Hospital contacts due to injuries among male drivers working for road goods-transport contractors in Denmark.

OBJECTIVES: To establish a detailed picture of injury pattern among professional goods-transport drivers in Denmark. METHODS: For each calendar year over the period of 1995-2003, the age-standardized hospital contact ratios (SHRs) for injury were calculated for male drivers working for road goods-transport contractors in Denmark. The reference population was the male skilled/semiskilled subpopulation of the general workforce in Denmark. RESULTS: No differences in the rate of injury-related hospital contact could be found between male goods-transport drivers and the reference population between 1995 and 1999. However, in the following period of 2000-2003, elevated rates of injury-related hospital contact were noted among goods-transport drivers, compared with the reference population. Furthermore, the injury-related SHR of goods-transport drivers showed a significant increase throughout the period of 1995-2003. Injuries to ankles/feet/toes were prominent among goods-transport drivers. Compared with the reference population, male goods-transport drivers had elevated rates of superficial injuries, dislocations/sprains/strains, fractures, and concussion. The superficial injuries were sustained most frequently in the ankles/feet/toes, open wounds in head/neck, dislocations/sprains/strains in ankles/feet/toes, and fractures in wrists/hands/fingers and ankles/feet/toes. CONCLUSION: There is a clear need for efforts to prevent work injuries among goods-transport drivers. Special attention should be paid to preventing fractures in wrists/hands/fingers and ankles/feet/toes, dislocations/sprains/strains in ankles/feet/toes, open wounds in head/neck, and concussion.

Coping, social relations, and communication: a qualitative exploratory study of children of parents with cancer.

The purpose of this qualitative study of families where a parent has cancer was to explore ways of informing the child of the parent's illness, how the child perceives the parent's emotional state, how the child copes with the parent's illness, and how this coping relates to the parent's coping and concerns for the child. Twenty-one children from 15 families and their parents were interviewed. In 13 families the mother was ill, in two the father. Children were aware of the facts of the illness, but there was limited emotional communication between the generations. The children were very observant of both the ill and the healthy parent's emotional condition. The children's observations and expressions led us to identify five coping strategies the younger generation used: Helping others, parentification, distraction, keeping it in the head, and wishful thinking. Both adaptive and destructive examples of parentification were found. Communication patterns and parental coping seemed to be highly related to the child's coping repertoire. Even though most children seemed to manage rather well, all children were strongly affected by the illness. The 'healthiest' adaptation related to factors within the family system, which has implications for the provision of help.