Trends and disparities in fatal occupational injury in North Carolina

北卡罗来纳州致命职业伤害的趋势和差异

• 批准号: 9810588
• 负责人: DAVID B RICHARDSON
• 金额: $ 59.36万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2022-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9810588
• 关键词: Trends; disparities; fatal; occupational; injury

ABSTRACT Understanding of the frequency and distribution of occupational injuries is crucial for injury prevention and evaluation of injury prevention strategies. The past 25 years have seen profound changes in the economic and demographic factors that affect workplace safety. Nationally, employment has shifted away from manufacturing to services. Despite positive economic indicators, unemployment remains high in many communities, and there is increasing reliance on undocumented and immigrant workers. Like the US as a whole, North Carolina’s workforce has changed substantially over the past 25 years. The state has grown from 6.6 million to 9.9 million residents, employment has shifted dramatically from agriculture, textile, and furniture production to a more diversified economy and the population of Latino workers has increased nearly four hundred percent. The parent study of the current proposal provided a detailed description of the epidemiology of fatal occupational injuries in North Carolina over the period 1977-1991, utilizing the state’s medical examiner system as a tool for identification of fatal occupational injuries. The findings of that project, which continue to be used by injury epidemiologists, described trends in fatal injuries, disparities by race and ethnicity, and informed injury research and prevention strategies in a number of industries. We propose to build upon this parent study to provide contemporary data regarding fatal injuries in the southeast. The proposed research will address determinants of fatal occupational injuries in this large southeastern state over a 40-year time span. The proposed study will encompass a population of nearly 10 million residents followed from 1977-2016 in a state with a diverse economy and the fastest growing Latino population in the US. We will utilize the same case ascertainment methodology as the parent study, allowing us to generate a pooled database with an extended 4-decade follow-up of the population -- a unique contribution to occupational epidemiology. This proposed update includes analytical aims that will yield novel, highly informative findings addressing trends and disparities in fatal occupational injuries in North Carolina. A key stakeholder advisory panel and planned statewide summit will ensure that results are disseminated to key policy makers and workplace safety advocates. Results will inform future occupational injury research and prevention strategies in this region. In addition to the advisory panel and 1-day statewide summit, results will be disseminated via peer-reviewed journals and presentations at scientific meetings, a project website and twitter handle. The proposed study leverages a number of existing strengths by building upon longstanding collaborations between the state’s Department of Health and Human Services, the UNC Department of Epidemiology, and UNC’s Injury Prevention Research Center. The work will address NORA priorities by improving understanding of injuries across a wide range of industrial sectors and strengthening the basis for injury prevention efforts.

抽象的 了解职业伤害的频率和分布对于预防伤害和 评估伤害策略。在过去的25年中，经济和 影响工作场所安全的人口因素。在全国范围内，就业已从制造业转移 到服务。尽管经济指标积极，但许多社区的失业率仍然很高，那里 越来越多地依赖无证件和移民工人。像美国的整体一样，北卡罗来纳州 在过去的25年中，劳动力已经发生了很大变化。该州已从660万增加到990万 居民，就业已从农业，纺织品和家具生产急剧转移到更多 多样化的经济和拉丁裔工人人口增长了近400％。这 当前提案的父母研究提供了致命占领流行病学的详细描述 1977年至1991年，北卡罗来纳州的受伤使用该州的体检医师作为工具 识别致命职业伤害。该项目的发现继续被伤害使用 流行病学家描述了致命伤害，种族和种族差异的趋势，以及知情的伤害 许多行业的研究和预防策略。我们建议以这项父母研究为基础 提供有关东南部致命伤害的现代数据。拟议的研究将解决 在40年的时间范围内，在这个大型东南部国家，致命遭受致命占据的决定因素。 拟议的研究将包括1977 - 2016年在一个州的近1000万居民的人口 在美国的潜水员经济和增长最快的拉丁裔人口。我们将利用相同的情况 确定方法作为家长研究，使我们能够生成一个汇集的数据库 人口的四个十年后续行动 - 对职业流行病学的独特贡献。这提出了 更新包括分析目的，这些目的将产生新颖的信息，以解决趋势和 北卡罗来纳州致命职业伤害的差异。一个关键的利益相关者咨询面板和计划 全州峰会将确保结果将结果传播到关键的政策制定者和工作场所安全 拥护者。结果将为该地区未来的职业伤害研究和预防策略提供信息。在 除咨询小组和全州为期1天的峰会上，结果将通过同行评审来传播 在科学会议上，项目网站和Twitter手柄上的期刊和演示文稿。拟议的研究 通过建立长期合作，利用许多现有的优势 卫生与公共服务部，UNC流行病学系和UNC的伤害 预防研究中心。这项工作将通过提高对伤害的理解来解决NORA的优先事项 在广泛的工业部门中，并加强了预防伤害工作的基础。