A Case Crossover Study of Triggers for Hand Injuries in Commercial Fishing

Details

• Personal Author:
  Kucera KL ; Loomis D ; Marshall SW
• Description:
  OBJECTIVES: Previous studies estimate hand and wrist injuries are common in commercial fishing. Risk factors including working with catch, handling gear and slips or falls, have been identified from activity and injury contact reports, but no studies have examined the influence of transient risk factors, or triggers. This case crossover study design was conducted to investigate triggers for acute hand trauma in commercial fishing. METHODS: A case crossover study was nested within a previously established prospective cohort of 217 southeastern United States commercial fishermen followed from April 1999 through October 2001. Hand injury cases and controls were matched using three control selection strategies. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated to determine if transient risk factors such as glove use, engaging in more than one type of fishing, maintenance activities and other covariates of interest increased the risk of occupational traumatic hand/wrist/digit injuries. RESULTS: 21% (46/217) of fishermen reported one or more hand/wrist/digit injuries, yielding 65 eligible cases. Performing maintenance work (any vs none) (OR 3.1, 95% CI 1.8 to 5.5) and using multiple types of fishing equipment in comparison to using only one type (OR 1.9, 95% CI 0.9 to 3.8) were associated with increased risk of hand/wrist/digit injury. There was no evidence glove use was protective (any vs none) for hand/wrist/digit injury (OR 0.9, 95% CI 0.5 to 1.7). CONCLUSIONS: The case crossover design is a useful method to determine triggers of commercial fishing-related hand/wrist/digit injuries. Maintenance work was strongly associated with hand/wrist/digit injury for these fishermen. [Description provided by NIOSH]
• Subjects:
  Accident Prevention Accidents Environmental Health Hunting Manufacturing And Industrial Facilities Musculoskeletal System Occupational Health Risk Assessment Safety Safety Management Workplace

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• Keywords:
  Accident-prevention Environmental-factors Fishing-industry Hand-injuries Industrial-environment Injury-prevention Risk-analysis Safety-measures Safety-practices Statistical-analysis Work-analysis Work-environment Work-practices

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• ISSN:
  1351-0711
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  North Carolina ; OSHA Region 4
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  336-341
• Volume:
  65
• Issue:
  5
• NIOSHTIC Number:
  nn:20033896
• Citation:
  Occup Environ Med 2008 May; 65(5):336-341
• Contact Point Address:
  Kristen Kucera, Division of Community Health, Department of Community and Family Medicine, Duke University Medical Center, DUMC Box 2914, Durham, NC 27710
• Email:
  kristen.kucera@duke.edu
• Federal Fiscal Year:
  2008
• NORA Priority Area:
  Disease and Injury: Traumatic Injuries
• Performing Organization:
  University of North Carolina, Chapel Hill, North Carolina
• Peer Reviewed:
  True
• NAICS and SIC Codes:
  1141 - Fishing - (NAICS)
• Start Date:
  20000601
• Source Full Name:
  Occupational and Environmental Medicine
• End Date:
  20030531
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:654b572e454c583c3cc8917be1d0206ed46a6036bf86f411c67dc6faacace1d6ff6f23a56704e9707332f6c0037651b76a41e4488ee2c9953b2f0b2fea6bb9d4
• Download URL:
  https://stacks.cdc.gov/view/cdc/189302/cdc_189302_DS1.pdf
• File Type:
  [PDF - 212.79 KB ]