OPEN ACCESS Luis Möckel 1,6, * , Christina Arnold 1 , Tobias May 1 , Leona Maaß 1 , Sanaz Sohrabizadeh 2,3 , Thomas Hofmann 4 , Christina Möckel 1,5 Twelve-month prevalence of injury due to an occupational accident in pre-hospital Emergency Medical Services staf: Data from the EMS Health Study ABSTRACT Background: Pre-hospital emergency medical services (EMS) staf are at a high risk of occupational injuries. Therefore, this analysis aimed to calculate the 12-month prevalence of injuries due to occupational accidents and identify the associated factors in German pre-hospital EMS staf. Methods: We analyzed data from a cross-sectional survey to calculate the 12-month prevalence and the 95% confdence interval (95% CI) of an injury due to an occupational accident. In addition, the variables associated with these injuries were identifed by multivariable logistics regression analysis and by calculating adjusted odds ratios (AORs) with 95% CI using JASP sofware. Results: A total of 2,307 study participants were included in the analysis. The 12-month prevalence of an injury due to an occupational accident was 15.61% (95% CI: 14.15%; 17.15%). The presence of lower back pain or chronic back pain (AOR: 1.65 [95% CI: 1.24; 2,20]; p ≤ 0.001), allergies other than allergic asthma (AOR: 1.42 [95% CI: 1.09; 1.86]; p = 0.009), and osteoarthritis (AOR: 1.85 [95% CI: 1.03; 3.32]; p = 0.039) in the previous 12 months, which are associated with an injury due to an occupational accident, were statistically signifcant. In addition, participants who were working in rural areas indicated lower odds compared to those working in metropolitan areas (AOR: 0.62 [95% CI: 0.43; 0.90]; p ≤ 0.001). Conclusion: This analysis indicates a high 12-month prevalence and mainly health-related factors associated with injuries due to occupational accidents being statistically signifcant in the participating German pre-hospital EMS staf. Keywords: prevalence of injury, occupational risk, paramedics, health status, EMS 1 HSD Hochschule Döpfer GmbH, University of Applied Sciences, Cologne, Germany 2 Air Quality and Climate Change Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran 3 Department of Health in Disasters and Emergencies, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran 4 University of Bremen, Faculty of Human and Health Science, Bremen, Germany 5 Forschungszentrum Jülich GmbH, Jülich, Germany 6 IU Internationale Hochschule GmbH, University of Applied Sciences, Düsseldorf, Germany *Email: luis.moeckel@iu.org Orcid ID: https://orcid.org/0000-0002- 1338-8433 Cite this article as: Möckel L, Arnold C, May T, Maaß L, Sohrabizadeh S, Hofmann T, Möckel C. Twelve-month prevalence of injury due to an occupational accident in pre-hospital Emergency Medical Services staf: Data from the EMS Health Study. Journal of Emergency Medicine, Trauma & Acute Care. 2022;2022(5):37 https://doi.org/10.5339/jemtac.2022.37 https://doi.org/10.5339/jemtac.2022.37 Submitted: 28 July 2022 Accepted: 07 September 2022 © 2022 Möckel, Arnold, May, Maaß, Sohrabizadeh, Hofmann, Möckel, licensee HBKU Press. This is an open access article distributed under the terms of the Creative Commons Attribution license CC BY 4.0, which permits unrestricted use, distribution and reproduction in any medium, provided the original work is properly cited. Research paper