Work-Related Risks of Certified Athletic Trainers

摘要 这项全国性队列研究的目的是描述工伤的发生率， 肌肉骨骼症状，识别职业暴露，并探索这些结果的风险因素 在各种行业中雇用的认证运动教练（AT）中。这一系列行业有助于 一种独特的职业暴露组合，其他卫生专业人员没有暴露。之甚少 了解全国范围内AT的职业健康和风险因素。该项目提供了一个 有机会更好地了解AT所面临的危害，以便采取预防措施， 鉴定我们将采用定量和定性相结合的方法来1）组装一个20年的 回顾性队列研究，2）描述工伤和疾病的特征并计算发生率 在8-15年期间向国家工人赔偿报告，3）招募前瞻性队列，以确定 与工作有关的伤害、疾病和肌肉骨骼症状的患病率和发生率， 个人管理策略（如自我治疗），以及4）描述和对比与工作相关的暴露 通过构建工作接触矩阵，了解不同就业环境中的工作条件。由于上升 在美国，肥胖率和促进身体活动的生活方式，对AT的护理专业知识的需求 预防与活动有关的伤害也将增加。描述与工作相关的风险和结果 将是积极影响当前和未来AT健康的第一步。主要研究者 (PI)将由导师团队指导，其中包括具有丰富经验的资深教师， 监测、职业流行病学和接触评估，以及一名高级调查员， 在运动训练方面有专长的流行病学家。除了获得专业知识， 职业健康问题之间的AT，PI将学习获取，管理和分析大型行政 数据集，并建立，招聘，并遵循一个大的职业队列。这一经验将发展PI 知识和技能，调查设计，先进的风险评估技术， 定性方法在流行病学研究中的应用。该项目建立在PI先前的工作基础上 经验，并将允许新技能的发展，同时也作出贡献的工作研究- 一个独特的和未充分研究的医疗保健提供者群体之间的相关结果。

ABSTRACT 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.