Prevalence of needlestick injuries among home health care workers.
Thiese-MS; Wendelboe-AM; Hegmann-KT; Garg-A; Kapellush-J
Am J Epidemiol 2004 Jun; 159(11)(Suppl):S78
Needlestick injuries are a significant problem for healthcare providers. While the majority of research on needlestick injuries has been completed among healthcare workers in the hospital setting, little has been reported in non-hospital healthcare workers. A cross-sectional study was conducted, which analyzed needlestick and sharps injuries among home health care (HHC) workers (n = 883) from 24 HHC agencies in Utah, Wisconsin, Iowa, and Canada. Workers were largely female (92.3%) with a mean age of 43.5+/-11.3 years and mean experience in HHC of 8.3+/-6.7 years. 431 (48.8%) were aides and 306 (34.7%) were nurses. The participation rate averaged >95%. The one year prevalence rate of needlestick injuries for was 1.2% among HHC aides and 7.6% among HHC nurses. Logistic regression analyses were performed. Variables included age, smoking status, seatbelt use, length of career in HHC, personal and work related psycho-social factors and smoking status. Stratified analyses showed that for aides increasing age was protective [Odds Ratio (OR) = 0.16, (95% Confidence Interval 0.03, 0.98)] yet total time working for a HHC agency was trending toward significance (OR = 5.59, p = 0.051) suggesting that aides who have worked in the HHC field for most of their career may be at increased risk for needlestick injuries. Analysis in nurses did not show similar trends. In aides these findings contradicted other published research indicating that newer employees had an increased risk for needlestick injuries yet paralleled reports that young age was a risk factor.
Epidemiology; Needlestick-injuries; Medical-equipment; Medical-personnel; Health-care-personnel; Nurses; Injuries; Demographic-characteristics; Women; Statistical-analysis
American Journal of Epidemiology
University of Utah, Salt Lake City, Utah