Occupational Health Literacy, Socioeconomic Status & Work-related Injury to Teens

职业健康素养、社会经济地位

• 批准号: 8065698
• 负责人: Kimberly Jean Rauscher
• 金额: $ 5.8万
• 依托单位: WEST VIRGINIA UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-02-01 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8065698
• 关键词: Occupational; Health; Literacy; Socioeconomic; Status

DESCRIPTION (provided by applicant): This study examines the relationship between health literacy as it applies to the workplace, i.e., "occupational health literacy," and work-related injury, which affects nearly 230,000 U.S. adolescents under 18 every year. Since general health literacy is known to be associated with a variety of health outcomes and with socioeconomic status (SES), occupational health literacy is likely to be related to occupational health outcomes and to SES as well, yet no studies have explored this hypothesis. In this study, we will examine occupational health literacy as both a determinant of work-related injury (WRI) prevalence and as a mediating factor in the known association between SES and adolescent WRI. Exploring this novel concept of occupational health literacy will forge new ground in understanding the causes of adolescent work injury and the association between SES and WRI among adolescents. Our specific aims are to determine, 1) if low occupational health literacy is associated with higher work-related injury prevalence among youth, 2) if youth of lower SES have lower occupational health literacy, and 3) if low occupational health literacy among low SES youth mediates the association between low SES and elevated work-related injury prevalence. We will achieve these aims by taking advantage of a unique dataset containing information on 2,315 adolescent workers of varying levels of SES in five cities across the US. These data include work-related injury prevalence, several measures of SES and an array of variables used to measure occupational health literacy (e.g., access to health and safety information and demonstrated health and safety knowledge and skills). This combination of data is rare and provides an excellent opportunity to answer the research questions posed in this study. The main analytic technique used in this study will be regression modeling. The high prevalence of WRI in this sample precludes the use of logistic regression. Therefore, Cox regression models will be used to obtain prevalence ratios as was done in the previous study of the association between WRI and SES. This study addresses traumatic injury and occupational health disparities among young workers, all of which are emphasized in the National Occupational Research Agenda. Study findings will be useful in developing interventions to enhance occupational health literacy among working youth, with specific efforts targeted at improving literacy among disadvantaged youth, to reduce their disproportionate injury burden. PUBLIC HEALTH RELEVANCE: This project investigates the role of "occupational health literacy" as both a determinant of work-related injury prevalence and as a mediating factor in the association between socioeconomic status and work-related injury among adolescents. Study findings will inform prevention efforts aimed at reducing the prevalence of adolescent work-related injury. They can also lead to intervention strategies that equalize occupational health literacy among youth, with specific efforts targeted at improving occupational health literacy among disadvantaged youth to reduce their disproportionate injury burden.

描述（由申请人提供）：这项研究探讨了健康素养之间的关系，因为它适用于工作场所，即，“职业健康素养”和工伤，每年影响近23万名18岁以下的美国青少年。由于一般健康素养已知与各种健康结果和社会经济地位（SES）相关，职业健康素养可能与职业健康结果和SES相关，但没有研究探讨这一假设。在这项研究中，我们将探讨职业健康素养作为一个决定因素的工伤（WRI）的患病率和作为一个中介因素之间的联系SES和青少年WRI。探索这一新的概念，职业健康素养将建立新的基础，了解青少年工伤的原因和青少年SES和WRI之间的关联。我们的具体目标是确定，1）低职业健康素养是否与青年中较高的工伤患病率相关，2）低SES的青年是否具有较低的职业健康素养，3）低SES青年中的低职业健康素养是否介导了低SES和工伤患病率升高之间的关联。我们将通过利用一个独特的数据集来实现这些目标，该数据集包含美国五个城市2，315名不同SES水平的青少年工人的信息。这些数据包括工伤发生率、社会经济地位的几个指标以及用于衡量职业健康素养的一系列变量（例如，获得健康和安全信息，并展示健康和安全知识和技能）。这种数据组合是罕见的，并提供了一个很好的机会来回答本研究中提出的研究问题。本研究中使用的主要分析技术将是回归建模。WRI在该样本中的高患病率排除了logistic回归的使用。因此，将使用考克斯回归模型来获得患病率比，就像之前关于WRI和SES之间关联的研究一样。这项研究解决了年轻工人的创伤和职业健康差异，所有这些都在国家职业研究议程中得到了强调。研究结果将有助于制定干预措施，以提高在职青年的职业健康素养，具体努力是针对提高弱势青年的识字率，以减少他们不成比例的伤害负担。公共卫生关系：本研究调查了“职业健康素养”作为青少年工伤发生率的决定因素和社会经济地位与工伤之间关联的中介因素的作用。研究结果将为旨在减少青少年工伤发生率的预防工作提供信息。它们还可以导致采取干预战略，在青年中实现职业健康知识普及，并作出具体努力，提高处境不利青年的职业健康知识普及，以减轻他们不成比例的伤害负担。