OCCUPATIONAL MORTALITY--CALIFORNIA HISPANIC POPULATION

关于西班牙裔美国人职业死亡率的研究很少。 人口，尽管有证据表明拉美裔有更大的潜力 一些职业中的危险暴露，以及拉美裔美国人有 某些疾病的发病率高得不寻常。例如，鼻咽癌 在西班牙裔人中，胆汁、胃、宫颈和肝脏的发病率过高 在美国的人口中，但病因尚不清楚。 西班牙裔美国人职业死亡率缺乏研究的一个主要原因 在计算死亡率方面一直存在困难。分子 (西班牙裔死亡人数)和分母(西班牙裔人口普查估计数 职业)不具有可比性，因为 西班牙裔种族的确定。例如，1980年的人口普查使用了 自我报告西班牙裔种族以估计拉美裔人口， 一种不能用于死亡的方法。 我们建议计算#年职业的西班牙裔死亡率 加州使用一种创新的方法来控制由 确定西班牙裔种族的不同方法。具体目标是 具体如下：1)？计算西班牙姓氏/自报西班牙裔血统 每个职业的可比性，使用美国人口普查5%的微观数据 包含西班牙姓氏、西班牙裔血统和 职业，2)计算西班牙姓氏人口估计 使用上述可比性计算和 美国人口普查20%的加州样本中包含职业和 自我报告的西班牙裔血统，3)从西班牙姓氏死亡中选择 加州职业死亡率研究中的18万人死亡 所有州死亡证明的职业编码为3年 期间，4)计算每个职业的年龄调整死亡率 对于92个标准NIOSH死因类别，使用死亡率 所有职业的税率加在一起作为比较，以及5)比较 西班牙裔和非拉美裔美国人在每个职业中的死亡率。 由于这项研究将调查许多职业和死因，以及 不会考虑吸烟和酗酒，它将被认为是 假设生成研究。它可能会为未来的队列提供方向 和以登记为基础的病例对照研究，在这些研究中可以把重点放在 具体的疾病和伤害、暴露和混杂因素。

There has been little study of occupational mortality in Hispanic populations, despite evidence that Hispanics have greater potential for hazardous exposures in some occupations, and evidence that Hispanics have unusually high rates for certain diseases. For example, tumors of the gallbladder, stomach, cervix, and liver occur excessively in the Hispanic population of the U.S., but the etiology is unknown. A major reason for lack of study of occupational mortality in Hispanics has been difficulty in calculation of death rates. The numerators (Hispanic deaths) and denominators (census estimates of Hispanics by occupation) have not been comparable because of differing methods in ascertainment of Hispanic ethnicity. The 1980 census, for example, used self-reporting of Hispanic ethnicity to estimate Hispanic populations, a method that cannot be used for deaths. We propose to calculate Hispanic mortality rates for occupations in California using an innovative method of controlling for bias caused by differing methods of Hispanic ethnicity determination. specific aims are as follows: 1) ?Calculate Spanish surname/self-reported Hispanic origin comparability for each occupation, using the U.S. Census 5% microdata sample for California that contains Spanish surname, Hispanic origin, and occupation, 2) Compute Spanish surname population estimates for occupations in California using the above comparability calculations and the U.S. Census 20% sample for California that contains occupation and self-reported Hispanic origin, 3) Select Spanish surname deaths from the 180,000 deaths in the California Occupational Mortality Study in which occupations were coded for all state death certificates for a 3-year period, 4) Calculate age-adjusted mortality ratios for each occupation for the 92 standard NIOSH causes of death categories using mortality rates in all occupations combined as the comparison, and 5) Compare mortality rates for Hispanics and non-Hispanics in each occupation. Since the study will examine many occupations and causes of death, and will not account for smoking and alcohol, it will be considered a hypothesis generating study. It may provide direction for future cohort and registry-based case-control studies where it is possible to focus on specific illnesses and injuries, exposures, and confounding factors.