Wong T Y, Lincoln A, Tielsch J M, Baker S P
Singapore National Eye Center, Singapore.
Eye (Lond). 1998;12 ( Pt 5):870-4. doi: 10.1038/eye.1998.220.
Although occupational eye injuries account for a large proportion of ocular injuries, few industry-specific data have been published. To address this problem, we examined the epidemiology of eye injuries in a large automobile corporation.
The study population included all hourly-paid persons employed between July 1989 and June 1992 at 33 plants of the UAW-Chrysler Corporation. Incident ocular injury data were obtained from an active surveillance system. Year-end employee censuses were used to estimate the population at risk.
A total of 1983 work-related eye injuries occurred over the 3 year period, with an incidence rate of 14.9 per 1000 person-years. Workers aged 20-29 years had the highest incidence of eye injuries (28.2 per 1000 person-years). Men had a higher incidence of injury than women across all ages, with an age-adjusted incidence of 15.6 per 1000 person-years and age-adjusted relative risk of 1.5 (95% confidence interval: 1.4, 1.6). Superficial foreign bodies and corneal abrasions made up 86.7% of all injuries while open globe injury occurred in only 3 cases. Only 25% of workers had been using some form of eye protection at the time of injury. Almost one-third (32.3%) of ocular injuries resulted in the inability of workers to resume their normal duties for at least 1 day.
Workplace eye injuries in the automotive industry account for significant avoidable morbidity and lost productivity.
尽管职业性眼外伤在眼外伤中占很大比例,但很少有特定行业的数据发表。为了解决这个问题,我们研究了一家大型汽车公司的眼外伤流行病学。
研究人群包括1989年7月至1992年6月期间在美国汽车工人联合会 - 克莱斯勒公司33家工厂受雇的所有小时工。事件性眼外伤数据来自一个主动监测系统。年终员工普查用于估计危险人群。
在3年期间共发生了1983起与工作相关的眼外伤,发病率为每1000人年14.9例。20 - 29岁的工人眼外伤发病率最高(每1000人年28.2例)。在所有年龄段中,男性的受伤发生率高于女性,年龄调整后的发病率为每1000人年15.6例,年龄调整后的相对危险度为1.5(95%置信区间:1.4, 1.6)。浅表异物伤和角膜擦伤占所有损伤的86.7%,而开放性眼球损伤仅发生3例。只有25%的工人在受伤时使用了某种形式的眼部防护。几乎三分之一(32.3%)的眼外伤导致工人至少1天无法恢复正常工作。
汽车行业的工作场所眼外伤导致了大量可避免的发病情况和生产力损失。