The impact of gender on personal, health and workplace psychosocial risk factors for carpal tunnel syndrome: A pooled study cohort

Carisa Harris-Adamson, Ellen A. Eisen, Ann Marie Dale, Bradley Evanoff, Kurt T. Hegmann, Matthew S. Thiese, Jay Kapellusch, Arun Garg, Susan Burt, Stephen Bao, Barbara Silverstein, Fred Gerr, Linda Merlino, David Rempel

Research output: Chapter in Book/Report/Conference proceedingConference contribution

3 Scopus citations

Abstract

Between 2001 and 2010 six research groups conducted coordinated multi-year, prospective studies of upper extremity musculoskeletal disorders in US workers from various industries and collected detailed subjectlevel exposure information with follow-up symptom, physical examination, electrophysiological measures, and job changes. Objective. This analysis of the pooled cohort examined the incidence of dominant-hand carpal tunnel syndrome (CTS) in relation to demographic characteristics and estimated associations with occupational psychosocial factors, adjusting for confounding by personal risk factors. Methods. 3,515 participants, without baseline CTS, were followed up to 7 years. Case criteria included symptoms and an electrodiagnostic study consistent with CTS. Adjusted hazard ratios were estimated in Cox proportional hazard models. Workplace biomechanical factors were collected but not evaluated in this analysis. Results. Females were at elevated, though statistically non-significant, risk for CTS (HR=1.30; 95%CI: 0.98-1.72). The incidence of CTS increased linearly with both age and BMI over most of the observed range. High job strain increased risk (HR=1.86; 95%CI: 1.11-3.14) and social support was protective (HR=0.43; 95%CI: 0.23-0.78). There was no effect modification of gender on age, BMI or high job strain. Conclusions. Personal factors associated with an increased risk of developing CTS were BMI, age and being female, though no effect modification by gender was evident. Workplace risk factors were high job strain while social support was protective.

Original languageEnglish
Title of host publicationProceedings of the Human Factors and Ergonomics Society Annual Meeting, HFES 2013
Pages911-914
Number of pages4
DOIs
StatePublished - 2013
Event57th Human Factors and Ergonomics Society Annual Meeting - 2013, HFES 2013 - San Diego, CA, United States
Duration: Sep 30 2013Oct 4 2013

Publication series

NameProceedings of the Human Factors and Ergonomics Society
ISSN (Print)1071-1813

Conference

Conference57th Human Factors and Ergonomics Society Annual Meeting - 2013, HFES 2013
CountryUnited States
CitySan Diego, CA
Period09/30/1310/4/13

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    Harris-Adamson, C., Eisen, E. A., Dale, A. M., Evanoff, B., Hegmann, K. T., Thiese, M. S., Kapellusch, J., Garg, A., Burt, S., Bao, S., Silverstein, B., Gerr, F., Merlino, L., & Rempel, D. (2013). The impact of gender on personal, health and workplace psychosocial risk factors for carpal tunnel syndrome: A pooled study cohort. In Proceedings of the Human Factors and Ergonomics Society Annual Meeting, HFES 2013 (pp. 911-914). (Proceedings of the Human Factors and Ergonomics Society). https://doi.org/10.1177/1541931213571202