Using death certificates and medical examiner records for adolescent occupational fatality surveillance and research: a case study.
Using death certificates and medical examiner records for adolescent occupational fatality surveillance and research: a case study.
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使用死亡证明和法医记录进行青少年职业死亡监测和研究：案例研究。
DOI：
10.1080/15459624.2012.713764
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发表时间：
2012
影响因子：
2
通讯作者：
Radisch,Deborah
中科院分区：
文献类型：
--
作者：
Rauscher,KimberlyJ;Runyan,CarolW;Radisch,Deborah
死亡证明和体检记录是成年工人中与工作有关的死亡研究和监测的有用但不完善的数据来源。目前还不清楚这是否适用于青少年工人中与工作有关的死亡，他们遭受独特的检测挑战，部分原因是他们通常不被认为是工人。本研究调查了使用这些数据源进行监测和研究的实用性有关tocentwork相关的死亡。以北卡罗来纳州为例，我们分析了1990-2008年间11至17岁青少年（N = 31）的死亡证明和所有与工作有关的死亡数据的法医记录。我们比较了病例识别、完整性和一致性信息的数据源。检查的变量包括与损伤有关的变量（例如，手段），发生（例如，地点）、人口统计和就业（例如，职业）。法医记录（90%）比死亡证明（71%）更有可能确定青少年与工作有关的死亡。数据的完整性普遍较高，但不同来源的数据不尽相同。最显著的区别是，在法医记录中，分别有72%和67%的案件的企业/行业类型和职业是完整的，而在死亡证明中，分别有90%和97%的案件的这些领域是完整的。将两个来源放在一起，每个字段在94%以上的情况下都是完整的。虽然完整性很高，但数据并非总是高质量的，有时不同来源的数据相互冲突。在许多情况下，死者的职业在死亡证明上被错误地归类为“学生”，他们的雇主被错误地归类为“学校”。尽管每一种来源都有其弱点，但法医记录和死亡证明，特别是在一起使用时，可以用于对与核电站有关的死亡进行监测和研究。然而，数据记录者需要格外小心，以确保在处理青少年工人死亡问题时，职业和雇主都得到了适当的编码。
Death certificates and medical examiner records have been useful yet imperfect data sources for work-related fatality research and surveillance among adult workers. It is unclear whether this holds for work-related fatalities among adolescent workers who suffer unique detection challenges in part because they are not often thought of as workers. This study investigated the utility of using these data sources for surveillance and research pertaining toadolescentwork-related fatalities. Using the state of North Carolina as a case study, we analyzed data from the death certificates and medical examiner records of all work-related fatalities data among 11- to 17-year-olds between 1990–2008 (N = 31). We compared data sources on case identification, of completeness, and consistency information. Variables examined included those on the injury (e.g., means), occurrence (e.g., place), demographics, and employment (e.g., occupation). Medical examiner records (90%) were more likely than death certificates (71%) to identify adolescent work-related fatalities. Data completeness was generally high yet varied between sources. The most marked difference being that in medical examiner records, type of business/industry and occupation were complete in 72 and 67% of cases, respectively, while on the death certificates these fields were complete in 90 and 97% of cases, respectively. Taking the two sources together, each field was complete in upward of 94% of cases. Although completeness was high, data were not always of good quality and sometimes conflicted across sources. In many cases, the decedent's occupation was misclassified as “student” and their employer as “school” on the death certificate. Even though each source has its weaknesses, medical examiner records and death certificates, especially when used together, can be useful for conducting surveillance and research onadolescentwork-related fatalities. However, extra care is needed by data recorders to ensure that occupation and employer are properly coded when dealing with adolescent worker deaths.