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Occupational and Environmental Medicine 2005;62:585; doi:10.1136/oem.2005.021014
Copyright © 2005 by the BMJ Publishing Group Ltd.

COMMENTARY

Occupational injuries

Long work hours and occupational injuries: new evidence on upstream causes

D Loomis

Correspondence to:
Correspondence to:
Prof. D Loomis
Department of Epidemiology, CB-7435 School of Public Health, University of North Carolina, Chapel Hill, NC 27599, USA; dana.loomis@unc.edu


Commentary on the paper by Dembe et al (see page 588)

Keywords: injuries; overtime; work organisation; work schedules

The first 150 words of the full text of this article appear below.

Epidemiological research on the causes of occupational traumatic injuries presents interesting practical and conceptual challenges. On a superficial level, the causation of injuries seems deceptively simple, because the agent of injury—energy—is already known. One of the problems researchers face, however, is that the transfer of potentially harmful energy to a human host is difficult to observe because it takes place very quickly and is rarely recorded or documented in databases. New studies are beginning to take up these challenges with innovative approaches like the case-crossover design.1 Another challenge, perhaps conceptually more difficult, is that because the agent of injury is known, its discovery is not an important research problem. Instead, it is the "upstream" causes2 of injury—the events and circumstances that bring people into contact with the agent—that are of interest. Some studies published recently in this journal have investigated potential causes upstream of the injured worker, ranging . . . [Full text of this article]


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Relevant Article

The impact of overtime and long work hours on occupational injuries and illnesses: new evidence from the United States
A E Dembe, J B Erickson, R G Delbos, S M Banks
Occup. Environ. Med. 2005 62: 588-597. [Abstract] [Full Text] [PDF]

This article has been cited by other articles:

  • Palmer, K. (2005). Work in brief. Occup. Environ. Med. 62: 585a-585a [Full Text]  

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