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Work injury risk by time of day in two population-based data sources

机译：在两个基于人群的数据源中按时间划分的工伤风险

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Objective: To estimate the rate of work injury over the 24 h clock in Ontario workers over 5 years (2004-2008). Methods: A cross-sectional, observational study of work-related injury and illness was conducted for a population of occupationally active adults using two independent data sources (lost-time compensation claims and emergency department encounter records). Hours worked annually by the Ontario labour force by time of day, age, gender and occupation were estimated from population-based surveys. Results: There was an approximately 40% higher incidence of emergency department visits for work-related conditions than of lost-time workers' compensation claims (707 933 emergency department records and 457 141 lost-time claims). For men and women and across all age groups, there was an elevated risk of work-related injury or illness in the evening, night and early morning periods in both administrative data sources. This elevated risk was consistently observed across manual, mixed and non-manual occupational groups. The fraction of lost-time compensation claims that can be attributed to elevated risk of work injury in evening or night work schedules is 12.5% for women and 5.8% for men. Conclusions: Despite the high prevalence of employment in non-daytime work schedules in developed economies, the work injury hazards associated with evening and night schedules remain relatively invisible. This study has demonstrated the feasibility of using administrative data sources to enhance capacity to conduct surveillance of work injury risk by time of day. More sophisticated aetiological research is needed to understand the specific mechanisms of hazards associated with non-regular work hours.
机译：目的：评估安大略省5年（2004-2008年）工人在24小时内的工伤率。方法：使用两个独立的数据源（失时工伤索赔和急诊部门遭遇记录），对一群从事职业活动的成年人进行了横断面，观察性研究，调查了从事职业活动的成年人。根据人口调查，安大略省劳动力每年按小时，年龄，性别和职业划分的工作时间。结果：与工伤有关的情况导致的急诊就诊率比失时工伤赔偿索赔（707 933急诊记录和457 141失工索赔）高40％。对于两个年龄段的男女而言，在两个行政数据源中，在晚上，晚上和清晨，与工作相关的受伤或患病的风险均升高。在手动，混合和非手动职业人群中，始终观察到这种升高的风险。可以归因于晚上或夜间工作计划中较高的工伤风险的误工损失索赔比例中，女性为12.5％，男性为5.8％。结论：尽管在发达经济体的非白天工作时间表中就业率很高，但与晚上和晚上时间表相关的工伤危险仍然相对不明显。这项研究证明了使用行政数据源来增强每天进行工伤风险监视的能力的可行性。需要更复杂的病因研究来了解与非正常工作时间相关的危害的具体机制。

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