Occupational disease surveillance using disability insurance at an automotive stamping and assembly complex.
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 tolerated for less than 6 months.
Musculoskeletal disability was consistent with known ergonomic hazards and paralleled that reported on the Occupational Safety and Health Administration log. (...)
Mots-clés Pascal : Morbidité, Absentéisme, Congé, Assurance maladie, Epidémiologie, Industrie automobile, Chaîne montage, Exposition professionnelle, Homme, Surveillance sanitaire, Etats Unis, Amérique du Nord, Amérique, Médecine travail
Mots-clés Pascal anglais : Morbidity, Absenteeism, Vacation, Health insurance, Epidemiology, Automobile industry, Assembly line, Occupational exposure, Human, Sanitary surveillance, United States, North America, America, Occupational medicine
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0062222
Code Inist : 002B30A01A2. Création : 21/05/1997.