Contribution of health status and prevalent chronic disease to individual risk for workplace injury in the manufacturing environment

摘要: Objectives An ‘information gap’ has been identified regarding the effects of chronic disease on occupational injury risk. We investigated association ischaemic heart disease, hypertension, diabetes, depression and asthma with acute in a cohort manufacturing workers from 1 January 1997 through 31 December 2007. Methods used administrative data real-time injury, medical claims, workplace characteristics demographics to examine this association. employed piecewise exponential model within an Andersen–Gill framework frailty term at employee level account for inclusion multiple injuries each employee, random due correlation among jobs held by experience job as covariate. Results One-third employees had least one diseases during study period. After adjusting potential confounders, presence these was associated increased hazard injury: (HR 1.23, 95% CI 1.11 1.36), diabetes 1.17, 1.08 1.27), 1.25, 1.12 1.38) 1.14, 1.02 1.287). Hypertension not significantly injury. Associations risk were less evident more serious reportable injuries; only summary health metric derived claims remained positive subset. Conclusions Our results suggest that confer