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Occupational demands associated with rotator cuff disease surgery in the UK Biobank

Occupational demands associated with rotator cuff disease surgery in the UK Biobank
Occupational demands associated with rotator cuff disease surgery in the UK Biobank

Objectives Physically-demanding occupations may increase rotator cuff disease (RCD) risk and need for sur-gery. We linked a job-exposure matrix (JEM) to the UK Biobank cohort study to measure physical occupational exposures and estimate associations with RCD surgery. Methods Jobs and UK Standard Occupational Classification (SOC) codes were recorded during the UK Biobank verbal interview. Lifetime job histories were captured through a web-based survey. UK SOC codes were linked to a JEM based on the US O*NET database. O*NET-based scores [static strength, dynamic strength, general physical activities, handling/moving objects (range=1–7), time spent using hands, whole body vibration, and cramped/awkward positions (range=1–5)] were assigned to jobs. RCD surgeries were identified through linked national hospital inpatient records. Multivariable Cox regression was used to calculate hazard ratios (HR) as estimates of associations with RCD surgery. Among those with lifetime job histories, associations were estimated for duration of time with greatest exposure (top quartile of exposure). Results Of 277 808 people reporting jobs, 1997 (0.7%) had an inpatient RCD surgery. After adjusting for age, sex, race, education, area deprivation, and body mass index, all O*NET variables considered were associated with RCD surgery (HR per point increase range=1.10–1.45, all P<0.005). A total of 100 929 people reported lifetime job histories, in which greater exposures were significantly associated with RCD surgery after >10 years of work (eg, HR for 11–20 versus 0 years with static strength score ≥4 = 2.06, 95% confidence interval 1.39–3.04). Conclusion Workplace physical demands are an important risk factor for RCD surgery, particularly for workers with more than a decade of exposure.

job exposure matrix, occupational health
0355-3140
53-63
Yanik, Elizabeth L.
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Keener, Jay D.
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Stevens, Martin J.
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Walker-Bone, Karen E.
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Dale, Ann Marie
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Ma, Yinjiao
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Colditz, Graham A.
ef4d5121-7343-496f-8e9e-5acb81a86ea4
Wright, Rick W.
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Saccone, Nancy L.
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Jain, Nitin B.
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Evanoff, Bradley A.
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Yanik, Elizabeth L.
b5f579f3-a527-468a-826e-6a3744b56878
Keener, Jay D.
f345e4e4-2464-447b-a01b-b7cad8702362
Stevens, Martin J.
6ed230b2-7eaa-478b-80f7-ea75234bb76f
Walker-Bone, Karen E.
ad7d1336-ed2c-4f39-ade5-da84eb412109
Dale, Ann Marie
4fb85d5e-be17-499d-b5b7-aa54ec658c22
Ma, Yinjiao
547a059c-6d1a-4a6c-abbf-93e53dfde16a
Colditz, Graham A.
ef4d5121-7343-496f-8e9e-5acb81a86ea4
Wright, Rick W.
962d65ea-f64e-495b-891c-77e42a0bd233
Saccone, Nancy L.
4b2f828c-aa34-43ba-8695-a699c4926295
Jain, Nitin B.
231345fc-0055-444e-b305-7755cbc17340
Evanoff, Bradley A.
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Yanik, Elizabeth L., Keener, Jay D., Stevens, Martin J., Walker-Bone, Karen E., Dale, Ann Marie, Ma, Yinjiao, Colditz, Graham A., Wright, Rick W., Saccone, Nancy L., Jain, Nitin B. and Evanoff, Bradley A. (2023) Occupational demands associated with rotator cuff disease surgery in the UK Biobank. Scandinavian Journal of Work, Environment & Health, 49 (1), 53-63. (doi:10.5271/sjweh.4062).

Record type: Article

Abstract

Objectives Physically-demanding occupations may increase rotator cuff disease (RCD) risk and need for sur-gery. We linked a job-exposure matrix (JEM) to the UK Biobank cohort study to measure physical occupational exposures and estimate associations with RCD surgery. Methods Jobs and UK Standard Occupational Classification (SOC) codes were recorded during the UK Biobank verbal interview. Lifetime job histories were captured through a web-based survey. UK SOC codes were linked to a JEM based on the US O*NET database. O*NET-based scores [static strength, dynamic strength, general physical activities, handling/moving objects (range=1–7), time spent using hands, whole body vibration, and cramped/awkward positions (range=1–5)] were assigned to jobs. RCD surgeries were identified through linked national hospital inpatient records. Multivariable Cox regression was used to calculate hazard ratios (HR) as estimates of associations with RCD surgery. Among those with lifetime job histories, associations were estimated for duration of time with greatest exposure (top quartile of exposure). Results Of 277 808 people reporting jobs, 1997 (0.7%) had an inpatient RCD surgery. After adjusting for age, sex, race, education, area deprivation, and body mass index, all O*NET variables considered were associated with RCD surgery (HR per point increase range=1.10–1.45, all P<0.005). A total of 100 929 people reported lifetime job histories, in which greater exposures were significantly associated with RCD surgery after >10 years of work (eg, HR for 11–20 versus 0 years with static strength score ≥4 = 2.06, 95% confidence interval 1.39–3.04). Conclusion Workplace physical demands are an important risk factor for RCD surgery, particularly for workers with more than a decade of exposure.

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e-pub ahead of print date: 13 October 2022
Published date: 1 January 2023
Additional Information: Funding Information: This research has been conducted using the UK Biobank Resource (www.ukbiobank.ac.uk/) under Application Number 27034. This work was supported by the United States National Institutes of Health [K01AR073318 to E.L.Y.] and the United States National Institute for Occupational Safety and Health [R01 OH011076 to B.A.E.]. The funders did not influence the design of the study, analysis or interpretation of the data, the writing of this report or the decision to publish. Publisher Copyright: © 2023, Nordic Association of Occupational Safety and Health. All rights reserved.
Keywords: job exposure matrix, occupational health

Identifiers

Local EPrints ID: 473156
URI: http://eprints.soton.ac.uk/id/eprint/473156
ISSN: 0355-3140
PURE UUID: ac03f367-4cf6-4941-8270-fc7eea945522
ORCID for Martin J. Stevens: ORCID iD orcid.org/0000-0002-6142-5278
ORCID for Karen E. Walker-Bone: ORCID iD orcid.org/0000-0002-5992-1459

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Date deposited: 11 Jan 2023 17:30
Last modified: 31 Oct 2023 02:40

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Contributors

Author: Elizabeth L. Yanik
Author: Jay D. Keener
Author: Ann Marie Dale
Author: Yinjiao Ma
Author: Graham A. Colditz
Author: Rick W. Wright
Author: Nancy L. Saccone
Author: Nitin B. Jain
Author: Bradley A. Evanoff

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