Occupational risk factors and back injury.

Twenty-one risk factors affecting laborers in manual materials handling tasks were analyzed to determine what, if any, statistically significant relationships existed between the factors and the emergence of occupational back injury. The statistically significant risk factors (p ≤ .05) in the univariate analysis were determined to be weight lifted per hour (work intensity), trunk twists per hour, weight lifted per day, frequency of lift, trunk motions per hour, and trunk flexions per hour, with odds ratios (ORs) of 1.28-2.88. In addition, self-reported discomfort in the neck, middle back, knees, and lower back was associated with the outcome of back injury (p ≤ .05, OR 1.75-2.66). In the multivariate analysis, the statistically significant risk factors (p ≤ .05) were weight lifted per hour (work intensity), average weight of lift, and number of trunk twists per hour, with ORs of 1.74-4.98.

Personal and non-occupational risk factors and occupational injury/illness.

BACKGROUND: The materials handling industry performs is an essential function in the world economy, however, it is plagued with occupationally related injuries and illnesses. Understanding the risk factors may assist this industry in alleviating these injuries and illnesses, as well as their associated costs. METHODS: Forty-eight personal and non-occupational risk factors were measured and evaluated for statistically significant relationships with occupational injury in 442 volunteer manual material handlers who worked for three different companies, at nine US locations, with 15 different job descriptions. OSHA 200 logs were used to ascertain evidence of occupational injury within this population for 1 year after the testing and measurement was completed. RESULTS: Higher occurrences of injury were significantly associated with six risk factors in the univariate model (odds ratios 1.51-4.00). The significantly (P < 0.05) related risk factors in the univariate model were aerobic power, smoking status, perceived fitness level, fishing/hunting as a hobby, speed limit obeyance, and witnessing or being involved in a violent fight. In the multivariate analysis, five risk factors (aerobic power, smoking status, percent body fat, body mass index, and sit-and-reach measured flexibility) were significantly (P < 0.05) associated with occupational injury. Odds ratios in the multivariate analysis varied from 1.42 to 10.11. CONCLUSION: Evidence of an association of occupational injury occurrence with certain risk factors presented in personal and non-occupational univariate and multivariate models is shown. In industry, effective injury reduction programs should go beyond traditional methods of job-related ergonomic risk factors and include personal factors such as smoking, weight control, and alcohol abuse.

A prospective field study of the relationship of potential occupational risk factors with occupational injury/illness.

Twenty-one occupationally related risk factors were measured and prospectively evaluated for statistically significant relationships with occupational injury/illness in 442 manual material handlers, working for three different companies, at nine U.S. locations, and encompassing 15 different job descriptions. OSHA 200 logs were used to ascertain evidence of occupational injury/illness (dichotomous) within this population for 1 year after the testing and measurement were completed. The present study demonstrated evidence of a subset of critical variables significantly related to occupational injury/illness occurrence through the significantly related occupational risk factors presented in the univariate and multivariate models. Higher occurrences of injury/illness were significantly associated with nine risk factors in the univariate model, with odds ratios ranging from 1.11-2.27. The significantly (p<0.05) related risk factors in the univariate model were lifting frequency; weight lifted per day; weight lifted per hour; number of trunk flexions per hour; number of trunk twists per hour; number of trunk motions per hour; number of knee flexions per hour; number of shoulder flexions per hour; and static shoulder flexion. In the multivariate analysis two risk factors were associated with occupational injury/illness. The significantly (p<0.05) related risk factors in the multivariate model were lifting frequency (p=0.0010, odds ratio [OR]=4.47, 95% confidence interval [CI]=[2.38-8.40], and average weight of lift (p=0.0001, OR=1.71, 95% CI=[1.29-2.25]).