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White fingers, cold environment, and vibration: exposure among Swedish construction workers
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin. (Arcum)
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin. Department of Occupational and Environmental Medicine, University Hospital of Northern Sweden, Umeå, Sweden. (Arcum)
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Yrkes- och miljömedicin. Department of Occupational and Environmental Medicine, Sundsvall Hospital, Sundsvall, SE-851 86 Sweden. (Arcum)
Department of Occupational and Environmental Medicine, University Hospital of Northern Sweden, Umeå, Sweden. (Arcum)
2010 (Engelska)Ingår i: Scandinavian Journal of Work, Environment and Health, ISSN 0355-3140, E-ISSN 1795-990X, ISSN 1795-990X, Vol. 36, nr 6, s. 509-513Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objectives The aim of this study was to examine the association between white fingers, cold environment, and exposure to hand–arm vibration (HAV). The hypothesis was that working in cold climate increases the risk of white fingers.

Methods The occurrence of white fingers was investigated as a cross-sectional study in a cohort of Swedish male construction workers (N=134 757). Exposure to HAV was based on a job-exposure matrix. Living in the north or south of Sweden was, in a subgroup of the cohort, used as an indicator of the exposure to cold environment (ie, living in the north meant a higher exposure to cold climate). The analyses were adjusted for age and use of nicotine products (smoking and snuff).

Results HAV-exposed workers living in a colder climate had a higher risk for white fingers than those living in a warmer climate [odds ratio (OR) 1.71, 95% confidence interval (95% CI) 1.42–2.06]. As expected, we found that HAV-exposed workers had an increased risk compared to controls (OR 2.02, 95% CI 1.75–2.34). The risk for white fingers increased with increased level of exposure to HAV and also age.

Conclusions Cold environment increases the risk for white fingers in workers occupationally exposed to HAV. The results underscore the need to keep exposure to HAV at workplaces as low as possible especially in cold climate.

Ort, förlag, år, upplaga, sidor
2010. Vol. 36, nr 6, s. 509-513
Nyckelord [en]
climate, hand–arm vibration, HAV, occupation, raynaud’s phenomenon, smoking, snuff
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Identifikatorer
URN: urn:nbn:se:umu:diva-39304DOI: 10.5271/sjweh.3072ISI: 000283701800011PubMedID: 20567796OAI: oai:DiVA.org:umu-39304DiVA, id: diva2:390395
Tillgänglig från: 2011-01-21 Skapad: 2011-01-21 Senast uppdaterad: 2018-06-08Bibliografiskt granskad

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Burström, LageJärvholm, BengtNilsson, TohrWahlström, Jens

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