Trends and disparities in fatal occupational injury in North Carolina

摘要 了解职业伤害的频率和分布对于伤害预防和 评估伤害预防策略。过去25年，经济和社会结构发生了深刻变化 影响工作场所安全的人口因素。在全国范围内，就业已从制造业转移 为了服务。尽管经济指标积极，但许多社区的失业率仍然居高不下，而且 对无证工人和移民工人的依赖日益增加。就像整个美国一样，北卡罗来纳州 在过去的25年里，劳动力发生了巨大的变化。该州从660万人增长到990万人 在居民中，就业已从农业、纺织和家具生产大幅转移到更多 多元化的经济和拉美裔工人的人口增加了近400%。这个 目前建议的家长研究提供了致命职业流行病学的详细描述。 1977-1991年期间北卡罗来纳州的受伤人数，利用该州的法医制度作为一种工具 致命职业伤害的鉴定。该项目的发现，继续被伤害组织使用 流行病学家描述了致命性伤害、种族和民族差异以及知情伤害的趋势 多个行业的研究和预防战略。我们建议在这项家长研究的基础上， 提供有关东南部致命伤害的最新数据。拟议的研究将解决 在40年的时间跨度内，这个东南部大州致命职业伤害的决定因素。这个 拟议的研究将涵盖一个州1977-2016年间近1000万居民的跟踪调查 拥有多元化的经济和美国增长最快的拉丁裔人口。我们将利用相同的案例 确定方法作为父研究，允许我们生成具有扩展的 对人口的四年跟踪调查--对职业流行病学的独特贡献。这项建议 更新包括分析目标，将产生针对趋势和 北卡罗来纳州致命职业伤害的差异。一个关键的利益相关者咨询小组，并计划 全州峰会将确保将结果传播给关键的政策制定者和工作场所安全 倡导者。研究结果将为该地区未来的职业伤害研究和预防策略提供参考。在……里面 除了咨询小组和为期一天的全州峰会外，结果还将通过同行评议发布 期刊和科学会议上的演讲，一个项目网站和Twitter账号。建议进行的研究 通过建立在州和州之间的长期合作基础上，利用一些现有的优势 卫生与公众服务部、北卡罗来纳大学流行病学部和北卡罗来纳大学的伤害 预防研究中心。这项工作将通过提高对伤害的理解来解决Nora的优先事项 在广泛的工业部门，并加强伤害预防工作的基础。

ABSTRACT Understanding of the frequency and distribution of occupational injuries is crucial for injury prevention and evaluation of injury prevention strategies. The past 25 years have seen profound changes in the economic and demographic factors that affect workplace safety. Nationally, employment has shifted away from manufacturing to services. Despite positive economic indicators, unemployment remains high in many communities, and there is increasing reliance on undocumented and immigrant workers. Like the US as a whole, North Carolina’s workforce has changed substantially over the past 25 years. The state has grown from 6.6 million to 9.9 million residents, employment has shifted dramatically from agriculture, textile, and furniture production to a more diversified economy and the population of Latino workers has increased nearly four hundred percent. The parent study of the current proposal provided a detailed description of the epidemiology of fatal occupational injuries in North Carolina over the period 1977-1991, utilizing the state’s medical examiner system as a tool for identification of fatal occupational injuries. The findings of that project, which continue to be used by injury epidemiologists, described trends in fatal injuries, disparities by race and ethnicity, and informed injury research and prevention strategies in a number of industries. We propose to build upon this parent study to provide contemporary data regarding fatal injuries in the southeast. The proposed research will address determinants of fatal occupational injuries in this large southeastern state over a 40-year time span. The proposed study will encompass a population of nearly 10 million residents followed from 1977-2016 in a state with a diverse economy and the fastest growing Latino population in the US. We will utilize the same case ascertainment methodology as the parent study, allowing us to generate a pooled database with an extended 4-decade follow-up of the population -- a unique contribution to occupational epidemiology. This proposed update includes analytical aims that will yield novel, highly informative findings addressing trends and disparities in fatal occupational injuries in North Carolina. A key stakeholder advisory panel and planned statewide summit will ensure that results are disseminated to key policy makers and workplace safety advocates. Results will inform future occupational injury research and prevention strategies in this region. In addition to the advisory panel and 1-day statewide summit, results will be disseminated via peer-reviewed journals and presentations at scientific meetings, a project website and twitter handle. The proposed study leverages a number of existing strengths by building upon longstanding collaborations between the state’s Department of Health and Human Services, the UNC Department of Epidemiology, and UNC’s Injury Prevention Research Center. The work will address NORA priorities by improving understanding of injuries across a wide range of industrial sectors and strengthening the basis for injury prevention efforts.