.86 23.25 60-69 70-79 Ha 0.99 3.13 4.78 2.25 P 0.608 0.536 0.311 0.522 a: tie corrected Kruskal-Wallis statistic. b: only one respondent for the 20-29 and 70-79 age classes, excluded from Kruskal-Wallis analysis. Supplementary Table 3 Kruskal-Wallis analysis of mean rank of responses to the question “Is a facemask used by those applying chemical pesticides?” based on education status levels within each of the respondent groups. Mean rank workers Mean rank owners FA Non-FAb FA Non-FAb None 21.42 16.07a 34.33 20.50a Elementary 25.12 33.50b 15.86 22.07a Grade 8 29.69 37.50b 27.43 24.44ab Grade 9 20.50 39.70b 30.11 30.25ab Higher education 45.00 45.50b 28.64 39.33bc Ha 7.47 37.83 6.13 11.36 P 0.113 < 0.001 0.190 0.02 Education class a: tie corrected Kruskal-Wallis statistic. b: values with no letter in common are significantly different, see Gwet (2011). Supplementary Table 4 Kruskal-Wallis analysis of mean rank of responses to the question “Are gloves used by those applying chemical pesticides?” based on age classes within each of the respondent groups. Mean rank workers Mean rank owners Age class FA 20-29 Non-FA FA 32.83 38.20 Non-FAb 30-39 20.94 23.26 28.23 14.50 40-49 26.64 28.04 22.80 26.05 50-59 33.00 33.13 29.93 26.63 28.00 23.71 21.63 60-69 70-79 Ha 4.61 3.30 4.42 1.83 P 0.100 0.510 0.251 0.609 a: tie corrected Kruskal-Wallis statistic. b: only one respondent for the 20-29 and 70-79 age classes, excluded from Kruskal-Wallis analysis. Supplementary Table 5 Kruskal-Wallis analysis of mean rank of responses to the question “Are gloves used by those applying chemical pesticides?” based on education status levels within each of the respondent groups. Mean rank workers Mean rank owners FA Non-FAb FA Non-FAb None 17.58 16.26a 35.00 18.42a Elementary 25.24 32.56ab 16.86 21.64a Grade 8 27.56 38.00ab 26.93 25.44ab Grade 9 36.00 40.20b 30.84 31.19ab Higher education 47.50 45.29b 27.18 40.00b Ha 12.35 37.01 5.79 13.50 P 0.015 < 0.001 0.215 0.009 Education class a: tie corrected Kruskal-Wallis statistic. b: values with no letter in common are significantly different, see Gwet (2011).