Association between high temperature and work-related injuries in Adelaide, South Australia, 2001-2010
Association between high temperature and work-related injuries in Adelaide, South Australia, 2001-2010
复制标题
DOI：
10.1136/oemed-2013-101584
复制
发表时间：
2014-04-01
影响因子：
4.9
通讯作者：
Sullivan, Thomas
中科院分区：
文献类型：
--
作者：
Xiang, Jianjun;Bi, Peng;Sullivan, Thomas
目标(1) 调查温度与工伤之间的关系，(2) 识别南澳大利亚州阿德莱德炎热环境中工伤高危工人群体。方法采用 2001-2010 年南澳大利亚州阿德莱德工人的索赔要求。使用广义估计方程模型来估计温度和每日伤害索赔之间的关系。使用分段线性样条函数来量化温度对低于和高于阈值的伤害索赔的影响。结果总体而言，14.2°C 至 37.7°C 之间最高温度每升高 1°C，每日伤害索赔就会增加 0.2%。具体而言，男性工人和≤24岁年轻工人的发病率比（IRR）分别为（1.004，95％CI 1.002至1.006）和（1.005，95％CI 1.002至1.008）。劳工（IRR 1.005，95% CI 1.001 至 1.010）、中间生产和运输工人（IRR 1.003，95% CI 1.001 至 1.005）和技工（IRR 1.002，95% CI 1.001 至 1.005）也存在显着关联。面临风险的行业包括农业、林业和渔业（IRR 1.007，95% CI 1.001 至 1.013）、建筑业（IRR 1.006，95% CI 1.002 至 1.011）以及电力、燃气和水（IRR 1.029，95% CI 1.002 至 1.058）。 结论 伤害与伤害之间存在显着相关性。南澳大利亚州阿德莱德某些行业和团体的索赔和温度。需要在政策和实践层面采取相关的适应和预防措施，以解决高温职业暴露问题。
Objectives(1) To investigate the association between temperature and work-related injuries and (2) to identify groups of workers at high risk of work-related injuries in hot environments in Adelaide, South Australia.MethodsWorkers’ compensation claims in Adelaide, South Australia for 2001–2010 were used. The relationship between temperature and daily injury claims was estimated using a generalised estimating equation model. A piecewise linear spline function was used to quantify the effect of temperature on injury claims below and above thresholds.ResultsOverall, a 1°C increase in maximum temperature between 14.2°C and 37.7°C was associated with a 0.2% increase in daily injury claims. Specifically, the incidence rate ratios (IRRs) for male workers and young workers aged ≤24 were (1.004, 95% CI 1.002 to 1.006) and (1.005, 95% CI 1.002 to 1.008), respectively. Significant associations were also found for labourers (IRR 1.005, 95% CI 1.001 to 1.010), intermediate production and transport workers (IRR 1.003, 95% CI 1.001 to 1.005) and tradespersons (IRR 1.002, 95% CI 1.001 to 1.005). Industries at risk were agriculture, forestry and fishing (IRR 1.007, 95% CI 1.001 to 1.013), construction (IRR 1.006, 95% CI 1.002 to 1.011), and electricity, gas and water (IRR 1.029, 95% CI 1.002 to 1.058).ConclusionsThere is a significant association between injury claims and temperature in Adelaide, South Australia, for certain industries and groups. Relevant adaptation and prevention measures are required at both policy and practice levels to address occupational exposure to high temperatures.