Work-related asthma surveillance in Washington State: time trends, industry rates, and workers' compensation costs, 2002-2016.
Work-related asthma surveillance in Washington State: time trends, industry rates, and workers' compensation costs, 2002-2016.
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华盛顿州与工作相关的哮喘监测：时间趋势、行业比率和工人补偿成本，2002-2016 年。
DOI：
10.1080/02770903.2019.1571084
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
Reeb-Whitaker,CarolynK
中科院分区：
文献类型：
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作者：
LaSee,ClaireR;Reeb-Whitaker,CarolynK
摘要目的：华盛顿州的工作相关性哮喘（WRA）监测计划利用工人的赔偿（WC）数据作为其主要数据来源，并跨越了15年的时间段。本研究分析了WRA索赔发生率与所有WC索赔发生率相比的趋势。WRA索赔发生率和WC成本按行业进行分析。研究方法：通过WC系统和直接提供者报告确定潜在WRA病例，并按行业、年龄和发病年份进行分类。WRA按行业和年份的索赔率是使用WC系统所涵盖的雇主报告的总工作时间计算的。已受理索赔的索赔费用按行业和年份进行了比较。结果：2002-2016年期间，WRA索赔发生率每年下降8.9%（95% CI：-10.6，-7.2）。WRA索赔发生率的下降速度略快于所有WC索赔的发生率，后者在2007年至2010年期间下降最快，估计每年下降8.4%（95% CI：-11.8，-5.0）。公共行政、制造业和农业、林业、渔业和狩猎业工人的WRA索赔率最高。WRA的索赔成本中位数每年没有显着变化（p= 0.2，范围595- 1442），WRA WC索赔成本按行业分布最高的是制造业（21.3%）和建筑业（16.4%）。结论：华盛顿州的WRA索赔发生率正在下降。下降的原因尚不清楚。华盛顿所有行业的工人仍然面临WRA的风险。
Abstract Objective: Washington State’s work-related asthma (WRA) surveillance program utilizes workers’ compensation (WC) data as its primary data source and has spanned a 15-year time period. This study analyses trends for WRA claim incidence rates compared to all WC claim incidence rates. WRA claim incidence rates and WC costs are analyzed by industry. Methods: Potential WRA cases were identified through the WC system and through direct provider report and classified by industry, age, and year of illness onset. WRA claim rates by industry and year were calculated using total work hours reported by employers covered by the WC system. Claim costs for accepted claims were compared by industry and year. Results: WRA claim incidence rates decreased 8.9%(95% CI:–10.6,–7.2) annually for the time period 2002–2016. The decline in WRA claim incidence rate is slightly faster than the incidence rate for all WC claims which had its steepest decrease from 2007 to 2010 at an estimated annual 8.4% decrease (95% CI:–11.8,–5.0). WRA claim rates were highest for workers in Public Administration, Manufacturing, and the Agricultural, Forestry, Fishing and Hunting industries. Median claim costs for WRA did not change significantly by year (p= 0.2, range 595– 1442) and the distribution of WRA WC claim costs by industry were highest in Manufacturing (21.3%) and Construction (16.4%) industries. Conclusion: WRA claim incidence rates are declining in Washington State. The cause for the decline is unclear. Workers across all industries in Washington remain at risk for WRA.