TY - JOUR
T1 - Occupational demands associated with rotator cuff disease surgery in the UK Biobank
AU - Yanik, Elizabeth L.
AU - Keener, Jay D.
AU - Stevens, Martin J.
AU - Walker-Bone, Karen E.
AU - Dale, Ann Marie
AU - Ma, Yinjiao
AU - Colditz, Graham A.
AU - Wright, Rick W.
AU - Saccone, Nancy L.
AU - Jain, Nitin B.
AU - Evanoff, Bradley A.
N1 - Publisher Copyright:
© 2023, Nordic Association of Occupational Safety and Health. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Objectives Physically-demanding occupations may increase rotator cuff disease (RCD) risk and need for sur-gery. We linked a job-exposure matrix (JEM) to the UK Biobank cohort study to measure physical occupational exposures and estimate associations with RCD surgery. Methods Jobs and UK Standard Occupational Classification (SOC) codes were recorded during the UK Biobank verbal interview. Lifetime job histories were captured through a web-based survey. UK SOC codes were linked to a JEM based on the US O*NET database. O*NET-based scores [static strength, dynamic strength, general physical activities, handling/moving objects (range=1–7), time spent using hands, whole body vibration, and cramped/awkward positions (range=1–5)] were assigned to jobs. RCD surgeries were identified through linked national hospital inpatient records. Multivariable Cox regression was used to calculate hazard ratios (HR) as estimates of associations with RCD surgery. Among those with lifetime job histories, associations were estimated for duration of time with greatest exposure (top quartile of exposure). Results Of 277 808 people reporting jobs, 1997 (0.7%) had an inpatient RCD surgery. After adjusting for age, sex, race, education, area deprivation, and body mass index, all O*NET variables considered were associated with RCD surgery (HR per point increase range=1.10–1.45, all P<0.005). A total of 100 929 people reported lifetime job histories, in which greater exposures were significantly associated with RCD surgery after >10 years of work (eg, HR for 11–20 versus 0 years with static strength score ≥4 = 2.06, 95% confidence interval 1.39–3.04). Conclusion Workplace physical demands are an important risk factor for RCD surgery, particularly for workers with more than a decade of exposure.
AB - Objectives Physically-demanding occupations may increase rotator cuff disease (RCD) risk and need for sur-gery. We linked a job-exposure matrix (JEM) to the UK Biobank cohort study to measure physical occupational exposures and estimate associations with RCD surgery. Methods Jobs and UK Standard Occupational Classification (SOC) codes were recorded during the UK Biobank verbal interview. Lifetime job histories were captured through a web-based survey. UK SOC codes were linked to a JEM based on the US O*NET database. O*NET-based scores [static strength, dynamic strength, general physical activities, handling/moving objects (range=1–7), time spent using hands, whole body vibration, and cramped/awkward positions (range=1–5)] were assigned to jobs. RCD surgeries were identified through linked national hospital inpatient records. Multivariable Cox regression was used to calculate hazard ratios (HR) as estimates of associations with RCD surgery. Among those with lifetime job histories, associations were estimated for duration of time with greatest exposure (top quartile of exposure). Results Of 277 808 people reporting jobs, 1997 (0.7%) had an inpatient RCD surgery. After adjusting for age, sex, race, education, area deprivation, and body mass index, all O*NET variables considered were associated with RCD surgery (HR per point increase range=1.10–1.45, all P<0.005). A total of 100 929 people reported lifetime job histories, in which greater exposures were significantly associated with RCD surgery after >10 years of work (eg, HR for 11–20 versus 0 years with static strength score ≥4 = 2.06, 95% confidence interval 1.39–3.04). Conclusion Workplace physical demands are an important risk factor for RCD surgery, particularly for workers with more than a decade of exposure.
KW - job exposure matrix
KW - occupational health
UR - http://www.scopus.com/inward/record.url?scp=85145242099&partnerID=8YFLogxK
U2 - 10.5271/sjweh.4062
DO - 10.5271/sjweh.4062
M3 - Article
C2 - 36228192
AN - SCOPUS:85145242099
SN - 0355-3140
VL - 49
SP - 53
EP - 63
JO - Scandinavian Journal of Work, Environment and Health
JF - Scandinavian Journal of Work, Environment and Health
IS - 1
ER -