Commuting Accidents among Non-Physician Staff of a Large University Hospital Center from 2012 to 2016: A Case-Control Study

• Published in: International journal of environmental research and public health Vol. 17; no. 9; p. 2982
• Main Authors: Ponsin, Alexandre, Fort, Emmanuel, Hours, Martine, Charbotel, Barbara, Denis, Marie-Agnès
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 25.04.2020; MDPI
• Subjects: Accidents; Commuting; Employees; Hospitals; Life Sciences; Midwifery; Nurses; Nursing; Occupational accidents; Occupational health; Regression analysis; Risk analysis; Risk assessment; Risk factors; Santé publique et épidémiologie; Schedules; Shift work; Sick leave; Social security; Software; Working hours; France; Europe; health care worker; commuting accidents; case control study; HEALTH CARE WORKER; ETUDE; COMMUTING ACCIDENTS; TRAVAIL; PREVENTION DES ACCIDENTS; CASE CONTROL STUDY
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph17092982

Road risks (commuting and on-duty accidents) have been responsible for 44% of work-related fatalities compensated by the French system of Social Security in 2012 and still represented 37% in 2018. Our objective was to assess risk factors for commuting accidents among the non-physician staff in a French university hospital. We conducted a case-control study of commuting accidents from 2012 to 2016. Cases were identified and controls were randomly selected from the hospital's personnel file with matches by year of the accident, gender and age. Risk factors were assessed using conditional logistic regression analysis. An increased risk was observed for 2 × 8 hour shifts, crude OR = 1.40 (95% CI = 1.05-1.86) compared to daytime schedules, but not confirmed in the multiple model. Being a duty officer and not working the day before the accident were associated with increased risk of accidents with adjusted OR = 1.9 (95% CI = 1.1; 3.3) and OR = 1.5, (95% CI = 1.1; 2.1), respectively. The risk increased as the distance between home and work increased, such as adjusted OR = 2.2 (95% CI = 1.4; 3.4) for a distance of >3.6 to 9 km, OR = 2.6, (95% CI = 1.7; 4.0) for a distance of >9 km to 19 km, and OR = 4.2, (95% CI = 2.8; 6.2) for >19 km vs. <3.6 km. The distance between home and work, not working the day before the accident, and certain categories of personnel were related to commuting accidents.