Industry and injury related hospital contacts: a follow-up study of injuries among working men in Denmark

J Occup Health. 2010;52(3):147-54. doi: 10.1539/joh.l9115. Epub 2010 Mar 19.

Abstract

Objectives: To estimate proportions of injuries that are attributable to the work environment (excess fractions) among economically active men and to identify industries associated with an elevated injury risk.

Methods: A follow-up study was conducted among all economically active men in Denmark aged 20-59 yr 1 January 1999 (N=1,315,772) for first hospital contacts in the period 1999-2003 due to injury in five body regions. Age standardised hospital treatment ratios (SHR) were calculated by industry and excess fractions were estimated.

Results: The excess fractions by body region attributable to the work environment were: 22% (95% CI 18-26%) for lower extremities, 29% (95% CI 24-34%) for head and neck, 31% (95% CI 25-37%) for thorax, 36% (95% CI 30-43%) for upper extremities, and 39% (CI: 32-46%) for back injuries. We identified eight industries associated with significantly elevated risks for injuries to each of the five body regions. These were: "road contractors", "bricklayer, joiner, and carpentry work", "finishing (construction work)", "transport of goods", "fire service and salvage corps", "stone-works, pottery, and glass industry", "cleaning, laundries, and dry cleaners", and "slaughterhouse industry".

Conclusions: There are substantial industrial inequalities in injury rates among male workers in Denmark. The size of the inequalities differs between body regions.

MeSH terms

  • Accidents, Occupational / statistics & numerical data*
  • Adult
  • Age Factors
  • Arm Injuries / epidemiology
  • Arm Injuries / etiology
  • Back Injuries / epidemiology
  • Back Injuries / etiology
  • Confidence Intervals
  • Craniocerebral Trauma / epidemiology
  • Craniocerebral Trauma / etiology
  • Denmark / epidemiology
  • Emergency Service, Hospital / statistics & numerical data
  • Follow-Up Studies
  • Humans
  • Leg Injuries / epidemiology
  • Leg Injuries / etiology
  • Male
  • Middle Aged
  • Neck Injuries / epidemiology
  • Neck Injuries / etiology
  • Occupational Health
  • Odds Ratio
  • Poisson Distribution
  • Thoracic Injuries / epidemiology
  • Thoracic Injuries / etiology
  • Workplace / standards
  • Wounds and Injuries / epidemiology*
  • Wounds and Injuries / etiology
  • Young Adult