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

非致命职业伤害导致的全因和特定原因死亡率

• 批准号: 10165413
• 负责人: LESLIE I. BODEN
• 金额: $ 33.14万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2022-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10165413
• 关键词: Cause; Specific; Mortality; Resulting; Non

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.

项目总结/摘要 这项研究将使用相关的工人赔偿，社会保障管理局的死亡主文件， 国家死亡指数数据，以确定非致命性工作场所伤害和疾病对所有原因的影响 和死因特异性死亡率。我们将按照所有工人的补偿损失的时间 1994年至2001年期间工伤和疾病情况以及 同一时间段内，受伤不超过三天的工作。我们将跟随这群人 2018年，提供长达25年的死亡率随访。本研究将使用单独的考克斯比例风险 男性和女性以及受伤工人和比较工人的回归，以估计 受伤后死亡。为了解释来自未观察到的混杂因素的潜在偏倚， 补偿工伤和混杂因素从小组研究的收入动态和医疗 支出小组调查（MEPS），沿着文献中的死亡率-混杂因素关系将告知 定量偏倚分析 在这项研究中，我们将使用精细和灰色方法来分析死因特异性死亡率，并检查所有- 对身体不同部位的伤害造成死亡危险。 这一系列的研究可以为我们理解非致命性职业疾病的负担增加一个新的维度。 伤害：对死亡率的影响。在过去的10-15年里，研究人员发现， 由于工伤，许多工人除了长期健康影响外，收入长期下降。的 研究人员在新墨西哥州做了一项初步研究，显示在受伤后的几十年中死亡风险增加。 从这个新项目中获得的知识可以成为更全面了解损伤的一步- 这使我们能够将预防重点放在对死亡率影响最大的伤害上。