Occupational health is a key priority for the horseracing industry, yet little research on occupational injuries exists. This study investigated the prevalence and the effect of injury in British horseracing staff during a 12-month period. An online retrospective survey was answered by 352 participants, identifying self-reported injury prevalence, injury management practices and attitudes towards workplace injury reporting. Chi Squared tests for independence were undertaken. A total of 310 (88.1%) staff reported injuries; risk factors for injury type included self-perceived job security, working hours, and perceived job control. Physical limitations, loss of confidence, workplace changes, and lifestyle implications were reported as consequences of injury. A total of 75.3% (n = 134) of staff were likely to seek time-off following fractures, but only 48.6% (n = 86) would take time-off for concussion. Attitudes towards injury management were influenced by financial circumstances, perceived staff shortages, previous injury experiences, and perceived employer expectations. The high self-reported injury prevalence could result in decreased workforce efficiency, poor physical health, and negative implications on retention and career longevity. The perception of invisible injuries, i.e., concussion, and subsequent management, should be of immediate concern to racing organizations. This paper identifies recommendations to enhance the safety and wellbeing of horseracing staff.

Due to COVID-19, horseracing was required to cease all activity in March 2020; however, little is known about the pandemic’s impact on staff working practices. This study investigated the impact of COVID-19 on staff working practices during the initial lockdown phases. An online survey about working conditions during lockdown was answered by 287 participants. Chi-squared tests for independence and binary logistic regression (BLR) analysis was undertaken. A total of 53.7% (n = 154) of staff were working during lockdown. Pandemic-specific workplace changes were reported as effective by 87.8% (n = 115) of staff. Flat grooms reported workplace changes as less effective (χ² (52, n = 131) = 92.996, p < 0.001). A total of 67.2% (n = 193) of staff were positive about job security. Trainers and grooms were significantly less likely to report jobs as secure (χ² (52, n = 287) = 75.653, p < 0.05). The findings suggest that most of the racing industry positively received changes made by their employers to tackle the pandemic, and for staff still working during lockdown, their health and safety was prioritised. Continued development of employee support structures to promote job security and workforce stability is advised, which will minimise the disruption of staff changes on the care and welfare of the horses.

Equestrian sport is considered a high-risk environment for equine injury. Due to the close bond between horse and rider, it could be theorised that riders may be impacted psychologically by their horses’ injuries, as seen in athletic pairs and with companion animal ownership. The extensive time commitment and responsibility of care within equestrian sport means that horse riders’ day-to-day life is impacted in a way not seen in other sporting or leisure environments, thus providing a unique opportunity to investigate the psychological responses of riders to their horse’s injury. The aims of this study were to investigate the psychological responses that amateur riders experienced when their horses were injured. 308 amateur horse riders (16 male and 292 female, median age 25-30 category) completed the Psychological Response to Sport Injury Inventory (19-item) (PRSII) and questions regarding demographics, investment in equestrian sport, the horse’s injury and the length of rehabilitation. Devastation was significantly affected by the weekly time investment of riders (H(3)=8.255, P=0.041) and the length of ownership prior to the injury (H(2)=7.690, P=0.021). ‘Devastation’, ‘feeling cheated’, ‘restlessness’ and ‘isolation’ were all significantly affected by the length of rehabilitation for the horse (H(7)=70.825, P=0.000, H(7)=37.799, P=0.000, H(7)=37.799, P=0.004, and H(7)=27.486, P=0.000, respectively). These findings suggest that amateur horse riders are at risk of psychological distress when their horse becomes injured. Whilst the industry has developed strategies to support owners following euthanasia which are already in place, psychological support following horse injury may be necessary to buffer psychological ‘devastation’ within amateur horse owners.

Sport is considered a high-risk environment for athletes sustaining injury. Athletes are known to experience negative psychological responses to injury, which can destabilise identity. For athletes, identity is typically constructed around participation in sport, and after injury this identity can be threatened. Within equestrian sport, the addition of a partner athlete also at risk of injury presented a unique circumstance for investigation. The purpose of the present study was to investigate the psychological responses of elite young riders (YR) to the injury of their horses. Five riders competing internationally at YR level for dressage, show jumping and eventing were interviewed about their experiences when their horse suffered serious or career-ending injuries. Interview questions explored athletes’ careers, initial reactions to injury, coping mechanisms and return to elite competition. Thematic analysis revealed that riders re-evaluated their identity as elite athletes and experienced a significant sense of loss when their horses became injured. This appraisal of loss led to YR’s experiencing denial and guilt at the onset of injury akin to personal injury in athletes. As riders perceive the horse as part of the ‘athlete’ package, they are at heightened risk of injury-related psychological stress when compared to other individual athletes. Riders reported mixed views on common sources of social support, suggesting a need for pre-emptive coping education in addition to intervention resources within equestrian sport to minimise the psychological impact of injury, particularly at YR level.

Horseracing has identified several factors influencing staff wellbeing; however, the relationship between injury, anxiety, and depression is yet to be established. This study investigated anxiety and depression scores and their association to pain management, coping, and help-seeking behaviour in injured British horseracing staff. An online retrospective survey was completed by 175 participants, identifying injury prevalence, coping strategies, occupational risk factors, and Hospital Anxiety and Depression Scale (HADS) scores. Analysis identified 65.14% (n = 114) of staff reported anxiety scores above the threshold (≥8) and 59.52% (n = 104) of staff reported depression scores ≥8. Median anxiety and depression scores were higher for staff who viewed their employer as unhelpful (anxiety p = 0.001; depression p = 0.020). Heightened anxiety and depression were associated with an increased likelihood to use pain medication to manage at work, including non-steroidal anti-inflammatory drugs (NSAID’s), alcohol, nicotine, and prescription drugs (p < 0.05). Implications for staff wellbeing is evident; anxiety and depression risks are high following injury, which may influence help-seeking behaviour, perceived job security, and coping mechanisms. This paper suggests it is vital to continue to investigate poor mental health and injury in racing staff and the implications for equine welfare.

Horseracing stable staff have a multifaceted role, acting as care givers, skilled athletes and equine experts, resulting in inherent high emotional, physical and mental demands. Despite these demands, and reports of significant injury risk to those working in racing at ground level, there has been no research investigating the psychological risk factors for injury in UK racing stable staff and how psychological responses to injury may affect long term mental health and wellbeing. With mental health at the forefront of industry consideration, this narrative review aimed to reflect on the current literature to propose occupational, life and social stressors that may be increasing the risk of injury in racing staff. In addition, this review aims to apply current injury theory to propose whether stable staff are at heightened risk of injury mismanagement. A literature search was undertaken to investigate the psychological aspects of injury, using five search engines and the following key words: injury, psychological responses, occupational, sport and/or athlete, equestrian, horseracing, jockey, risk of injury, rehabilitation, and injury minimisalisation. Articles were selected based on relevance to review aims, and research findings were synthesised under two primary areas: predictors of injury (working hours, job security, job control, life stressors, mental health and drug misuse) and responses to injury (positive and negative responses to injury, the role of social support, rehabilitation adherence, and injury minimalisation). Whilst there are limitations to narrative reviews, this study provides a novel interpretation of injury risk and responses specific to staff working in horseracing, where injury-related challenges are currently a key focus for sector employees, managerial staff and racing organisations. Recommendations for further research have been made to direct the advancement of knowledge in the field.