Work-related injury and ill-health among mountain instructors in the UK

In most industrialised countries, work-related injury and ill-health presents a major burden to society. Musculoskeletal disorders and stress are the most common reported illness types with those working in some industries more at risk than others. This study aimed to understand the occupational health issues of those working as mountain instructors in the outdoor sector within the UK and to identify the cultural norms and behaviours among this unique occupational group which influence health. Semi-structured, telephone interviews were conducted with 20 qualified mountaineers to gain information on work-related injury and ill-health. The majority of interviewees reported a current work-related musculoskeletal problem. Key factors were identified which prevented effective rehabilitation, including; a ‘macho’ attitude among young instructors, self-imposed extended working hours/days and mismanagement of injuries. Self-employed instructors reported that sick leave after a minor injury or illness was not financially viable. Work-related issues leading to stress were also reported.