Socioeconomic Status and Lifetime Risk for Workplace Eye Injury Reported by a US Population Aged 50 Years and Over
ABSTRACT To examine whether socioeconomic status, as measured by educational attainment and annual household income, is associated with lifetime risk for workplace eye injury in a large US population.
In analyses of data from the Behavioral Risk Factor Surveillance System (2005-2007, N = 43,510), we used logistic regression analysis and propensity score matching to assess associations between socioeconomic measures and lifetime risk for workplace eye injury among those aged ≥50 years.
The lifetime prevalence of self-reported workplace eye injury was significantly higher among men (13.5%) than women (2.6%) (P < 0.001). After adjusting for age, race/ethnicity, eye care insurance, health status, and risk-taking behaviors, men with less than high school education (adjusted odds ratio [OR] = 2.24, 95% CI: 1.74-2.87) or high school education (adjusted OR = 1.92, 95% CI: 1.57-2.33) were more likely to report having had a lifetime workplace eye injury than those with more than a high school education. Men with an annual household income <$15,000 were also more likely to report having had a lifetime workplace eye injury than those whose income was >$50,000 (adjusted OR = 1.44, 95% CI: 1.07-1.95). After adjusting for other factors, no statistically significant associations between education, income, and lifetime workplace eye injury were found among women.
Socioeconomic status was associated with lifetime risk for workplace eye injury among men but not women. Greater public awareness of individual and societal impacts of workplace eye injuries, especially among socioeconomically disadvantaged men, could help support efforts to develop a coordinated prevention strategy to minimize avoidable workplace eye injuries.
- [Show abstract] [Hide abstract]
ABSTRACT: Abstract Purpose: To describe the epidemiology of eye trauma presenting to a regional referral health service in New South Wales, Australia. Methods: A two-stage retrospective and prospective case series study was conducted. Patients who presented with eye trauma to Wagga Wagga Base Hospital (WWBH) emergency department (ED) during a one-year review period formed the retrospective case series (RCS). Patient inclusion was determined using Systematized Nomenclature of Medicine Clinical Terms and International Classification of Diseases 10th revision codes applied to medical records. Patients presenting with eye trauma to the WWBH ED or its ophthalmology service over a prospective 80-day study period formed the prospective case series (PCS). The main outcome measures were patient demographics, eye trauma incidence for Wagga Wagga and the Murrumbidgee region and injury details. Results: A total of 411 and 117 eye injuries were identified for the RCS and PCS, respectively. Mean age was 35.5 ± 18.6 years (RCS) and 34.1 ± 17.1 years (PCS), with male predominance (77.9%, RCS; 89.7%, PCS). The incidence of eye trauma in Wagga Wagga and Murrumbidgee was estimated from the PCS at 537.1 and 334.4, respectively, per 100,000 person-years. A large proportion of injuries were work-related (40.2% RCS, 45.8% PCS). Protective eyewear use in work-related injuries was low (27.6% RCS, 39.0% PCS). Conclusions: Eye trauma remains a significant public health concern with a high incidence in Wagga Wagga and the Murrumbidgee region. Protective eyewear compliance is low in work-related eye injuries. Patient demographic and occupational factors may be targeted to reduce the burden of disease.Ophthalmic Epidemiology 06/2014; 21(4):1-10. DOI:10.3109/09286586.2014.928825 · 1.27 Impact Factor