Occupational and non-occupational factors associated with work-related injuries among construction workers in the USA

Int J Occup Environ Health. 2015;21(2):142-50. doi: 10.1179/2049396714Y.0000000107.


Background: Many factors contribute to occupational injuries. However, these factors have been compartmentalized and isolated in most studies.

Objective: To examine the relationship between work-related injuries and multiple occupational and non-occupational factors among construction workers in the USA.

Methods: Data from the 1988-2000 National Longitudinal Survey of Youth, 1979 cohort (N = 12,686) were analyzed. Job exposures and health behaviors were examined and used as independent variables in four multivariate logistic regression models to identify associations with occupational injuries.

Results: After controlling for demographic variables, occupational injuries were 18% (95% CI: 1.04-1.34) more likely in construction than in non-construction. Blue-collar occupations, job physical efforts, multiple jobs, and long working hours accounted for the escalated risk in construction. Smoking, obesity/overweight, and cocaine use significantly increased the risk of work-related injury when demographics and occupational factors were held constant.

Conclusions: Workplace injuries are better explained by simultaneously examining occupational and non-occupational characteristics.

Keywords: Health behaviors,; Job exposures,; Multiple exposures,; Occupational injuries,; Workplace injuries.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Accidents, Occupational / statistics & numerical data*
  • Adolescent
  • Construction Industry*
  • Demography
  • Female
  • Health Behavior
  • Humans
  • Incidence
  • Life Style
  • Longitudinal Studies
  • Male
  • Occupations
  • Risk Factors
  • United States / epidemiology
  • Young Adult