A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China
OBJECTIVE: The aim of this study was to quantify potential transient risk factors for occupational acute hand injury among hospitalized workers in the People’s Republic of China (PRC). METHODS: Participants were recruited from 11 medical facilities in 3 cities of the PRC. A face-to-face interview wa...
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Nordic Association of Occupational Safety and Health (NOROSH)
2012-03-01
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doaj-3fa6ea28ec5d42dbbf43229b60621f842021-04-22T09:20:56ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2012-03-0138216317010.5271/sjweh.32623262A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of ChinaKezhi Jin0David A LombardiTheodore K CourtneyGary S SorockMingqiang LiRong PanXiaorong WangJie LinYouxin LiangMelissa J PerryDepartment of Occupational Health, School of Public Health, Fudan University, 138 Yi Xue Yuan Road, Box 288#, Shanghai, People’s Republic of China, 200032.OBJECTIVE: The aim of this study was to quantify potential transient risk factors for occupational acute hand injury among hospitalized workers in the People’s Republic of China (PRC). METHODS: Participants were recruited from 11 medical facilities in 3 cities of the PRC. A face-to-face interview was used to collect information on the occurrence of 8 potential risk factors within a 90-minute time period before an acute traumatic hand injury and during a control period within the month before the injury. The reliability of reporting transient risk factors was assessed, and a case-crossover design was used to estimate the injury incidence risk ratio (IRR) of each risk factor. RESULTS: In total,703 hospitalized workers completed the interview (527 male, 176 female), with a mean age of 31.8 [standard deviation (SD) 10.3] years. The median time interval between injury and interview was four days. Thirty percent of participants had a crush injury and 25.7% had an amputation. Using malfunctioning machinery/tools/material, performing a task with a different method, working overtime, and wearing gloves were found to have good reliability in test-retest examination [intra-class correlation coefficient (ICC)>0.9]. The IRR of a hand injury were markedly increased while using malfunctioning machinery/tools/material [110.4, 95% confidence interval (95% CI) 97.4–125.2], performing a task with a different method than usual (84.3, 95% CI 67.7–105.1), or being distracted (69.6, 95% CI 57.9–83.7). Gender and size of company were associated with differences in glove usage. CONCLUSIONS: The results suggest the importance of transient, potentially modifiable factors in the etiology of occupational acute hand injury in the PRC. Regular maintenance of machinery/tools, work practice controls, and avoiding distractions should be priorities for reducing the risk of occupational acute hand injuries. https://www.sjweh.fi/show_abstract.php?abstract_id=3262 chinacase-crossover studyhospitalizationrelative riskrelative riskhand injuryacute traumatic hand injurypeople republic of chinaoccupational injury epidemiologytransient risk factorreliability |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kezhi Jin David A Lombardi Theodore K Courtney Gary S Sorock Mingqiang Li Rong Pan Xiaorong Wang Jie Lin Youxin Liang Melissa J Perry |
spellingShingle |
Kezhi Jin David A Lombardi Theodore K Courtney Gary S Sorock Mingqiang Li Rong Pan Xiaorong Wang Jie Lin Youxin Liang Melissa J Perry A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China Scandinavian Journal of Work, Environment & Health china case-crossover study hospitalization relative risk relative risk hand injury acute traumatic hand injury people republic of china occupational injury epidemiology transient risk factor reliability |
author_facet |
Kezhi Jin David A Lombardi Theodore K Courtney Gary S Sorock Mingqiang Li Rong Pan Xiaorong Wang Jie Lin Youxin Liang Melissa J Perry |
author_sort |
Kezhi Jin |
title |
A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China |
title_short |
A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China |
title_full |
A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China |
title_fullStr |
A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China |
title_full_unstemmed |
A case-crossover study of work-related acute traumatic hand injuries in the People’s Republic of China |
title_sort |
case-crossover study of work-related acute traumatic hand injuries in the people’s republic of china |
publisher |
Nordic Association of Occupational Safety and Health (NOROSH) |
series |
Scandinavian Journal of Work, Environment & Health |
issn |
0355-3140 1795-990X |
publishDate |
2012-03-01 |
description |
OBJECTIVE: The aim of this study was to quantify potential transient risk factors for occupational acute hand injury among hospitalized workers in the People’s Republic of China (PRC). METHODS: Participants were recruited from 11 medical facilities in 3 cities of the PRC. A face-to-face interview was used to collect information on the occurrence of 8 potential risk factors within a 90-minute time period before an acute traumatic hand injury and during a control period within the month before the injury. The reliability of reporting transient risk factors was assessed, and a case-crossover design was used to estimate the injury incidence risk ratio (IRR) of each risk factor. RESULTS: In total,703 hospitalized workers completed the interview (527 male, 176 female), with a mean age of 31.8 [standard deviation (SD) 10.3] years. The median time interval between injury and interview was four days. Thirty percent of participants had a crush injury and 25.7% had an amputation. Using malfunctioning machinery/tools/material, performing a task with a different method, working overtime, and wearing gloves were found to have good reliability in test-retest examination [intra-class correlation coefficient (ICC)>0.9]. The IRR of a hand injury were markedly increased while using malfunctioning machinery/tools/material [110.4, 95% confidence interval (95% CI) 97.4–125.2], performing a task with a different method than usual (84.3, 95% CI 67.7–105.1), or being distracted (69.6, 95% CI 57.9–83.7). Gender and size of company were associated with differences in glove usage. CONCLUSIONS: The results suggest the importance of transient, potentially modifiable factors in the etiology of occupational acute hand injury in the PRC. Regular maintenance of machinery/tools, work practice controls, and avoiding distractions should be priorities for reducing the risk of occupational acute hand injuries. |
topic |
china case-crossover study hospitalization relative risk relative risk hand injury acute traumatic hand injury people republic of china occupational injury epidemiology transient risk factor reliability |
url |
https://www.sjweh.fi/show_abstract.php?abstract_id=3262
|
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