A Cross-sectional Analysis of Acute Injuries Among US Coast Guard Responders to the Deepwater Horizon Oil Spill.

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

Objective: We investigated factors associated with acute injury among US 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 and penetrating injuries). Adjusted prevalence ratios and 95% confidence intervals were calculated.

Results: Factors associated with slips, trips, and falls included increasing age, Hispanic ethnicity, Unknown race/ethnicity, service in the Selected Reserve, junior enlisted rank, engaging in operational response duties over longer durations, 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 penetrating injuries 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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美国海岸警卫队在深水地平线石油泄漏事故中急性受伤的横断面分析。
摘要:目的:研究美国海岸警卫队深水地平线漏油事故应急人员急性损伤的相关因素。方法:评估五个领域(人口统计、作战、军事、环境和合并症)的自我报告数据,作为部署过程中自我报告受伤(滑倒、绊倒、跌倒[stf]和穿透伤[pi])的潜在风险因素。计算校正患病率比(pr)和95%置信区间(ci)。结果:与stf相关的因素包括年龄增加、西班牙裔种族、未知种族/种族、在后备部队服役、初级士兵军衔、较长时间的作战反应职责、自述原油暴露、使用热易感个人防护装备、肌肉骨骼症状、睡眠减少以及基于潜在类别变量的高总体暴露。与pi相关的因素相似,但也包括户外活动时间和疲劳。结论:深水地平线石油泄漏所定义的环境与石油泄漏救援人员急性伤害发生率的增加有关。
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