All-Cause and Cause-Specific Mortality Resulting from Non-Fatal Occupational Injuries

项目摘要/摘要 这项研究将使用相关的工人补偿，社会保障管理局的死亡总档案，以及 国家死亡指数数据，以确定非致命工伤和疾病对所有原因的影响 以及华盛顿州的特定死因死亡率。我们将跟踪所有损失时间得到补偿的工人 1994-2001年工伤和患病情况及受伤日期 同一时间段，受伤不超过三天的工作。我们将按照这个队列进行到底 2018年，提供长达25年的死亡随访。这项研究将使用单独的COX比例风险 男性和女性以及受伤和对照工人估计全因危险的回归 受伤之日后的死亡率。为了解释来自未观察到的混杂因素的潜在偏差，关于 来自收入动态和医疗保健小组研究的补偿性工伤和混杂因素 支出小组调查(MEP)，以及文献中的死亡率-混杂关系将提供信息 定量偏差分析。 在这项研究中，我们将使用精细和灰色方法来分析特定原因的死亡率，并检查所有- 对身体不同部位造成伤害，造成死亡危险。 这一研究路线可以为我们对非致命职业负担的理解增加一个新的维度 伤害：它们对死亡率的影响。在过去的10-15年里，研究人员发现，在一次职业生涯之后 除了长期的健康影响外，许多工人还遭受着长期的收入下降。这个 研究人员在新墨西哥州进行的一项初步研究显示，在受伤后的几十年里，死亡风险增加。 从这个新项目中获得的知识可能是朝着更全面地了解伤害- 死亡率链接，使我们能够将预防重点放在对死亡率影响最大的伤害上。

PROJECT SUMMARY / ABSTRACT This study will use linked workers' compensation, the Social Security Administration’s Death Master File, and National Death Index data to determine the impact of non-fatal workplace injuries and illnesses on all-cause and cause-specific mortality in Washington State. We will follow all workers with compensated lost-time workplace injuries and illness with dates of injury between1994-2001 and a comparison group of workers in the same time period with injuries involving no more than three days off work. We will follow this cohort through 2018, providing up to 25 years of mortality follow-up. This study will use separate Cox proportional hazards regressions for men and women and for injured and comparison workers to estimate all-cause hazard of mortality after the date of injury. To account for potential bias from unobserved confounders, information on compensated workplace injuries and confounders from the Panel Study of Income Dynamics and the Medical Expenditure Panel Survey (MEPS), along with mortality-confounder relationships from the literature will inform quantitative bias analysis. We will use the Fine and Gray approach to analyze cause-specific mortality in this study and also examine all- cause mortality hazard for injuries to different body parts. This line of research can add a new dimension to our understanding of the burden of non-fatal occupational injuries: their impact on mortality. In the past 10-15 years, researchers have found that after an occupational injury, many workers suffer long-term declines in earnings in addition to chronic health impacts. The investigators did an initial study in New Mexico showing increased mortality risk in the decades following injury. The knowledge gained from this new project can be a step toward a more complete understanding the injury- mortality link, enabling us to focus prevention on injuries that have the greatest effect on mortality.