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OCCUPATIONAL INJURIES AMONG COMMERCIAL FISHERS

商业渔民的职业伤害

基本信息

批准号：
6734147
负责人：
DANA LOOMIS
金额：
$ 1.96万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2000
资助国家：
美国
起止时间：
2000-06-01 至 2004-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6734147
关键词：
clinical research disease /disorder etiology disease /disorder prevention /control disease /disorder proneness /risk epidemiology field study human population study human subject injury injury prevention musculoskeletal disorder occupational disease /disorder occupational hazard occupational health /safety occupations work site

项目摘要

Commercial fishing is among the most hazardous occupations, with high rates of both fatal and nonfatal injury. Nevertheless, few studies have been conducted to examine the epidemiology and prevention of injuries among commercial fishers in the United States. We propose a prospective cohort study of occupational injuries among commercial fishers, with the following aims: 1) To measure the incidence of nonfatal occupational traumatic injuries and musculoskeletal disorders; 2) To characterize the types and severity of occupational traumatic injuries and musculoskeletal disorders; 3) To describe and characterize the work processes, equipment, and working conditions, using qualitative, as well as quantitative methods; 4) To determine the association of occupational injuries with specific aspects of the job, including the type of fishing, size of vessel, equipment, and environmental conditions, and 5) To identify risk factors that could be modified to reduce the risk or severity of injury. The study will be carried out via intensive, two-year prospective follow-up of a cohort of commercial fishers in Eastern North Carolina. The cohort will be characterized in detail by clinical evaluations conducted at entry and every six months thereafter, and incident injuries will be ascertained prospectively by telephone interviews conducted weekly during the fishing season. This follow-up strategy will yield high quality data, allowing accurate ascertainment of injury occurrence in a population that is ordinarily hard to study because of their geographic dispersal and irregular work schedules. The statistical analysis will use state-of-the-art methods for repeated measures data. In addition to providing high-quality data an unstudied, high-risk population, this project will employ an innovative blend of qualitative and quantitative methodologies. We will conduct a field study using ethnographic techniques to understand the work processes of fishing and add context to the quantitative analysis. Potential interventions will be identified and presented to key informants in the fishing population. This proposal directly addresses three NIOSH NORA priority areas: traumatic injury, low back disorders, and musculoskeletal disorders of the upper extremities and is pertinent to a research with special populations, another NORA priority.

商业捕鱼是最危险的职业之一，致命和非致命伤害的发生率都很高。然而，很少有研究来调查美国商业渔民的流行病学和伤害预防。我们提出了一项关于商业渔民职业伤害的前瞻性队列研究，其目的如下： 1）衡量非致命职业创伤和肌肉骨骼疾病的发生率； 2）描述职业创伤和肌肉骨骼疾病的类型和严重程度； 3）使用定性和定量方法描述和表征工作过程、设备和工作条件； 4) 确定职业伤害与工作具体方面的关联，包括捕捞类型、船舶尺寸、设备和环境条件，以及 5) 确定可以修改以降低伤害风险或严重程度的风险因素。该研究将通过对北卡罗来纳州东部的一组商业渔民进行为期两年的密集前瞻性随访来进行。将通过在进入时以及此后每六个月进行一次临床评估来详细描述该群体的特征，并且将通过在捕鱼季节期间每周进行的电话采访来前瞻性地确定事故伤害。这种后续策略将产生高质量的数据，从而能够准确确定由于地理分散和工作时间不规律而通常难以研究的人群中的伤害发生情况。统计分析将使用最先进的方法来重复测量数据。除了为未经研究的高风险人群提供高质量数据外，该项目还将采用定性和定量方法的创新结合。我们将使用人种学技术进行实地研究，以了解捕鱼的工作流程并为定量分析添加背景。将确定潜在的干预措施并将其提交给捕鱼人口中的关键知情人。该提案直接涉及 NIOSH NORA 的三个优先领域：创伤性损伤、腰背疾病和上肢肌肉骨骼疾病，并且与特殊人群的研究相关，这是 NORA 的另一个优先领域。