Diabetes and risk of occupational injury: a cohort study. Issue 11 (14th August 2017)

• Record Type: Journal Article
• Authors: Kouvonen, A.; Kivimäki, M.; Pentti, J.; Aalto, V.; Oksanen, T.; Virtanen, M.; Vahtera, J.
• Is Part Of: Diabetic medicine. Volume 34:Issue 11(2017)
• Page Start: 1629
• Page End: 1636
• Publication Date: 2017-08-14
• Subjects: Diabetes -- Periodicals; 616.462
• DOI: 10.1111/dme.13423
• Languages: English
• ISSNs: 0742-3071

Abstract

Abstract: Aims: To investigate if diabetes is associated with a higher risk of occupational (workplace or commuting) injury. Methods: Medication data from the Finnish Prescription Register were used to identify diabetes cases in 2004 in a large employee cohort (the Finnish Public Sector study). These data were linked to injury records obtained from the Federation of Accident Insurance Institutions. A total of 1020 diabetes cases (median age 52 years, range 20 to 65 years; 66% women) and their 5234 age‐ and sex‐matched controls were followed up until 2011. Sex‐stratified Cox proportional hazards models, adjusting for age, occupational status, obesity and health behaviours, were applied. Because of the small number of men in the cohort, injury types and locations were only examined among women. Results: During the median follow‐up of 6.7 years, 25% of the participants with diabetes ( n =252) and 20% of those without ( n =1051) experienced an occupational injury. The association between diabetes and injury was stronger in women than men ( P =0.048). Diabetes was associated with a higher risk of workplace (hazard ratio 1.37, 95% CI 1.11 to 1.69) and commuting (hazard ratio 1.36, 95% CI 1.03 to 1.79) injury in women. With regard to different injury types and locations, diabetes was associated with bone fractures, dislocations, sprains and strains, and injuries to upper and lower extremities. In men, there was an association between insulin‐treated diabetes and commuting injury (hazard ratio 3.14, 95% CI 1.52 to 6.49). Conclusions: Diabetes was associated with workplace and commuting injuries in women. Men with insulin‐treated diabetes had a higher risk of commuting injuries. What's new?: The present study is the first large prospective study to assess the association between diabetes and both workplace and commuting injuries in a diverse population of men and women, using objective measures and also differentiating by the type and anatomical site of injury. The results showed that diabetes is associated with workplace and commuting injuries in women. Men with insulin‐treated diabetes had a higher risk of commuting injury. The observed effect sizes were moderate and, with the rapid increase in diabetes cases, this translates to a significant population‐attributable risk with large cost implications.