Sweden saw a five-fold increase in vibration check-ups among exposed workers between 2016 and 2022.

This study utilized a mixed-methods approach combining qualitative interviews with 26 workers and quantitative analysis of sales data registries from Sweden's three largest occupational health services (OHS). The research focused on hand-arm vibration syndrome (HAVS) and the avoidance of mandatory medical check-ups for vibrations (MCV) among vibration-exposed workers in the country. The primary outcome measured was the participation rate in these mandatory surveillance programs.

Quantitative analysis revealed a significant upward trend in MCV participation. The number of MCVs performed increased five-fold between 2016 and 2022. In the period from 2020 to 2022 alone, 11,643 MCVs were recorded within the three largest OHS facilities. When extrapolated nationally, this suggests approximately 22,000 MCVs were conducted across Sweden during the same timeframe. Despite this increase, the participation rate among the estimated 218,000 workers identified by exposure data, or 400,000 by statistical sources only, remains between 5% and 10%.

Qualitative findings indicated that MCVs are frequently avoided because employers do not offer them, despite the requirement. Workers also expressed fear regarding the socio-economic consequences of receiving an HAVS diagnosis. No safety data, adverse events, or tolerability issues were reported, as the study focused on healthcare utilization patterns rather than clinical interventions. The authors noted limitations inherent in using sales data registries and qualitative samples to estimate national trends.

The practice relevance highlights a critical gap in occupational health surveillance. Although participation is rising, the majority of exposed workers still avoid mandatory check-ups, potentially leaving them vulnerable to chronic, debilitating injuries from HAVS. Clinicians and occupational health professionals should recognize that low participation persists despite increased awareness or policy changes, necessitating strategies to improve access and reduce worker hesitation.