Intervention Effectiveness in Finnish Agriculture

芬兰农业的干预效果

• 批准号: 6984713
• 负责人: RISTO Heikki RAUTIAINEN
• 金额: $ 10.8万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-08-01 至 2008-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6984713
• 关键词: Scandinavian country; agriculture worker; clinical research; disease /disorder proneness /risk; health care cost /financing; health insurance; human data; income; injury; longitudinal human study; occupational health /safety; respiratory disorder; statistics /biometry

DESCRIPTION (provided by applicant): This K01 project aims to enhance the candidate's research career through mentored research and training. The candidate has a PhD in Occupational and Environmental Health, and considerable experience in agricultural health and safety. His short-term goals include conducting the proposed K01 research, leading data analyses in similar Iowa projects, and competing for two R01 awards. His long-term goals include establishing strong lines of research in injury epidemiology and intervention effectiveness. Given his background and recent faculty appointment, he is well positioned to become an independent investigator. The University of Iowa provides an outstanding research environment and experienced mentors (Drs. Craig Zwerling, Kelley Donham, Johannes Ledolter, Robert Ohsfeldt). This study has two hypotheses: 1) The Finnish farmers who are members of the Occupational Health Service (OHS) have lower injury rates, respiratory disease rates, and claim costs compared to non-members, and 2) Severe injuries are associated with demographic, income, and farm characteristics. Hypothesis 1 is tested through a retrospective cohort study, measuring whether the 2002 claim rates and costs differ between OHS members and propensity score matched non-members. Longitudinal methods (Generalized Estimating Equations, time series) measure differences in incidence rates and trends over time. Hypothesis 2 is tested through a case-control study that identifies risk factors for severe (>?1500) injuries (those 20% of cases that represent 79% of the insurance costs). Both analyses are based on a large, well-defined cohort (N=98,437 in 2002) and extensive data on injuries (N=6812) and occupational diseases (N=464). Agriculture remains one of the most hazardous industries in the US and effective interventions are needed. This study evaluates a well established agricultural OHS intervention. The results have great importance for similar efforts in Iowa and elsewhere. This study addresses three NORA priority areas and four Healthy People 2010 priority areas.

描述（由申请人提供）：该K01项目旨在通过指导的研究和培训来增强候选人的研究职业。 候选人在职业和环境健康方面拥有博士学位，并且在农业健康和安全方面拥有丰富的经验。他的短期目标包括进行拟议的K01研究，在类似的爱荷华州项目中进行领导数据分析，并竞争两个R01奖项。他的长期目标包括在损伤流行病学和干预效果方面建立强大的研究路线。鉴于他的背景和最近的教师任命，他有能力成为独立调查员。 爱荷华大学提供了出色的研究环境和经验丰富的导师（Craig Zwerling博士，Kelley Donham，Johannes Ledolter，Robert Ohsfeldt）。这项研究有两个假设：1）与非成员相比，职业卫生服务部（OHS）成员（OHS）的芬兰农民的受伤率较低，呼吸道疾病率和索赔成本，以及2）严重伤害与人口统计学，收入和农场特征有关。假设1通过回顾性队列研究进行了测试，以衡量OHS成员之间的2002索赔率和成本与非成员匹配的倾向评分之间是否有所不同。纵向方法（广义估计方程，时间序列）测量的发生率和趋势随着时间的流逝而差异。假设2通过一项病例对照研究测试，该研究确定了严重伤害（>？1500）的风险因素（占保险费用占79％的案件的20％）。这两种分析均基于大型，明确的队列（2002年的n = 98,437），以及有关伤害（n = 6812）和职业疾病（n = 464）的广泛数据。农业仍然是美国最危险的行业之一，需要有效的干预措施。这项研究评估了一项良好的农业OHS干预措施。对于爱荷华州和其他地方的类似努力，结果非常重要。这项研究涉及三个NORA优先领域和四个健康人2010年的优先领域。