期刊名称：Scandinavian journal of Work, Environment and Health
印刷版ISSN：0355-3140
出版年度：2017
卷号：43
期号：5
页码：415-425
DOI：10.5271/sjweh.3663
语种：English
出版社：National Board of Occupational Safety and Health
摘要：Objectives The aim of this study was to determine the prospective association of cumulative mechanical exposure during working life with health-related labor market outcomes.Methods This prospective cohort study combines data from 5076 older workers (age 49–63 years) from the Copenhagen Aging and Midlife Biobank with a job exposure matrix and a national register containing information on social transfer payment. By coding individual job histories from the Danish version of ISCO-codes (International Standard Classification of Occupations), we calculated cumulative occupational mechanical exposures from a JEM for ton-years (lifting 1000 kg each day in one year), lifting-years (lifting loads weighing ≥20 kg >10 times each day in one year), kneeling-years (kneeling for one hour each day in one year) and vibration-years (whole-body vibration for one hour each day in one year). Cox-regression analyses estimated the relative risk of register-based long-term sickness absence (LTSA) and disability pension with cumulative occupational mechanical exposures throughout working life. Analyses were censored for competing events and adjusted for multiple confounders.Results During the follow-up period, 970 persons (19.3%) had ≥1 episode of LTSA and 85 persons (1.7%) were granted a disability pension. Number of ton-, lifting- and kneeling-years showed an exposure–response association with increased risk of LTSA (PConclusions Cumulative occupational mechanical exposures during working life – such as lifting and kneeling work – increased the risk of LTSA. Importantly, being exposed to lifting increased the risk of disability pension.
关键词：cohort study;disability pension;exposure;JEM;job exposure matrix;kneeling;lifting;long-term sickness absence;lower body JEM;occupational mechanical exposure;physical demand;prospective cohort study;sickness absence;standing;vibration;working life
