Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Risk factors for occupational knee related disability among enlisted women in the US Army.

Authors
Sulsky-SI; Mundt-KA; Bigelow-C; Amoroso-PJ
Source
Occup Environ Med 2002 Sep; 59(9):601-607
NIOSHTIC No.
20029599
Abstract
AIMS: To identify sociodemographic and occupational determinants of knee related disability discharge from the US Army among enlisted women, and to investigate effect modification. METHODS: A case-control study of 692 cases of knee related disability discharge and 2080 incidence density matched controls nested within the population of all 244 000 enlisted women on active duty in the US Army, 1980-97. We used logistic regression to identify determinants of disability, stratified to explore effect modification by demographic and work characteristics. RESULTS: The risk of disability discharge was twice as high (odds ratio (OR) 2.4, 95% confidence interval (CI): 1.71 to 3.47) for the oldest (33-60 years) versus the youngest (17-21 years) women. Non-whites had lower risk than whites (OR 0.5, 95% CI: 0.41 to 0.60), as did married (OR 0.7, 95% CI: 0.54 to 0.81) relative to non-married women. Those of lower rank (pay grades E1-E3) were at five times the risk of disability discharge compared to those of higher ranks (pay grades E4-E9, OR 5.0, 95% CI: 2.86 to 8.33), while ORs were highest for those with longer duration of service compared to women on active duty for a year or less (OR 1.4, 95% CI: 0.8 to 2.55 after 12 years). Race modified several effects, including that of rank. Age, duration of service, and pay grade were too highly correlated to draw firm conclusions about their independent modifying effects on risk of disability discharge from the Army. CONCLUSIONS: Sociodemographic factors had larger effects than occupational characteristics on risk of knee related disability discharge from the US Army. Interactions suggest subgroups at differing risk levels that might be targeted for more detailed investigations.
Keywords
Occupational-hazards; Knee-injuries; Disabled-workers; Traumatic-injuries; Injuries; Military-personnel; Risk-factors; Risk-analysis; Demographic-characteristics; Age-factors; Age-groups
Contact
Dr Sulsky, Applied Epidemiology, Inc., PO Box 2424, Amherst, MA 01004
CODEN
OEMEEM
Publication Date
20020901
Document Type
Journal Article
Email Address
ssulsky@appliedepidemiology.com
Funding Amount
58074
Funding Type
Grant
Fiscal Year
2002
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R03-OH-003787
Issue of Publication
9
ISSN
1351-0711
Priority Area
Disease and Injury: Traumatic Injuries
Source Name
Occupational and Environmental Medicine
State
MA
Performing Organization
University of Massachusetts, Amherst, Massachusetts
TOP