Relationships between Certain Individual Characteristics and Occupational Injuries for Various Jobs in the Construction Industry: A Case-Control Study

National Institute for Health and Medical Research (Inserm), Vandoeuvre-lès-Nancy Cedex, France.
American Journal of Industrial Medicine (Impact Factor: 1.59). 02/2004; 45(1):84-92. DOI: 10.1002/ajim.10319
Source: PubMed

ABSTRACT There is little published about the role of individual characteristics in occupational injuries. Construction workers have a high rate of injury; we assessed 11 personal characteristics in this professional sector.
A case-control study was conducted on 880 male workers who had had at least one occupational injury during a 2-year period and 880 controls. A questionnaire was administered by an occupational physician. Statistical analysis was made via logistic regression method.
Young age (<30 years), sleep disorders and current smoker influenced all the injuries combined. Sleep disorders and young age were common risk factors for several jobs. Physical disabilities and no sporting activity had a role in masons, and 5 years or less in present job in plumbers and electricians only. Sleep disorders influenced both the injuries with and without hospitalization; young age, current smoker, and physical disability influenced those without hospitalization only.
Young age, sleep disorders, smoking, disabilities, sporting activity, and experience influenced the occupational injuries. The risk for each worker depended on his job. Occupational physicians could inform the workers of these risks and encourage them to take remedial action.

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    • "Lower levels of physical activity may be associated with lower levels of job control (Smith, Frank, Mustard, & Bondy, 2008). In terms of sleep, one study showed a positive correlation between sleep disorders and injuries among construction workers (Chau et al., 2004). Only one study evaluated occupational sun exposure among construction workers, finding an increased relative risk of myeloid leukemia, malignant melanoma (only for tumors of the head, face, neck, and eye), and lip cancer compared to the Swedish male population in 1980 (Hakansson, Floderus, Gustavsson, Feychting, & Hallin, 2001). "
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    • "ur study highlights the fact that musculoskeletal disorders were associated with a 1 . 5 - fold higher risk whereas the other diseases had a lower risk . Musculoskele - tal disorders are more common among the workmen and are generally related to the job demands studied . The role of younger age and sex are well known ( Bhattacherjee et al . 2003 ; Chau et al . 2004a , b ; McCaig et al . 1998 ; Sprince et al . 2002 ) . Young age is associated with lack of experi - ence in job and work environment knowledge ( Chau et al . 2007 ) . The higher risk in men than in women would be explained in part by the diVerences in jobs and tasks for the same job category , and possibly by the diVerences in per - cept"
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    ABSTRACT: To assess the roles of job demands, living conditions and lifestyle in occupational injury. The sample included 2,888 workers, aged > or =15 years, randomly selected from the north-eastern France. The subjects completed a mailed questionnaire. Data were analyzed with adjusted odds ratios (ORa) computed with the logistic model. In total, 9.2% of workers had an injury during the previous 2 years. The high job demands: tasks at height, handling objects, pneumatic tools, other vibrating hand tools, work in adverse climate, physical workload, vibrating platform, machine tools, cold, heat, awkward posture, noise, hammer, and pace had crude odds ratios between 1.81 and 5.25 for injury. A strong exposure-response relationship was found between the cumulated job demands (CJD, defined by their number) and injury: OR 1.88 (95% CI 1.23-2.87) for CJD1, 4.39 (2.98-4.46) for CJD2-3, and 9.93 (6.70-14.7) for CJD > or = 4, versus CJD0. These ORs decreased to 1.68, 3.70, and 7.15 respectively, when adjusted for sex, age, and living conditions/lifestyle confounders; and to 1.54, 2.99, and 5.45 respectively when also adjusted for job category. The following factors had significant ORa: age <30 years (1.54, 1.12-2.12), male (1.64, 1.18-2.30), smoking (1.60, 1.22-2.10), musculoskeletal disorders (1.54, 1.17-2.04), and frequent drug use for fatigue (2.03, 1.17-3.53). The workmen, farmers/craftsmen/tradesmen, and foremen had a 5.7-8.7-fold while the clerks and technicians a 2.7-3.6-fold higher risk compared with upper class. The risk associated with CJD was twofold higher among the workers aged > or =40 or with frequent drug use for fatigue compared with the others. Obesity had ORa 2.05 (1.11-3.78) among the subjects aged > or =40, and excess alcohol use had ORa 2.44 (1.26-4.72) among those free of disease. This study identified a wide range of job demands and living conditions/lifestyle which predicted injury. Preventive measures should be conducted to reduce job demands and to help workers to be aware of the risk and to improve their living conditions/lifestyle.
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    • "____ ____ Dall'analisi dello studio emergono problemi sulle abitudini di vita dei lavoratori in termini di: alterazioni del sonno, aumento del consumo di vino, caffè e tè. Chau N et al., 2004 Relationship between certain individual characteristics and occupational injuries for various jobs in the construction industry: a case-controll study. "
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    ABSTRACT: RIASSUNTO. Le alterazioni delle abitudini di vita costituiscono fattori di rischio per la salute. Esse determinano da un lato un alto tasso di patologie e mortalità, e dall'altro la riduzione del rendimento lavorativo e l'aumento del rischio di infortuni, con ripercussioni rilevanti sia in termini di salute dei lavoratori che economici. Lo scopo di questo studio è di analizzare le possibili relazioni esistenti tra salute mentale e alterazione delle abitudini di vita dei lavoratori giovani attraverso una revisione della letteratura scientifica. Per quanto riguarda le abitudini di vita sono stati presi in considerazione in particolare: fumo, alcol, abitudini alimentari, assunzione di farmaci e sostanze dopanti, attività fisica e igiene del sonno. Dallo studio emerge chiaramente che esiste una correlazione tra stile di vita e salute mentale nel senso che alterazioni dello stile di vita possono determinare problematiche nella sfera mentale e viceversa. Inoltre, alcune caratteristiche proprie del lavoro possono favorire l'insorgenza di disturbi psichici e/o l'adozione di errati stili di vita che a loro volta possono ripercuotersi negativamente sull'attività lavorativa stessa. Risulta pertanto di prioritaria importanza far comprendere ai giovani lavoratori che gli errati stili di vita, correggibili, possono rappresentare un rischio per la salute e la sicurezza propria e altrui e che tale rischio può sommarsi a quelli lavorativi preesistenti. Data la stretta relazione tra salute mentale e abitudini di vita sarebbe, inoltre, auspicabile un'attenta promozione della salute mentale nei luoghi di lavoro e l'attuazione di tutte quelle misure preventive, con particolare attenzione a quelle organizzative, volte a ridurre l'insorgenza, l'aggravamento o la slatentizzazione di difficoltà psicologiche e disturbi mentali. In ambito lavorativo assume un ruolo di fondamentale importanza il medico del lavoro ed il suo rapporto con il lavoratore. Nello svolgimento della visita preventiva e periodica il medico del lavoro raccoglie informazioni dettagliate e mirate sulle abitudini dei giovani lavoratori riguardo gli abusi farmacologici, alimentari, da alcool e da fumo, il sonno e l'attività fisica e su eventuali disturbi mentali e partecipa all'informazione-formazione del lavoratore. ABSTRACT. Lifestyle's alterations are hazardous for health. On one hand they produce a high rate of mortality and disease, on the other hand they cause a reduction of work outcomes and an increase of occupational accidents with important consequences for both worker's health and his/her financial status. The aim of this study is to review the scientific literature for possible relationships between mental health and lifestyle alterations of young workers. We considered as lifestyle factors the attitudes towards: smoking, alcohol consumption, eating, use of medications and doping substances, physical activity and sleeping. From our study it clearly emerges the existence of correlation between lifestyle habits and mental health; in fact behavioural alterations can produce problems of mental health and vice versa. Furthermore, some work peculiarities can lead to psychic disturbances and/or to unhealthy habits which can themselves cause negative effects on working activity. It is very important for young workers to understand that unhealthy behaviours, which can be corrected, are hazardous in terms of health and safety for both the single worker and the collectivity and that those behaviours can enhances the other working risks. Because there is a close interaction between mental health and lifestyles, it would be necessary a careful promotion of mental health on workplaces and to take all the preventive measures, with particular regard for those related to the work organization, in order to reduce the onset, exacerbation and unmasking of mental disorders and psychological difficulties. In working environment, the occupational health physician and his relationship with the patient are of fundamental importance. During preventive and periodic medical examinations, the occupational health physician should take detailed information on young worker's habits regarding smoking, alcohol consumption, eating, physical activity, sleeping, pharmacological abuse and possible presence of mental disorders and furthermore he/she should actively take part in the information and education process of the worker.
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