Intervention Effectiveness in Finnish Agriculture

这个K01项目旨在通过有指导的研究和培训来提升候选人的研究生涯。 应聘者拥有职业和环境健康博士学位，并在以下方面拥有丰富的经验 农业健康与安全。他的短期目标包括进行拟议的K01研究，领导 在爱荷华州类似的项目中进行数据分析，并角逐两个R01奖。他的长期目标包括 在伤害流行病学和干预效果方面建立强有力的研究路线。鉴于他的 背景和最近的教职任命，他很有可能成为一名独立的调查员。 爱荷华大学提供了出色的研究环境和经验丰富的导师(克雷格博士 Zwerling，Kelley Donham，Johannes Ledolter，Robert OhsFeldt)。这项研究有两个假设：1) 作为职业健康服务(OHS)成员的芬兰农民的伤害率较低， 与非会员相比，呼吸系统疾病率和索赔费用，以及2)严重伤害相关 具有人口统计、收入和农场特征。假设1是通过回溯队列进行检验的 研究，衡量2002年的索赔率和费用是否在OHS成员和倾向之间存在差异- 分数与非成员相匹配。纵向方法(广义估计方程，时间序列) 衡量一段时间内发病率和趋势的差异。假设2通过病例对照进行检验。 确定严重(1500)伤害的风险因素的研究(这20%的病例代表79%的 保险费)。这两项分析都是基于大量定义明确的队列(2002年的N=98,437)和广泛的 伤害(N=6812)和职业病(N=464)数据。农业仍然是最大的 美国的危险行业和有效的反转是必要的。这项研究评估了一口井- 建立农业OHS干预措施。这一结果对爱荷华州的类似努力和 其他地方。这项研究涉及NARA的三个优先领域和2010年健康人的四个优先领域。

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 insurace 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 inverventions 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.