Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden; Faculty of Health and Occupational Studies, Department of Occupational Health Sciences and Psychology, University of Gävle, SE-801 76 Gävle, Sweden.
Division of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77 Stockholm, Sweden.
J Safety Res. 2023 Sep;86:357-363. doi: 10.1016/j.jsr.2023.07.014. Epub 2023 Aug 1.
This study explores pedestrian fall accidents and collisions with other road users in the Swedish road transport system, and sickness absence (SA) in relation to accident type, injury, and occupation. Further, it studies the associations between accident type, occupation, and duration of SA.
Data from several national registers were used that included 15,359 working age pedestrians (20-64 years) receiving healthcare after a fall or collision throughout 2014-2016. Individual characteristics, accident type, injury, and occupation were presented and related to SA. Logistic regression was used to estimate odds ratios (OR), with 95% confidence intervals, for associations between accident type, occupation, and SA duration.
About 11,000 pedestrians (72%) were involved in fall accidents in the road traffic environment and well over 4,000 in collisions with another road user; 22% of all injured pedestrians had a new SA. The population had a higher proportion of women and individuals in older age groups (≥45). Of the falls, 31% were due to snow or ice, and these were associated with a higher OR for both short SA (<90 days) 1.76 (95% CI 1.56-1.98) and long SA (≥90 days) 1.81 (95% CI 1.51-2.18), compared to the group slipping, tripping, and stumbling. The working sectors health & social care, and construction had the highest ORs for SA. A higher OR was found for health & social care, short SA 1.58 (95% CI 1.38-1.81), long SA 1.79 (95% CI 1.45-2.20) and for construction, short SA 1.56 (95% CI 1.24-1.96), long SA 1.75 (95% CI 1.26-2.44), compared to the sector finance, communication, & cultural service.
The OR for having short and long SA was higher in falls due to snow or ice and differed between occupational sectors.
This information contributes to the knowledge base for planning a safe road transport system for pedestrians.
本研究探讨了瑞典道路交通系统中行人跌倒事故和与其他道路使用者碰撞事故，以及与事故类型、伤害和职业相关的病假（SA）情况。此外，还研究了事故类型、职业与 SA 持续时间之间的关联。
本研究使用了来自多个国家登记处的数据，共纳入了 2014 年至 2016 年期间因跌倒或碰撞而接受医疗保健的 15359 名（20-64 岁）工作年龄行人，呈现了个体特征、事故类型、伤害和职业，并与 SA 相关联。采用逻辑回归估计了事故类型、职业与 SA 持续时间之间关联的比值比（OR）及其 95%置信区间。
约 11000 名行人（72%）发生在道路交通环境中的跌倒事故，超过 4000 名行人与其他道路使用者发生碰撞；所有受伤行人中有 22%出现新的 SA。该人群中女性和年龄较大（≥45 岁）的个体比例较高。在跌倒中，31%是由于冰雪导致的，与滑倒、绊倒和失足相比，这些事故与短期 SA（<90 天）的 OR 更高，为 1.76（95%CI 1.56-1.98），与长期 SA（≥90 天）的 OR 更高，为 1.81（95%CI 1.51-2.18）。卫生和社会保健以及建筑行业的工作部门的 SA 比值比最高。卫生和社会保健部门的 SA 比值比更高，短期 SA 为 1.58（95%CI 1.38-1.81），长期 SA 为 1.79（95%CI 1.45-2.20），建筑部门的短期 SA 为 1.56（95%CI 1.24-1.96），长期 SA 为 1.75（95%CI 1.26-2.44），与金融、通信和文化服务部门相比。
由于冰雪导致的跌倒事故中，出现短期和长期 SA 的 OR 更高，并且在职业部门之间存在差异。
这些信息有助于为规划安全的行人道路交通系统提供知识基础。
