title: The prevalence of sensorineural symptoms attributable to hand-transmitted vibration in Great Britain: a national postal survey.
abstract: BACKGROUND
  Exposure to hand-transmitted vibration (HTV) can cause sensorineural symptoms in the upper limb, but its impact has not previously been assessed in the general population.
  
  
  METHODS
  To investigate, we mailed a questionnaire about exposures to HTV, finger blanching and sensory symptoms (numbness or tingling) in the upper limbs to a population sample comprising 21,201 working-aged men and women selected at random from the age-sex registers of 34 British general practices, and a further 993 randomly selected from the pay records of the armed services. Associations were explored using multiple logistic regression models to adjust for confounding, with the resultant odds ratios converted into prevalence rate ratios (PRs).
  
  
  RESULTS
  Of 12,907 respondents, 2,607 (20.2%) reported sensory symptoms in the upper limb during the past week. Sensory symptoms were more prevalent in those with blanching, and were commonly associated with exposure to HTV, especially in men. In comparison with men who had never been exposed to HTV, the PR in men exposed both at work and in leisure was 2.2 (95% CI 1.9-2.4). Associations were found even in those who had never blanched.
  
  
  CONCLUSIONS
  Sensorineural symptoms in the upper limbs are common. HTV is an important risk factor for such complaints in the general population.
authors.affiliation: MRC Environmental Epidemiology Unit, University of Southampton, Southampton General Hospital, Southampton, SO16 6YD, UK. ktp@mrc.soton.ac.uk
authors.forename: K T
authors.initials: KT
authors.lastname: Palmer
authors.forename: M J
authors.initials: MJ
authors.lastname: Griffin
authors.forename: H
authors.initials: H
authors.lastname: Bendall
authors.forename: B
authors.initials: B
authors.lastname: Pannett
authors.forename: C
authors.initials: C
authors.lastname: Cooper
authors.forename: D
authors.initials: D
authors.lastname: Coggon
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D001132:Arm; D016001:Confidence Intervals; D005260:Female; D006801:Humans; D006987:Hypesthesia / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000209:etiology; D016273:Occupational Exposure / Q000009:adverse effects*; D010523:Peripheral Nervous System Diseases / Q000453:epidemiology* / Q000209:etiology; D011159:Population Surveillance; D015995:Prevalence; D012307:Risk Factors; D017678:Sex Distribution; D011795:Surveys and Questionnaires; D006113:United Kingdom / Q000453:epidemiology; D014732:Vibration / Q000009:adverse effects*