Work-Related Risks of Certified Athletic Trainers

描述(申请人提供)：这项国家队列研究的目的是描述工伤和肌肉骨骼症状的发生率，确定职业暴露，并探索在不同行业雇用的认证运动教练(AT)产生这些结果的风险因素。这一系列行业促成了职业暴露的独特组合，这是其他卫生职业没有接触到的。在全国范围内，人们对安非他明类兴奋剂的职业健康和危险因素知之甚少。该项目为更好地了解安非他明类兴奋剂所面临的危险提供了机会，以便能够确定预防措施。我们将使用定量和定性相结合的方法来1)收集20年的安非他明类药物回顾队列，2)描述8-15年期间向国家工作人员补偿报告的工伤和疾病的特征和计算比率，3)招募前瞻性队列以确定工伤、疾病和肌肉骨骼症状的患病率和发生率，并记录个人管理策略(例如自我治疗)，以及4)通过构建工作暴露矩阵来描述和对比不同就业环境下的工作相关暴露和工作条件。由于美国肥胖率的上升和体育活动生活方式的推广，对ATS在护理和预防运动相关伤害方面的专业知识的需求也将增加。描述与工作相关的暴露和结果将是积极影响当前和未来安非他明类兴奋剂健康的第一步。首席调查员(PI)将由一组导师指导，其中包括在监测、职业流行病学和暴露评估方面具有丰富经验的资深教员，以及一名在运动训练主题方面具有专业知识的流行病学家。除了在AT中获得职业健康问题方面的专业知识外，PI还将学习获取、管理和分析大型管理数据集，并建立、招募和跟踪大型职业队列。这一经验将培养PIS在调查设计、高级暴露评估技术以及定性方法在流行病学研究中的综合应用方面的知识和技能。这一项目建立在PI以前的工作经验的基础上，将允许开发新的技能，同时也有助于在一组独特的、研究不足的卫生保健提供者中研究与工作相关的成果。

DESCRIPTION (provided by applicant): The purpose of this national cohort study is to describe the incidence of work-related injury and musculoskeletal symptoms, identify occupational exposures, and explore risk factors for these outcomes among certified athletic trainers (AT) employed in a variety of industries. This range of industries contributes to a unique combination of occupational exposures to which other heath professions are not exposed. Little is known about the occupational health and risk factors among ATs on a national scale. This project provides an opportunity to develop a better understanding of the hazards faced by ATs so that prevention measures can be identified. We will employ a combination of quantitative and qualitative methods to 1) assemble a 20-year retrospective cohort of ATs, 2) describe the characteristics and calculate rates of work-related injury and illness reported to state workers' compensation over an 8-15 year period, 3) enroll a prospective cohort to determine prevalence and incidence of work-related injury, illness, and musculoskeletal symptoms and document individual management strategies (e.g. self-treatment), and 4) describe and contrast work-related exposures and working conditions in different employment settings by constructing a job exposure matrix. Due to the rise in obesity rates and the promotion of physically active lifestyles in the US, demand for ATs' expertise in care and prevention of activity-related injuries will also increase. Describing work-related exposures and outcomes will be the first step in order to positively impact the health of current and future ATs. The Principal Investigator (PI) will be guided by a team of mentors that includes senior faculty members with extensive experience in surveillance, occupational epidemiology, and exposure assessment, and a senior investigator who is an epidemiologist with expertise in the subject of athletic training. In addition to gaining expertise in the subject of occupational health issues among ATs, the PI will learn to acquire, manage, and analyze large administrative datasets and establish, recruit, and follow a large occupational cohort. This experience will develop the PIs knowledge and skills in survey design, advanced exposure assessment techniques, and comprehensive application of qualitative methods in epidemiologic studies. This project builds upon the PI's prior work experiences and will allow development of new skills while also making a contribution to the study of work- related outcomes among a unique and understudied group of health care providers.