{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:07:36Z","timestamp":1753877256017,"version":"3.41.2"},"reference-count":40,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"vor","delay-in-days":302,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001700","name":"Ministry of Education, Culture, Sports, Science and Technology of Japan","doi-asserted-by":"crossref","award":["24\u00a0K1413"],"award-info":[{"award-number":["24\u00a0K1413"]}],"id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,1,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Objectives: Occupational fall injuries have recently increased markedly in Japan, together with an increase in later-middle-aged females in the labor market. However, the association between anemia, which is prevalent among Japanese females, and falls is unclear. Here, we investigated the association between anemia and occupational fall injuries.<\/jats:p>\n               <jats:p>Methods: Participants were 6780 part-time female employees aged 35-64 working in Japanese supermarket stores of a retail company and who had at least 1 health checkup each year between 2017 and 2022. Anemia was defined as hemoglobin (Hb) &amp;lt;12.0\u00a0g\/dL (mild: Hb\u2009=\u200911.0-11.9\u00a0g\/dL, moderate-severe: Hb\u2009&amp;lt;\u200911.0\u00a0g\/dL). Fall injuries were defined as slips, trips, and falls on the same level, requiring medical attention based on the occupational injury data by the company. Incidence rate ratios (IRRs) for falls were estimated using multilevel Poisson regression, adjusting for age and body mass index.<\/jats:p>\n               <jats:p>Results: The annual rate of occupational fall injuries was 0.7%. The adjusted IRR for occupational fall injuries among participants with anemia was 1.71 (95% CI, 1.12-2.60). When dividing anemia into 2 groups, IRR was 1.46 (95% CI, 0.84-2.53) for mild anemia and 2.13 (95% CI, 1.18-3.84) for moderate-severe anemia (P for trend\u2009=\u2009.007).<\/jats:p>\n               <jats:p>Conclusions: In this observational study of employees of large Japanese supermarket stores, anemia was significantly associated with a higher incidence of occupational falls. Our findings suggest the importance of anemia in the prevention of occupational falls.<\/jats:p>","DOI":"10.1093\/joccuh\/uiae063","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T13:56:35Z","timestamp":1730210195000},"source":"Crossref","is-referenced-by-count":0,"title":["Relationship between anemia and occupational fall injuries in female part-time employees: an observational study of large supermarket stores in Japan"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6060-5245","authenticated-orcid":false,"given":"Azusa","family":"Shima","sequence":"first","affiliation":[{"name":"Shiga University of Medical Science Department of Clinical Nursing, , Seta-Tsukinowa-cho, Otsu 520-2192, Shiga,","place":["Japan"]},{"name":"HEIWADO Co Ltd Occupational Health Care Office, , Nishiima-cho 1, Hikone 522-8511, Shiga,","place":["Japan"]},{"name":"University of Occupational and Environmental Health Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, , Japan, 1-1 Iseigaoka Yahatanishi-ku, Kitakyushu 807-8555, Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Kawatsu","sequence":"additional","affiliation":[{"name":"HEIWADO Co Ltd Occupational Health Care Office, , Nishiima-cho 1, Hikone 522-8511, Shiga,","place":["Japan"]},{"name":"University of Occupational and Environmental Health Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, , Japan, 1-1 Iseigaoka Yahatanishi-ku, Kitakyushu 807-8555, Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayumi","family":"Morino","sequence":"additional","affiliation":[{"name":"HEIWADO Co Ltd Occupational Health Care Office, , Nishiima-cho 1, Hikone 522-8511, Shiga,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Okawara","sequence":"additional","affiliation":[{"name":"University of Occupational and Environmental Health Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, , Japan, 1-1 Iseigaoka Yahatanishi-ku, Kitakyushu 807-8555, Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiki","family":"Hirashima","sequence":"additional","affiliation":[{"name":"University of Occupational and Environmental Health Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, , Japan, 1-1 Iseigaoka Yahatanishi-ku, Kitakyushu 807-8555, Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naomi","family":"Miyamatsu","sequence":"additional","affiliation":[{"name":"Shiga University of Medical Science Department of Clinical Nursing, , Seta-Tsukinowa-cho, Otsu 520-2192, Shiga,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9126-206X","authenticated-orcid":false,"given":"Yoshihisa","family":"Fujino","sequence":"additional","affiliation":[{"name":"University of Occupational and Environmental Health Department of Environmental Epidemiology, Institute of Industrial Ecological Sciences, , Japan, 1-1 Iseigaoka Yahatanishi-ku, Kitakyushu 807-8555, Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"issue":"10159","key":"2025010313181869000_ref1","doi-asserted-by":"publisher","first-page":"1923","DOI":"10.1016\/S0140-6736(18)32225-6","article-title":"Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990\u20132017: a systematic analysis for the Global Burden of Disease study 2017","volume":"392","author":"Stanaway","year":"2018","journal-title":"Lancet"},{"volume-title":"Injuries, illnesses, and fatalities","author":"U.S. Bureau of Labor Statistics","key":"2025010313181869000_ref2"},{"volume-title":"Accidents and incidents","author":"European Agency for Safety and Health at Work","key":"2025010313181869000_ref3"},{"volume-title":"Falls in the workplace. 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