Intervention Effectiveness in Finnish Agriculture

描述（由申请人提供）：这个K01项目旨在通过指导研究和培训来提高候选人的研究生涯。 候选人拥有职业和环境卫生博士学位，并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领导数据分析，并竞争两个R01奖项。他的长期目标包括在伤害流行病学和干预有效性方面建立强有力的研究。考虑到他的背景和最近的教职任命，他很有可能成为一名独立调查员。 爱荷华州的大学提供了一个优秀的研究环境和经验丰富的导师（博士克雷格Zwerling，凯利Donham，约翰内斯Ledolter，罗伯特Ohsfeldt）。本研究有两个假设：1）芬兰农民谁是职业健康服务（OHS）的成员有较低的伤害率，呼吸系统疾病的发病率，索赔费用相比，非成员，和2）严重伤害与人口，收入和农场的特点。假设1是通过一项回顾性队列研究，测量是否2002年索赔率和成本之间的OHS成员和倾向得分匹配的非成员的差异进行测试。纵向方法（广义估计方程，时间序列）衡量发病率和趋势随时间的差异。假设2是通过病例对照研究，确定危险因素严重（>？1500）伤害（这20%的情况下，代表79%的保险费用）。这两项分析都是基于一个大型的、定义明确的队列（2002年N= 98，437）和关于伤害（N=6812）和职业病（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。这项研究评估了一个完善的农业OHS干预。这一结果对爱荷华州和其他地方的类似努力具有重要意义。本研究讨论了诺拉的三个优先领域和四个2010年健康人优先领域。

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.