OCCUPATIONAL INJURIES AMONG COMMERCIAL FISHERS

商业渔民的职业伤害

• 批准号: 6446032
• 负责人: DANA LOOMIS
• 金额: $ 36.59万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-06-01 至 2003-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6446032
• 关键词: clinical research; disease /disorder etiology; disease /disorder prevention /control; disease /disorder proneness /risk; epidemiology; field study; human population study; human subject; injury; injury prevention; musculoskeletal disorder; occupational disease /disorder; occupational hazard; occupational health /safety; occupations; work site

Commercial fishing is among the most hazardous occupations, with high rates of both fatal and nonfatal injury. Nevertheless, few studies have been conducted to examine the epidemiology and prevention of injuries among commercial fishers in the United States. We propose a prospective cohort study of occupational injuries among commercial fishers, with the following aims: 1) To measure the incidence of nonfatal occupational traumatic injuries and musculoskeletal disorders; 2) To characterize the types and severity of occupational traumatic injuries and musculoskeletal disorders; 3) To describe and characterize the work processes, equipment, and working conditions, using qualitative, as well as quantitative methods; 4) To determine the association of occupational injuries with specific aspects of the job, including the type of fishing, size of vessel, equipment, and environmental conditions, and 5) To identify risk factors that could be modified to reduce the risk or severity of injury. The study will be carried out via intensive, two-year prospective follow-up of a cohort of commercial fishers in Eastern North Carolina. The cohort will be characterized in detail by clinical evaluations conducted at entry and every six months thereafter, and incident injuries will be ascertained prospectively by telephone interviews conducted weekly during the fishing season. This follow-up strategy will yield high quality data, allowing accurate ascertainment of injury occurrence in a population that is ordinarily hard to study because of their geographic dispersal and irregular work schedules. The statistical analysis will use state-of-the-art methods for repeated measures data. In addition to providing high-quality data an unstudied, high-risk population, this project will employ an innovative blend of qualitative and quantitative methodologies. We will conduct a field study using ethnographic techniques to understand the work processes of fishing and add context to the quantitative analysis. Potential interventions will be identified and presented to key informants in the fishing population. This proposal directly addresses three NIOSH NORA priority areas: traumatic injury, low back disorders, and musculoskeletal disorders of the upper extremities and is pertinent to a research with special populations, another NORA priority.

商业捕鱼是最危险的职业之一，致命和非致命伤害率都很高。 然而，很少有研究已经进行了审查的流行病学和预防伤害的商业渔民在美国。 本研究拟对商业渔民的职业伤害进行前瞻性队列研究，目的是：1）测量非致命性职业创伤和肌肉骨骼疾病的发生率; 2）描述职业创伤和肌肉骨骼疾病的类型和严重程度; 3）使用定性和定量方法描述和表征工作过程、设备和工作条件; 4）确定职业伤害与工作的具体方面的联系，包括捕鱼类型、船只大小、设备和环境条件; 5）确定可以修改的风险因素，以降低伤害的风险或严重程度。这项研究将通过对北卡罗来纳州东部的一组商业渔民进行为期两年的密集前瞻性随访来进行。 将在入组时和此后每六个月进行一次临床评价，详细描述这一群体的特征，并将在捕鱼季节每周进行一次电话访谈，前瞻性地确定事故伤害。这一后续策略将产生高质量的数据，使准确确定伤害发生的人口，通常很难研究，因为他们的地理分布和不规则的工作时间表。 重复测量数据的统计分析将使用最先进的方法。除了为未经研究的高风险人群提供高质量数据外，该项目还将采用创新的定性和定量方法。 我们将使用民族志技术进行实地研究，以了解捕鱼的工作流程，并为定量分析添加背景。 将确定可能的干预措施，并将其提交给捕鱼人口中的主要信息提供者。该提案直接涉及NIOSH诺拉的三个优先领域：创伤性损伤、腰部疾病和上肢肌肉骨骼疾病，并且与特殊人群研究相关，这是诺拉的另一个优先领域。