A cross-sectional analysis of acute injuries among U.S. Coast Guard responders to the Deepwater Horizon Oil Spill.

Journal of occupational and environmental medicine Pub Date : 2025-01-28 DOI:10.1097/JOM.0000000000003330

Taj Keshav, Jordan McAdam, Hristina Denic-Roberts, Matthew O Gribble, Dana L Thomas, Lawrence S Engel, Jennifer A Rusiecki

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Abstract

Structured abstract: Objective: We investigated factors associated with acute injury among U.S. Coast Guard responders to the Deepwater Horizon oil spill.Methods: Self-reported data across five domains (demographic, operational, military, environmental, and comorbidities) were evaluated as potential risk factors for self-reported injuries experienced while deployed (slips, trips, and falls [STFs] and penetrating injuries [PIs]). Adjusted prevalence ratios (PRs) and 95% confidence intervals (CIs) were calculated.Results: Factors associated with STFs included increasing age, Hispanic ethnicity, Unknown race/ethnicity, service in the Selected Reserve, junior enlisted rank, operational response duties for longer duration, self-reported crude oil exposure, use of heat-susceptible personal protective equipment, musculoskeletal symptoms, reduced sleep, and high overall exposure based on a latent class variable. Factors associated with PIs were similar, though also included time outdoors and fatigue.Conclusions: The environment defined by the Deepwater Horizon oil spill was associated with increased acute injury prevalence in oil spill responders.

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