0280 Factors associated with the severity of work injuries in the formal sector in piracicaba, são paulo state, brazil

• Published in: Occupational and environmental medicine (London, England) Vol. 74; no. Suppl 1; p. A87
• Main Authors: Guimarães, Mariana Tavares, Ferreira, Ana Paula Sacone da Silva, Silva, Alessandro José Nunes da, Duracenko, Sandra Renata, Peres, Stela Verzinhasse, Vilela, Rodolfo Andrade de Gouveia, Cardoso, Maria Regina Alves
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group LTD 01.08.2017
• Subjects: Accidents; Age; Confidence intervals; Fatalities; Health surveillance; Injuries; Injury analysis; Injury prevention; Manufacturing industry; Men; Mortality; Occupational health; Occupational safety; Public health; Regression analysis; Risk; Social factors; Workers; Brazil
• ISSN: 1351-0711; 1470-7926
• DOI: 10.1136/oemed-2017-104636.230

IntroductionWork injuries represent a relevant public health issue. Evaluation of associated factors is an important tool for occupational health surveillance. We aimed to identify factors associated with the severity of work injuries in Piracicaba from 2004–2013. MethodsThis is a cross-sectional study and is part of ”Work Accident: from socio-technical analysis towards the social construction of changes” supported by the São Paulo Research Foundation. Work injuries data were retrieved from the Work Accident Surveillance System (SIVAT) for formal workers with at least 18 years old for the period 2004–2013. Using a multiple logistic regression model, odds ratios (OR) and their 95% confidence intervals (CI95%) were calculated considering the severity of the injury (severe or fatal versus moderate and light) and selected variables (injury type, sex, age group). All analyses were done using STATA 13.1. ResultsIn the period 2004–2013, 78 198 work injuries occurred with formal workers in Piracicaba, being 1522 (1.92%) severe or fatal accident. In severe or fatal accident, the frequency was higher among workers from manufacturing industry (750;49%), followed by services (389;26%). Increased risk for severe and fatal injuries was found for men (OR=1.16 CI95%:1.01–1.33), route accident (OR=2.0;CI95%:1.77–2.26), and an upward trend in risk with increasing age (trend test:p<0.001). ConclusionAction plans to prevent workplace injuries and deaths should be designed considering that men at older ages working in manufacturing industry and in the service sectors are at increased risk. SIVAT represents an important tool to assess worker’s health in the Piracicaba region and guide occupational health surveillance.