Kim Sung-Kyung, Son Ji-Min, So Jae-Young, Kim Hyocher, Lee Kyungsuk, Oh Sung-Soo, Ko Sang Baek
Department of Occupational and Environmental Medicine, Wonju Severance Christian's Hospital, Yonsei University, Wonju, Korea.
Ann Occup Environ Med. 2013 Nov 1;25(1):29. doi: 10.1186/2052-4374-25-29.
This study aims to investigate the relationship between waist circumference and work-related injury in reference to the fourth Korea National Health and Nutrition Examination Survey.
By analyzing data from the fourth Korea National Health and Nutrition Examination Survey conducted from 2007 to 2009, we estimated the rate of injury experience according to socioeconomic status, including occupational property, of 8,261 subjects. We performed logistic regression analysis with work-related injury experience rate as dependent variable and waist circumference as an independent variable, Odds ratios (OR) were calculated, which reflect the likelihood of work-related injury experience rate, and 95% confidence interval (95% CI) while controlling for relevant covariates with stratifying by sex, age, nature of injury, site of injury and occupational group.
Among 797 persons who had injury experience over the past 1 year, 293 persons (36.8%) had work-related injury experience. After adjusting the confounding variables, the work-related injury was related to abnormal waist circumference (OR = 1.35; 95% CI: 1.02 ~ 1.78). In subgroups, ORs were higher in men (OR = 1.42; 95% CI: 1.02 ~ 1.98), professional, manager, and administrator (OR = 2.41; 95% CI: 1.10 ~ 5.28). Higher rate of injuries were noted in back and waist (OR = 2.92; 95% CI: 1.49 ~ 5.73), and transport accident had increased risk (OR = 1.60; 95% CI: 1.13 ~ 2.28).
Work-related injury rate differed depending on the waist circumference. The abdominal obesity was associated with higher risk of work-related injury. This study would be useful in selecting appropriate priorities for work-related injury management in Korea.
本研究旨在参考第四次韩国国家健康与营养检查调查,探讨腰围与工伤之间的关系。
通过分析2007年至2009年进行的第四次韩国国家健康与营养检查调查的数据,我们估计了8261名受试者根据社会经济状况(包括职业性质)的受伤经历率。我们以工伤经历率为因变量、腰围为自变量进行逻辑回归分析,计算反映工伤经历率可能性的比值比(OR)以及95%置信区间(95%CI),同时按性别、年龄、损伤性质、损伤部位和职业组分层控制相关协变量。
在过去1年有受伤经历的797人中,293人(36.8%)有工伤经历。调整混杂变量后,工伤与腰围异常有关(OR = 1.35;95%CI:1.02 ~ 1.78)。在亚组中,男性(OR = 1.42;95%CI:1.02 ~ 1.98)、专业人员、经理和管理人员(OR = 2.41;95%CI:1.10 ~ 5.28)的OR值更高。背部和腰部的受伤率更高(OR = 2.92;95%CI:1.49 ~ 5.73),交通事故的风险增加(OR = 1.60;95%CI:1.13 ~ 2.28)。
工伤率因腰围而异。腹部肥胖与更高的工伤风险相关。本研究将有助于为韩国工伤管理选择合适的优先事项。