WORKPLACE ASSAULT-RELATED INJURIES:INCIDENCE & RISK

在美国7000名与工伤有关的创伤性死亡中，约有13% 每年的州都与袭击有关。非致命性严重死亡人数 在工作未知的情况下，因与袭击有关的原因造成的伤害。整体而言 拟议研究的目标是了解其规模并确定 致命性和非致命性工伤的决定因素至 为了实现这一目标，我们的具体目标是：1)估计发病率 致命性和非致命性伤害和与工作有关的伤害的比率 南加州各县；2)识别个人职业和 致命性和非致命性住院工作相关的环境预测因素 南方四个被选高危职业中的殴打伤害 加利福尼亚州的县。几乎没有可用的信息在 规模，范围，高危职业，或个人，环境， 或与工作相关的风险预测指标。因此，研究设计分为两部分。 部分：一项衡量风险的关联研究，在一些重要的 社会人口、职业和工业参数；第二， 确定致命性和非致命性危险因素的病例对照研究 攻击伤害并评估其对结果的影响。vbl.使用 验尸官的记录和验尸官的死亡证明，警方的报告， 和伤害监测，我们将明确识别致命和非致命的 将这些信息与1991年的人口普查结合起来，然后进行一项 约200个病例的病例和匹配的工作场所控制 已确认身份。病例控制部分将侧重于高危职业 以及便利店、加油站、酒类商店、 酒吧、餐馆、出租车和送货卡车。一个理由是 设计的目的是最大限度地利用1991年人口普查数据，并将重点放在 关于深入研究与目标相关的案例。因素 与职业环境和工作地点有关，与 将对员工、环境和暴露事件进行评估，并 他们对结果的影响将被衡量。从总体结果来看， 我们不仅应该能够准确地估计致命和非致命的 发病率，但我们也应该能够识别，第一 时间，在一项科学研究中，风险因素及其潜在的 对暴露的影响。这些发现的应用是可以推广的。 在美国各地从事类似的职业。

About 13 percent of the 7,000 traumatic work-related deaths in the United States each year are assault-related. The number of nonfatal serious injuries from assault related causes while work is unknown. The overall Goal of the proposed research is to Understand the Magnitude and Identify the Determinants of fatal and non-fatal work-related assault injuries. To accomplish this goal, our specific aims are: 1) to estimate the incidence rates of fatal and nonfatal and work-related assault injuries in four Southern California counties; 2) to identify individual occupational and environmental predictors of fatal and nonfatal hospitalized work-related assault injuries in selected high-risk occupations in four Southern California counties. There is virtually no information available on the magnitude, scope, occupations at high risk, or individual, environmental, or work-related predictors of risk. Hence, the research design is in two parts: an incidence study to measure risk in a number of important sociodemographic occupational and industrial parameters; and, second, a case control study to identify risk factors for fatal and nonfatal assaultive injuries and to estimate their effects on the outcomes. Using coroner's records and coroner-generated death certificates, police reports, and injury surveillance, we will identify, specifically, fatal and nonfatal cases, combine this information with the 1991 census, and then carry out a case and matched place-at-work control for approximately 200 of the cases identified. The case-control component will focus on High Risk Occupations and Industries such as convenience stores, gas stations, liquor stores, bars, and restaurants, taxicabs, and delivery trucks. One rationale for the design is to maximize the availability of 1991 census data and to focus on in-depth studies of cases of relevance to the objectives. Factors associated with the occupational setting and the place of work, with the employee, with the environment, and exposure events will be assessed, and their affects on the outcome will be measured. From the overall results, we should be able to not only to estimate precisely fatal and nonfatal incidence rates, but we should also be able to identify, for the first time, in a scientifically conducted study, risk factors and their potential effects on exposure. The applications of these findings are generalizable to similar occupations throughout the United States.