HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) All Versions of this Article: oem.2006.032375v1 65/5/336    most recent Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Citation Map Services Email this link to a friend Similar articles in this journal Similar articles in PubMed Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Google Scholar Articles by Kucera, K L Articles by Marshall, S W PubMed PubMed Citation Articles by Kucera, K L Articles by Marshall, S W

A case crossover study of triggers for hand injuries in commercial fishing

¹ Division of Occupational and Environmental Medicine, Duke University Medical Center, Durham, NC, USA
² Department of Epidemiology, School of Public Health, The University of North Carolina, Chapel Hill, NC, USA
³ Departments of Environmental Sciences and Engineering, School of Public Health, The University of North Carolina, Chapel Hill, NC, USA
⁴ Department of Environmental and Occupational Health, School of Public Health, The University of Nevada, Reno, NV, USA
⁵ Department of Orthopaedics, School of Medicine, The University of North Carolina, Chapel Hill, NC, USA
⁶ The Injury Prevention Research Center, The University of North Carolina, Chapel Hill, NC, USA

Correspondence to:
Dr Kristen L Kucera, Division of Occupational and Environmental Medicine, Department of Community and Family Medicine, Duke University Medical Center, 2200 W Main St, Suite 700, Durham, NC 27705, USA; kristen.kucera{at}duke.edu

Objectives: Previous studies estimate hand and wrist injuries are common in commercial fishing. Risk factors including working with catch, handling gear and slips or falls, have been identified from activity and injury contact reports, but no studies have examined the influence of transient risk factors, or triggers. This case crossover study design was conducted to investigate triggers for acute hand trauma in commercial fishing.

Methods: A case crossover study was nested within a previously established prospective cohort of 217 southeastern United States commercial fishermen followed from April 1999 through October 2001. Hand injury cases and controls were matched using three control selection strategies. Odds ratios (OR) and 95% confidence intervals (95% CI) were calculated to determine if transient risk factors such as glove use, engaging in more than one type of fishing, maintenance activities and other covariates of interest increased the risk of occupational traumatic hand/wrist/digit injuries.

Results: 21% (46/217) of fishermen reported one or more hand/wrist/digit injuries, yielding 65 eligible cases. Performing maintenance work (any vs none) (OR 3.1, 95% CI 1.8 to 5.5) and using multiple types of fishing equipment in comparison to using only one type (OR 1.9, 95% CI 0.9 to 3.8) were associated with increased risk of hand/wrist/digit injury. There was no evidence glove use was protective (any vs none) for hand/wrist/digit injury (OR 0.9, 95% CI 0.5 to 1.7).

Conclusions: The case crossover design is a useful method to determine triggers of commercial fishing-related hand/wrist/digit injuries. Maintenance work was strongly associated with hand/wrist/digit injury for these fishermen.

This article has been cited by other articles:

				K. Palmer Work in Brief Occup. Environ. Med., May 1, 2008; 65(5): 297 - 297. [Full Text] [PDF]