Occupational injury and illness among migrant and seasonal farmworkers in New York State and Pennsylvania, 1997-1999: Pilot study of a new surveillance method
Occupational injury and illness among migrant and seasonal farmworkers in New York State and Pennsylvania, 1997-1999: Pilot study of a new surveillance method
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DOI：
10.1002/ajim.10233
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发表时间：
2003-07-01
影响因子：
3.5
通讯作者：
May, JJ
中科院分区：
文献类型：
--
作者：
Earle-Richardson, G;Jenkins, PL;May, JJ
背景传统的工地伤害监测方法对于使用季节性收获劳动的东北农场来说往往是无效的，许多是小农场，免除了强制性的伤害报告。外籍工人的高比例和工作的临时性进一步阻碍了报告。方法收集1997~1999年9个流动人口卫生中心和4个地区医院急诊室的匿名病历资料。结果两个季节共发生516例伤害/疾病病例。关节/肌肉拉伤(31%)、坠落(18%)、接触毒藤(10%)和物体撞击(8%)是最常见的伤害事件。卫生保健参与率为75%；医院急诊室报告了130例病例；最佳卫生中心参与率与以下因素有关：是农场工人专职项目，并将病历审查员纳入卫生中心的参与决策。结论进一步发展基于病历的监测系统应包括医院急诊室，并关注已确定的卫生中心绩效因素。(C)2003年Wiley-Liss，Inc.
Background Traditional worksite injury surveillance methods are often ineffective for Northeastern farms employing seasonal harvest labor Many are small farms, exempt from mandatory injury reporting. The high proportion of foreign workers and the temporary nature of the work further discourages reporting. Therefore, an alternative migrant health center-based occupational injury and illness surveillance system was piloted during 1997-1999.Methods Anonymous medical chart data from nine migrant health centers and four regional hospital emergency rooms was collected during 1997-1999.Results There were 516 injury/illness cases over two seasons. Joint/muscle straining (31%), falling (18%), poison ivy contact (10%), and object strikes (8%) were most common injurious events. The participation rate of health care was 75%; 130 cases were reported by hospital emergency rooms; and optimal health center participation was associated with: being a farmworker-dedicated program, and including the chart reviewer in the health center's decision to participate.Conclusions Further development of a medical records-based surveillance system should include hospital emergency rooms and focus on identified health center performance factors. (C) 2003 Wiley-Liss, Inc.