美国海岸警卫队应对“深水地平线”漏油事件的应急人员急性损伤的横断面分析。
A Cross-sectional Analysis of Acute Injuries Among US Coast Guard Responders to the Deepwater Horizon Oil Spill.
作者信息
Keshav Taj, McAdam Jordan, Denic-Roberts Hristina, Gribble Matthew O, Thomas Dana L, Engel Lawrence S, Rusiecki Jennifer A
机构信息
From the Department of Preventive Medicine and Biostatistics, Uniformed Services University of the Health Sciences, Bethesda, Maryland (T.K., J.M., H.D.-R., J.A.R.); Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, Maryland (J.M.); Oak Ridge Institute for Science and Education, Bethesda, Maryland (H.D.-R.); Division of Occupational, Environmental, and Climate Medicine, Department of Medicine, University of California San Francisco, San Francisco, California (M.O.G.); United States Coast Guard Headquarters, Directorate of Health, Safety, and Work Life, Washington, DC (D.L.T.); and Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, North Carolina (L.S.E.).
出版信息
J Occup Environ Med. 2025 Apr 1;67(4):e257-e266. doi: 10.1097/JOM.0000000000003330. Epub 2025 Jan 28.
OBJECTIVE
We investigated factors associated with acute injury among US Coast Guard responders to the Deepwater Horizon oil spill.
METHODS
Self-reported data across five domains (demographic, operational, military, environmental, and comorbidities) were evaluated as potential risk factors for self-reported injuries experienced while deployed (slips, trips, and falls and penetrating injuries). Adjusted prevalence ratios and 95% confidence intervals were calculated.
RESULTS
Factors associated with slips, trips, and falls included increasing age, Hispanic ethnicity, Unknown race/ethnicity, service in the Selected Reserve, junior enlisted rank, engaging in operational response duties over longer durations, self-reported crude oil exposure, use of heat-susceptible personal protective equipment, musculoskeletal symptoms, reduced sleep, and high overall exposure based on a latent class variable. Factors associated with penetrating injuries were similar, though also included time outdoors and fatigue.
CONCLUSIONS
The environment defined by the Deepwater Horizon oil spill was associated with increased acute injury prevalence in oil spill responders.
目的
我们调查了美国海岸警卫队应对“深水地平线”漏油事件的应急人员中与急性损伤相关的因素。
方法
对五个领域（人口统计学、行动、军事、环境和共病情况）的自我报告数据进行评估，将其作为部署期间自我报告损伤（滑倒、绊倒和跌倒以及穿透伤）的潜在风险因素。计算调整后的患病率比值和95%置信区间。
结果
与滑倒、绊倒和跌倒相关的因素包括年龄增长、西班牙裔、种族/族裔不明、在后备役精选部队服役、初级入伍军衔、较长时间从事行动响应任务、自我报告的原油暴露、使用易受热影响的个人防护装备、肌肉骨骼症状、睡眠减少以及基于潜在类别变量的高总体暴露。与穿透伤相关的因素相似，但还包括户外时间和疲劳。
结论
“深水地平线”漏油事件所界定的环境与漏油事件应急人员急性损伤患病率增加有关。
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