title: Are occupational factors and mental difficulty associated with occupational injury?
abstract: OBJECTIVE
  To evaluate the associations between biomechanical, physical, and psychological demands and occupational injury according to depressive symptoms severity.
  
  
  METHODS
  Two thousand eight hundred eighty-two French working people completed a questionnaire covering sociodemographic characteristics, smoking, alcohol consumption, obesity, job, chronic diseases, depressive symptoms, and injuries during the previous 2-year period. Data were analyzed using logistic regression.
  
  
  RESULTS
  Occupational injury (9.2%) strongly related to biomechanical, physical, and psychological demands among depressive-symptoms-free workers (odds ratios ranging from 1.35 to 3.15). These relationships were stronger among the workers with depressive symptoms without medical treatment (11.9%) and among those with persistent symptoms despite a treatment (1.7%), with odds ratios up to 12. These associations were partially confounded (up to 51%) by unhealthy behaviors, health status, and chronic diseases.
  
  
  CONCLUSIONS
  High-occupational demands and depressive symptoms can be early identified and monitored to prevent injury.
authors.affiliation: INSERM, Unit 669, Paris, France. Nearkasen.Chau@wanadoo.fr
authors.forename: Nearkasen
authors.initials: N
authors.lastname: Chau
authors.forename: Cédric
authors.initials: C
authors.lastname: Lemogne
authors.forename: Stéphane
authors.initials: S
authors.lastname: Legleye
authors.forename: Marie
authors.initials: M
authors.lastname: Choquet
authors.forename: Bruno
authors.initials: B
authors.lastname: Falissard
authors.forename: Philippe
authors.initials: P
authors.lastname: Fossati
mesh_terms: D000328:Adult; D000428:Alcohol Drinking / Q000453:epidemiology; D002908:Chronic Disease; D003863:Depression / Q000453:epidemiology*; D005260:Female; D005602:France / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology; D060051:Occupational Injuries / Q000453:epidemiology* / Q000517:prevention & control; D012907:Smoking / Q000453:epidemiology; D013315:Stress, Psychological / Q000453:epidemiology