Mortality Consequences of Non-Fatal Occupational Injuries

非致命职业伤害的死亡后果

• 批准号: 8621128
• 负责人: LESLIE I. BODEN
• 金额: $ 22.94万
• 依托单位: BOSTON UNIVERSITY MEDICAL CAMPUS
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-07-01 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8621128
• 关键词: Mortality; Consequences; Non; Fatal; Occupational

Abstract: Mortality Consequences of Non-Fatal Occupational Injuries and Illnesses This study will use linked workers' compensation, Social Security Administration, and National Death Index data to determine the impact of non-fatal workplace injuries and illnesses on all-cause mortality. We will follow all workers with compensated lost-time workplace injuries and illness with dates of injury in 1994-2000 and a comparison group of uninjured workers in the same firms through 2012, providing up to 19 years of mortality follow-up. We will use separate Cox proportional hazards regressions for males and females for both injured and comparison workers to estimate the all-cause hazard of mortality after the date of injury. To account for potential bias from unobserved confounders, we will use information on compensated workplace injuries and confounders from the Panel Study of Income Dynamics and a recently-developed statistical method to adjust our estimates for missing confounders. This research can add a new dimension to our understanding of the burden of non-fatal occupational injuries: their impact on mortality. In the past 10-15 years, researchers have found that many injured workers suffer long-term declines in earnings in addition to chronic health impacts. We hypothesize that these impacts lead to increased mortality risk in the decades following injury. Documenting an increase in mortality would add new evidence about the substantial burden of occupational injuries and illnesses in the U.S., thus supporting the goal of prevention. This could lead to a novel measure of the impact of non-fatal injuries - injury-related excess mortality.

翻译后摘要：非致命性职业伤害和疾病的死亡率后果 这项研究将使用相关的工人补偿，社会保障管理局和国家死亡指数 数据，以确定非致命性工伤和疾病对全因死亡率的影响。我们将遵循 1994-2000年期间所有因工伤和疾病而得到补偿的工人， 2012年同一公司未受伤工人的比较组，提供长达19年的死亡率 随访对于受伤的男性和女性，我们将使用单独的考克斯比例风险回归 和比较工人，以估计受伤日期后死亡的全因危险。以考虑 由于未观察到的混杂因素的潜在偏倚，我们将使用有关工伤赔偿的信息， 来自收入动态小组研究的混杂因素和最近开发的统计方法来调整 我们对缺失混杂因素的估计。 这项研究可以为我们理解非致命性职业性疾病的负担增加一个新的维度。 伤害：对死亡率的影响。在过去的10-15年里，研究人员发现，许多受伤的工人 除了长期健康影响外，还遭受收入长期下降。我们假设这些影响 导致受伤后数十年内死亡风险增加。记录死亡率的增加会增加 关于美国职业伤害和疾病负担的新证据，从而支持 预防的目标。这可能会导致一种新的措施的影响，非致命伤害-伤害有关 超额死亡率