Mandated Rest Breaks and Occupational Injuries and Illnesses in Dallas County, Texas Construction Workers: A Quasi-Experimental, Comparative Interrupted Time Series Study

J Occup Environ Med. 2024 Sep 1;66(9):731-736. doi: 10.1097/JOM.0000000000003144. Epub 2024 May 10.

Abstract

Objective: We estimated associations of a rest break ordinance, implemented for construction workers in Dallas, Texas in 2016, with workplace injuries and illnesses.

Methods: We used workers' compensation claims data to compare changes in rates of injuries and illnesses among Dallas County, Texas construction (ie, "treated") workers with changes in untreated workers, before (2013-2015) and after (2016-2018) a rest break ordinance was implemented.

Results: Immediately after the ordinance was implemented, rates of injuries/illnesses among treated workers were modestly lower than in comparison workers (rate ratio comparing postmandate vs premandate rates, treated vs comparison workers: 0.89, 95% confidence interval: 0.72-1.11). Postordinance versus preordinance slope trends were similar in the treated versus the comparison group.

Conclusions: Ten-minute rest breaks were associated with modestly lower rates of workplace injury/illnesses. More comprehensive standards may be needed for protection.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Construction Industry* / legislation & jurisprudence
  • Construction Industry* / statistics & numerical data
  • Female
  • Humans
  • Interrupted Time Series Analysis*
  • Male
  • Middle Aged
  • Occupational Diseases* / epidemiology
  • Occupational Injuries* / epidemiology
  • Rest*
  • Texas / epidemiology
  • Workers' Compensation* / legislation & jurisprudence
  • Workers' Compensation* / statistics & numerical data