Citation

Wei C, Gerberich SG, Ryan AD, Alexander BH, Church TR, Manser MP. Ann. Epidemiol. 2017; 27(12): 763-770.

Affiliation

Texas A&M Transportation Institute, Human Factors Program, College Station, TX.

Copyright

(Copyright © 2017, American College of Epidemiology, Publisher Elsevier Publishing)

DOI

10.1016/j.annepidem.2017.09.011

PMID

29126665

Abstract

PURPOSE: Although many studies have focused on bus operators' occupational diseases, work-related injury and associated risk factor data are limited. The purpose of this longitudinal study was to investigate unintentional injury and exposures that may affect injury risk among metropolitan bus operators.

METHODS: Demographic, work-related, and injury data obtained from a metropolitan transit company for a 5-year period, enabled estimates of rates per 100 full time equivalents (FTEs) and adjusted Hazard Ratios (HRs), with 95% confidence intervals (CIs), using Generalized Estimating Equations and Cox proportional hazards models, respectively.

RESULTS: The 2095 bus operators, included in this study, had an unintentional injury rate (95% CI) of 17.8 (16.1-19.7) per 100 FTEs. Multivariable analysis identified increased risks for operators who were female, compared to male (HR = 2.4; 2.0-2.8); worked less than 7 versus 7 to less than 12 hours per day (HR = 4.6; 3.8-5.5); and drove less than 7 versus 7 to less than 12 hours per day (HR = 3.2; 2.7-3.8). Suggestive increased risks were identified for operators working split versus straight shifts (HR = 1.2; 1.0-1.4) and for driving limited versus regular bus routes (HR = 1.36; 1.0-1.8).

CONCLUSIONS: Results serve as a basis for further studies and inform the development of targeted intervention strategies to reduce bus operators' occupational injuries.

Copyright © 2017 Elsevier Inc. All rights reserved.

Language: en

Keywords

Bus operator injuries; Cohort study; Epidemiological study; Occupational injury; Occupational risks