2013
DOI: 10.1136/oemed-2013-101653
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Contribution of health status and prevalent chronic disease to individual risk for workplace injury in the manufacturing environment

Abstract: ObjectivesAn ‘information gap’ has been identified regarding the effects of chronic disease on occupational injury risk. We investigated the association of ischaemic heart disease, hypertension, diabetes, depression and asthma with acute occupational injury in a cohort of manufacturing workers from 1 January 1997 through 31 December 2007.MethodsWe used administrative data on real-time injury, medical claims, workplace characteristics and demographics to examine this association. We employed a piecewise exponen… Show more

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Cited by 60 publications
(57 citation statements)
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“…We were unable to identify occupational factors that were significantly associated with SPD in our study, including recent occupational injury and work area. This observation is discordant with findings from studies of other occupational populations that observe a significant association between occupational injury and poor mental health [1,3,11,20,21]. However, our findings are consistent with a recent study by Lander and colleagues of a similar workforce in the US [22].…”
Section: Discussionsupporting
confidence: 86%
“…We were unable to identify occupational factors that were significantly associated with SPD in our study, including recent occupational injury and work area. This observation is discordant with findings from studies of other occupational populations that observe a significant association between occupational injury and poor mental health [1,3,11,20,21]. However, our findings are consistent with a recent study by Lander and colleagues of a similar workforce in the US [22].…”
Section: Discussionsupporting
confidence: 86%
“…Explanations for the higher injury risk owing to diabetes include potential causal pathways from the disease itself, such as hypoglycemia (when treated with insulin) and diabetes complications, e.g., impaired vision and peripheral nerve sensory impairments. However, as several other chronic diseases (e.g., coronary heart disease, depression, and asthma) have similarly indicated an association with injuries, the pathway between chronic diseases and injuries might also be nonspecific, including disease-induced fatigue or obesity, which are both prevalent in many chronic conditions (23).…”
Section: Discussionmentioning
confidence: 99%
“…Other classes of antidepressants than SSRI, such as tricyclic antidepressants, are prescribed also for indications other than depression (Beck et al 2005), and symptoms of these diseases may increase the injury risk (Vingilis & Wilk, 2012). Moreover, antidepressant use may be a marker of other pre-existing conditions, such as musculoskeletal disorders, heart disease or diabetes, which themselves can increase the injury risk (Kubo et al 2014).…”
Section: Possible Mechanismsmentioning
confidence: 99%