Perspective on new evidence showing injury under-reporting among precarious workers.
Perspective on new evidence showing injury under-reporting among precarious workers.
复制标题
对显示不稳定工人伤害报告不足的新证据的看法。
DOI：
10.1136/oemed-2021-107985
复制
发表时间：
2022
影响因子：
4.9
通讯作者：
Rosenman,KennethD
中科院分区：
文献类型：
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作者：
Rosenman,KennethD
监测数据对于确定和针对所有公共卫生活动，包括职业安全和健康的预防至关重要。需要准确和及时的监测数据，以查明新的危害，监测预防活动，规划干预措施，并评估这些干预措施的效力。所有职业健康专家都需要了解他们所能获得的监测数据的局限性，以便在工作中充分利用这些数据。美国非致命性工伤和疾病监测系统的不足之处已经得到充分证明。1另一方面，一些欧洲国家的国家补偿计划（如北欧国家）和劳动力调查（如英国）被视为改善非致命性工伤和疾病监测的模式。1 Kreshpaj等人在本期2中发表的论文以及同一作者最近发表的论文3表明，瑞典系统在提供准确的监测数据方面存在缺陷，毫不奇怪，在没有工作保障的不稳定工人中，这种缺陷甚至更大。瑞典的研究使用捕获-再捕获方法来研究两个数据库之间的重叠：职业伤害信息系统（伊萨），其中有雇主报告的与工作有关的伤害和疾病的数据;以及来自AFA的数据，AFA是一家相互保险公司，主要为集体谈判协议所涵盖的员工提供保险，并接受员工个人的报告。同一作者先前的研究得出结论，瑞典官方统计数据基于雇主报告，遗漏了25%的非致命性工伤和疾病。3 Kreshpaj等人在本期中发表的论文表明，与所有工人相比，不稳定工人的职业伤害失踪率高出50%。2、由于局限性
Surveillance data are essential to identify and target prevention for all public health activity, including occupational safety and health. Accurate and timely surveillance data are needed to identify new hazards, monitor prevention activity, plan interventions and to evaluate the efficacy of these interventions. All occupational health specialists need to understand the limitations of the surveillance data available to them in order to make the best use of the data in their work.The inadequacies of the surveillance system for nonfatal work-related injuries and illnesses in the USA have been well documented. 1 On the other hand, some European countries with their national compensation programmes (eg, the Nordic countries) and labour force surveys (eg, UK) have been looked to as models to follow to improve non-fatal work-related injury and illness surveillance. 1 The paper by Kreshpaj et al in this current issue 2 and the previous recent publication from the same authors 3 show the Swedish system has deficiencies in providing accurate surveillance data that, not surprisingly, are even greater in precarious workers without job security. The Swedish studies used capture–recapture methodology to look at overlap between two databases: Information System on Occupational Injuries (ISA), that has data on workrelated injuries and illnesses reported by employers; and data from the AFA, a mutual insurance company, which mainly insures employees covered by collective bargaining agreements and receives reports from individual employees. The previous study from the same authors concluded that the official Swedish statistics which are based on employer reporting missed 25% of non-fatal work-related injuries and illnesses. 3 Kreshpaj et al paper in this current issue showed that the magnitude of missing occupational injuries was 50% greater in precarious workers as compared with all workers. 2 Given the limitations of