Rollover protective structures, worker safety, and cost-effectiveness: New York, 2011-2017

Melvin Myers, Timothy Kelsey, Pam Tinc, Julie Sorensen, Paul Jenkins

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


Objectives. To measure cost-effectiveness of an intervention to increase retrofitting of rollover protective structures (ROPS) on tractors. Methods. Tractor overturns are the leading cause of farm fatalities. ROPS prevent these deaths. This study updates a 2011 cost-effectiveness assessment of a New York State intervention to increase use of ROPS. We subtracted intervention cost from the cost of injuries averted, then divided this figure by the number of averted injuries. We used related probabilities and costs of fatalities and injuries from published literature to calculate the program's cost-effectiveness. Results. The total cost of the injuries averted from 2007 to 2017 was $6 018 742 versus a total program cost of $1 776 608. The one-time retrofit costs will continue to prevent injuries as long as the tractors are used, generating additional (projected) future savings of $12 136 512, $15 781 027, and $18 924 818 if retrofitted tractors remain in operation 15, 20, or 25 years after their retrofit. Conclusions. Social marketing was cost-effective for reducing injuries from tractor overturns. Public Health Implications. These results indicate that the intervention model is effective from both a public health and economic standpoint and should be expanded into other states.

Original languageEnglish (US)
Pages (from-to)1517-1522
Number of pages6
JournalAmerican journal of public health
Issue number11
StatePublished - Nov 2018

All Science Journal Classification (ASJC) codes

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'Rollover protective structures, worker safety, and cost-effectiveness: New York, 2011-2017'. Together they form a unique fingerprint.

Cite this