Occupational disease surveillance using disability insurance at an automotive stamping and assembly complex

Journal of Occupational and Environmental Medicine
R M ParkF E Mirer

Abstract

Sickness and accident-insurance (sick leave) claims at an automotive stamping and assembly complex were analyzed using Poisson regression over a 4-year period to identify occupational health problems. The incidence of lower-respiratory disability (excluding asthma) was higher in painting operations (rate ratio [RR] = 2.9, 95% confidence interval [CI] = 1.2 to 6.8), and final assembly and processing areas (RR = 2.7, 95% CI = 1.0 to 7.4) at the assembly plant, and in metal assembly (welding) areas (RR = 2.8, 95% CI = 1.4 to 5.7) at the stamping plant. Disability rates for upper-extremity musculoskeletal disorders were statistically significantly higher (RR = 3.1 to 3.8) in major assembly plant production areas, as were back disability rates (RR = 1.5). During the first 6 months of new work assignments in painting or final assembly, respiratory problem rates were four times higher than in other areas. Upper-extremity musculoskeletal rate ratios ranged from 4.4 to 5.7 for new assignments in body, hard trim, and chassis areas. Higher rates in new assignments appeared to result from assignment changes precipitated by developing health problems, or from routine assignments to new tasks, some of which conferred high risk and were toler...Continue Reading

References

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Citations

Mar 30, 2005·Journal of Occupational Rehabilitation·Nancy GellThomas J Armstrong
Feb 5, 2004·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Laura Punnett, David H Wegman
May 8, 1998·Journal of Occupational and Environmental Medicine·J BiddleE M Welch
Nov 15, 2011·Journal of Occupational and Environmental Medicine·P Timothy BushnellDeborah Landen
Feb 13, 2001·Occupational and Environmental Medicine·M HäkkänenR Martikainen
Feb 13, 2013·Journal of Safety Research·Robert M Park, Anasua Bhattacharya
Sep 13, 2012·American Journal of Industrial Medicine·Anasua Bhattacharya, Robert M Park
Oct 6, 2005·Applied Ergonomics·Jia-Hua LinChien-Chi Chang
Dec 19, 2012·The American Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association·Shawn C RollJane Case-Smith
Mar 18, 2011·New Solutions : a Journal of Environmental and Occupational Health Policy : NS·Elaine DraperDan J Tennenhouse
Jan 9, 2007·New Solutions : a Journal of Environmental and Occupational Health Policy : NS·L Punnett

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