The Relationship Between Longest-Held Occupation and Hand Function in Older Adults

J Occup Environ Med. 2025 Apr 1;67(4):e203-e206. doi: 10.1097/JOM.0000000000003309. Epub 2025 Jan 10.

Abstract

Objective: Hand function, an important component of daily functioning, declines with age, yet the degree to which occupation modifies such declines is largely unknown.

Methods: Older adults (≥65) completed an online cross-sectional survey containing a standardized hand function questionnaire, occupation-related questions, and demographic information. Participants were then categorized by their longest-held occupation as blue collar or white collar.

Results: Hand impairments were more common in the blue collar group (51.5% vs 28.9%, P < 0.05). Odds ratios indicated that blue collar workers were 2.71 times more likely to report hand impairments in older adulthood than white collar workers.

Conclusions: Our findings demonstrated strong associations between occupation type and hand function, underscoring the importance of implementing hand-specific preventative workplace measures and highlighting the need to consider additional risk factors for hand impairments, including occupation, during routine clinical exams.

Keywords: aging; blue collar; hand impairment; upper limb; white collar.

MeSH terms

  • Activities of Daily Living
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Female
  • Hand* / physiology
  • Hand* / physiopathology
  • Humans
  • Male
  • Occupations* / statistics & numerical data
  • Risk Factors
  • Surveys and Questionnaires