Risk Factors for Occupational Knee Related Disability Among Enlisted Women in the US Army

Details

• Personal Author:
  Amoroso PJ ; Bigelow C ; Mundt KA ; Sulsky SI
• Description:
  AIMS: To identify sociodemographic and occupational determinants of knee related disability discharge from the US Army among enlisted women, and to investigate effect modification. METHODS: A case-control study of 692 cases of knee related disability discharge and 2080 incidence density matched controls nested within the population of all 244 000 enlisted women on active duty in the US Army, 1980-97. We used logistic regression to identify determinants of disability, stratified to explore effect modification by demographic and work characteristics. RESULTS: The risk of disability discharge was twice as high (odds ratio (OR) 2.4, 95% confidence interval (CI): 1.71 to 3.47) for the oldest (33-60 years) versus the youngest (17-21 years) women. Non-whites had lower risk than whites (OR 0.5, 95% CI: 0.41 to 0.60), as did married (OR 0.7, 95% CI: 0.54 to 0.81) relative to non-married women. Those of lower rank (pay grades E1-E3) were at five times the risk of disability discharge compared to those of higher ranks (pay grades E4-E9, OR 5.0, 95% CI: 2.86 to 8.33), while ORs were highest for those with longer duration of service compared to women on active duty for a year or less (OR 1.4, 95% CI: 0.8 to 2.55 after 12 years). Race modified several effects, including that of rank. Age, duration of service, and pay grade were too highly correlated to draw firm conclusions about their independent modifying effects on risk of disability discharge from the Army. CONCLUSIONS: Sociodemographic factors had larger effects than occupational characteristics on risk of knee related disability discharge from the US Army. Interactions suggest subgroups at differing risk levels that might be targeted for more detailed investigations. [Description provided by NIOSH]
• Subjects:
  Age Factors Aging Demography Musculoskeletal System Occupational Exposure Occupational Health Risk Assessment Risk Factors Safety
• Keywords:
  Age-factors Age-groups Demographic-characteristics Disabled-workers Injuries Knee-injuries Military-personnel Occupational-hazards Risk-analysis Risk-factors Traumatic-injuries

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• ISSN:
  1351-0711
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Massachusetts ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  59
• Issue:
  9
• NIOSHTIC Number:
  nn:20029599
• Citation:
  Occup Environ Med 2002 Sep; 59(9):601-607
• Contact Point Address:
  Dr Sulsky, Applied Epidemiology, Inc., PO Box 2424, Amherst, MA 01004
• Email:
  ssulsky@appliedepidemiology.com
• Federal Fiscal Year:
  2002
• NORA Priority Area:
  Disease and Injury: Traumatic Injuries
• Performing Organization:
  University of Massachusetts, Amherst, Massachusetts
• Peer Reviewed:
  True
• Start Date:
  19990901
• Source Full Name:
  Occupational and Environmental Medicine
• End Date:
  20010831
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:eb0242669e307033ff86ee20ac7574f727c8903b3614783736d83778531fabdd441890a9632b0c9f5deee70e55d2d7bde6450475b8f892817dc4ce5c2cda149c
• Download URL:
  https://stacks.cdc.gov/view/cdc/190545/cdc_190545_DS1.pdf
• File Type:
  [PDF - 247.08 KB ]