PREVALENCE AND WORK-RELATEDNESS OF SELF-REPORTED CARPAL-TUNNEL SYNDROME AMONG UNITED-STATES WORKERS - ANALYSIS OF THE OCCUPATIONAL-HEALTH SUPPLEMENT DATA OF 1988 NATIONAL-HEALTH INTERVIEW SURVEY

被引:119
作者
TANAKA, S [1 ]
WILD, DK [1 ]
SELIGMAN, PJ [1 ]
HALPERIN, WE [1 ]
BEHRENS, VJ [1 ]
PUTZANDERSON, V [1 ]
机构
[1] NIOSH,DIV BIOMED & BEHAV SCI,CINCINNATI,OH 45226
关键词
CARPAL TUNNEL SYNDROME; CUMULATIVE TRAUMA DISORDERS; ERGONOMICS; REPETITIVE MANUAL WORK;
D O I
10.1002/ajim.4700270402
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To estimate the prevalence and work-relatedness of self-reported carpal tunnel syndrome (CTS) among U.S. workers, data from the Occupational Health Supplement of 1988 National Health Interview Survey (NHIS) were analyzed. Among 127 million ''recent workers'' who worked during the 12 months prior to the survey, 1.47% (95% CI: 1.30; 1.65), or 1.87 million self-reported CTS, and 0.53% (95% CI: 0.42; 0.65), or 675,000, stated that their prolonged hand discomfort was called CTS by a medical person. Occupations with the highest prevalence of self-reported CTS were mail service, health care, construction, and assembly and fabrication. Industries with the highest prevalence were food products, repair services, transportation, and construction. The risk factor most strongly associated with medically called CTS was exposure to repetitive bending/twisting of the hands/wrists at work (OR = 5.2), followed by race (OR = 4.2; whites higher than nonwhites), gender (OR = 2.2; females higher than males), use of vibrating hand tools (OR = 1.8), and age (OR = 1.03; risk increasing per year). This result is consistent with previous reports in that repeated bending/twisting of the hands and wrists during manual work is etiologically related to occupational carpal tunnel syndrome. (C) 1995 Wiley-Liss, Inc.*
引用
收藏
页码:451 / 470
页数:20
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