Risk factors for injury in a national cohort of 87,134 Thai adults

Yiengprugsawan, Vasoontara; Stephan, Karen; McClure, Roderick John; Kelly, Matthew; Seubsman, Sam-ang; Bain, Christopher; Sleigh, Adrian

doi:10.1016/j.puhe.2011.09.027

Cited by 26 publications

(44 citation statements)

References 35 publications

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“…Industrial Health 2013, 51, [34][35][36][37][38][39][40][41][42][43][44][45][46] As expected from other studies, we found a higher risk of serious occupational injury among males 30,31) . Another important risk factor significantly associated with occupational injury was low income (≤7,000 Baht/month), already noted with a previous study of the Thai cohort on risk factors associated with injury 26) . As with other studies on occupational injury, we found that the risk of injury related to job type, rural job location 32) , and frequency of alcohol consumption 33) .…”

Section: Compare With Other Studiessupporting

confidence: 68%

“…The heat stress and the occupational injury questions were in different sections of the questionnaire so answers on these issues were independent of each other. The distribution and frequency of risk factors associated with non-traffic injuries by locations have been reported in two recent studies using baseline TCS data 25,26) .…”

Section: Data and Study Populationmentioning

confidence: 99%

“…The covariates that could confound heat-injury effects were initially selected according to our previous experience with heat stress or injury analyses completed for the cohort 7,9,26) . Then, separately for males and females, we investigated the relationship of each covariate to the exposure of interest (heat stress) and (separately) to the outcome of interest (occupational injury).…”

Section: Management Of Confoundingmentioning

confidence: 99%

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Association between Heat Stress and Occupational Injury among Thai Workers: Findings of the Thai Cohort Study

et al. 2013

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Global warming will increase heat stress at home and at work. Few studies have addressed the health consequences in tropical low and middle income settings such as Thailand. We report on the association between heat stress and workplace injury among workers enrolled in the large national Thai Cohort Study in 2005 (N=58,495). We used logistic regression to relate heat stress and occupational injury separately for males and females, adjusting for covariate effects of age, income, education, alcohol, smoking, Body Mass Index, job location, job type, sleeping hours, existing illness, and having to work very fast. Nearly 20% of workers experienced occupational heat stress which strongly and significantly associated with occupational injury (adjusted OR 2.12, 95%CI 1.87-2.42 for males and 1.89, 95%CI 1.64-2.18 for females). This study provides evidence connecting heat stress and occupational injury in tropical Thailand and also identifies several factors that increase heat exposure. The findings will be useful for policy makers to consider workrelated heat stress problems in tropical Thailand and to develop an occupational health and safety program which is urgently needed given the looming threat of global warming.

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Section: Compare With Other Studiessupporting

confidence: 68%

Section: Data and Study Populationmentioning

confidence: 99%

Section: Management Of Confoundingmentioning

confidence: 99%

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Association between Heat Stress and Occupational Injury among Thai Workers: Findings of the Thai Cohort Study

et al. 2013

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“…Bad or less favorable health conditions potentially increase the risk of more severe injury. (28) The results of our multivariate analysis showed that severity of injury due to motorcycles was higher as compared with severity due to other land transportation after adjustment for sex and age. Injury due to motorcycles had a 1.3-fold more severe (OR=1.3;95% CI: 1.1-1.6) and a 1.1-fold higher adjusted odds ratio (AOR=1.1;95% CI 1.0-1.3) as compared with with the odds ratios for other land transportation after adjustment for sex and age.…”

Section: Discussionmentioning

confidence: 74%

Motorcycle accident injuries are more severe than other land transportation injuries

2018

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Background Injuries due to traffic accidents are the leading cause of death and disability, especially in developing countries. The proportion of injuries in Indonesia tends to increase. The cause of the injury is dominated by motorcycle accidents (70-85%). The aim of this study was to compare the severity of motorcycle injuries with that of other land transportation injuries in Indonesia. Methods A study of a cross-sectional design was performed involving 15,849 subjects from 33 provinces in Indonesia. The dependent variable was the severity of injury and the main independent variable was transportation mode (motorcycle and other vehicles). Other independent variables included were respondent characteristics (sex, age, education, occupation, economic status) and health status (stroke, hypertension, heart disease, impaired hearing and vision). Chi-square test and multiple logistic regression were used to analyze the data. Results The contribution of motorcycle transportation mode to the severity of the injury was 85.5%. The proportion of severity of injury due to motorcycle transportation was higher (9.0%) than to other land transportation modes (7.5%). The severity of injuries related to motorcycle transportation was 1.1 times greater (AOR=1.1 95% CI 1.0-1.3) than that other related to vehicles. The determinants of severity of injury due to motorcycle transportation were age and sex. Conclusion Motorcyclists are at higher risk of having injuries than persons using other modes of transportation. Motorcyclists need to increase the safety of riding and to be more discriminating in the selection of the safest mode of transportation, by taking age and sex into consideration.

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“…Oral health is one example where age is important, with older cohort members having a much higher prevalence of poor oral health, which is then associated with poor quality of life (Yiengprugsawan et al, 2011b(Yiengprugsawan et al, , 2011c. Around 8.5 per cent of cohort members had trouble with their hearing (Yiengprugsawan et al, 2012e), and one-third of the cohort had vision impairment (Yiengprugsawan et al, 2012f). Both of these problems were strongly associated with poor self-rated health and psychological distress.…”

Section: Key Research Findingsmentioning

confidence: 99%

Studying the Thai Health‑Risk Transition

Sleigh¹,

Seubsman²

2017

Health of People, Places and Planet: Reflections Based on Tony McMichael’s Four Decades of Contribution to Epidemiological Unde

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Since Thailand's first census 100 years ago, its patterns of illness, mortality and fertility have been transformed. Mortality and fertility fell very rapidly in the first 70 years as infectious diseases receded. Healthy childhood and safe motherhood were key benefits. Successive cohorts grew taller, and previously rare chronic diseases became common as families became smaller, incomes rose, people urbanised and the population aged.Dengue and tuberculosis remain major problems, and in recent decades, HIV/ AIDS has become an important cause of mortality among young adults. Traffic injury has become a major threat, and unfamiliar problems such as obesity, anxiety and depression are becoming widespread in Thailand.These changes have been the focus of a large multidisciplinary study of the Thai health-risk transition funded by the Wellcome Trust and the NH&MRC since 2004, with strong support from senior Thai government officials. The study focuses on the transition of both health risks and outcomes in the Thai population. Guided by conceptual advances in Professor Tony McMichael's approach to population health, it looks beyond the proximate, searching for multilevel drivers of changes under way and the sequences and mediators of transitions. Here, we outline the overall study design − with retrospective and prospective components − including an ongoing cohort study of nearly 90,000 adults already followed for eight years. Progress is summarised and future prospects reviewed. Health of People, Places and Planet 156

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Risk factors for injury in a national cohort of 87,134 Thai adults

Cited by 26 publications

References 35 publications

Association between Heat Stress and Occupational Injury among Thai Workers: Findings of the Thai Cohort Study

Association between Heat Stress and Occupational Injury among Thai Workers: Findings of the Thai Cohort Study

Motorcycle accident injuries are more severe than other land transportation injuries

Studying the Thai Health‑Risk Transition

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