Deindustrialisation and the long term decline in fatal occupational injuries.
Deindustrialisation and the long term decline in fatal occupational injuries.
复制标题
去工业化和致命职业伤害的长期下降。
DOI：
10.1136/oem.2003.009571
复制
发表时间：
2004
影响因子：
4.9
通讯作者：
Bailer,AJ
中科院分区：
文献类型：
--
作者：
Loomis,D;Richardson,DB;Bena,JF;Bailer,AJ
目的：研究在何种程度上去工业化占职业伤害风险的长期趋势在UnitedStates.Methods：致命的意外职业伤害率计算使用死亡证明和人口普查的数据。使用Poisson回归估计趋势。标准化和回归方法被用来调整劳动力市场结构变化的潜在影响，结果：所有行业的致命职业伤害率下降45%，从1980年至1996年（RR（率比）0.55，95%CI 0.52至0.57）。调整劳动力结构变化后，RR变为0.62（95% CI 0.60至0.65）。与收缩行业（每年-2.65%，95%CI-2.88至-2.42）相比，扩张行业的风险下降速度更快（每年-3.43%，95%CI-3.62至-3.24）。结论：去工业化有助于美国致命职业伤害率的下降，但仅占总变化的10-15%。
Aims:To examine the extent to which deindustrialisation accounts for long term trends in occupational injury risk in the United States.Methods:Rates of fatal unintentional occupational injury were computed using data from death certificates and the population census. Trends were estimated using Poisson regression. Standardisation and regression methods were used to adjust for the potential effect of structural change in the labour market.Results:The fatal occupational injury rate for all industries declined 45% from 1980 to 1996 (RR (rate ratio) 0.55, 95% CI 0.52 to 0.57). Adjustment for structural changes in the workforce shifted the RR to 0.62 (95% CI 0.60 to 0.65). Expanding industries enjoyed more rapid reduction in risk (−3.43% per year, 95% CI −3.62 to −3.24) than those that contracted (−2.65% per year, 95% CI −2.88 to −2.42).Conclusions:Deindustrialisation contributed to the decline of fatal occupational injury rates in the United States, but explained only 10–15% of the total change.