Intervention Effectiveness in Finnish Agriculture

描述(由申请者提供)：本K01项目旨在通过指导研究和培训来提升候选人的研究生涯。应聘者拥有职业和环境健康博士学位，并在农业健康和安全方面拥有丰富的经验。他的短期目标包括进行拟议的K01研究，在爱荷华州的类似项目中领导数据分析，并竞争两个R01奖。他的长期目标包括在伤害流行病学和干预有效性方面建立强有力的研究路线。考虑到他的背景和最近的教师任命，他很有可能成为一名独立调查员。爱荷华大学提供卓越的研究环境和经验丰富的导师(博士克雷格·兹韦林、凯利·多纳姆、约翰尼斯·莱道特、罗伯特·奥斯菲尔特)。这项研究有两个假设：1)与非成员相比，职业卫生服务(OHS)成员的芬兰农民的伤害率、呼吸道疾病发生率和索赔费用较低，2)严重伤害与人口、收入和农场特征有关。假设1是通过一项回溯性队列研究来检验的，该研究测量了OHS成员和非成员之间2002年的索赔率和费用是否存在差异。纵向方法(广义估计方程、时间序列)衡量发病率和趋势随时间的差异。假设2通过病例对照研究来检验，该研究确定了严重(1500英镑)伤害的风险因素(占保险费用79%的那20%的病例)。这两项分析都基于大量明确的队列(2002年N=98,437)和关于伤害(N=6812)和职业病(N=464)的大量数据。农业仍然是美国最危险的行业之一，需要进行有效的干预。这项研究评估了一项公认的农业OHS干预措施。这一结果对爱荷华州和其他地方的类似努力具有重要意义。这项研究涉及NARA的三个优先领域和2010年健康人的四个优先领域。

DESCRIPTION (provided by applicant): This K01 project aims to enhance the candidate's research career through mentored research and training. The candidate has a PhD in Occupational and Environmental Health, and considerable experience in agricultural health and safety. His short-term goals include conducting the proposed K01 research, leading data analyses in similar Iowa projects, and competing for two R01 awards. His long-term goals include establishing strong lines of research in injury epidemiology and intervention effectiveness. Given his background and recent faculty appointment, he is well positioned to become an independent investigator. The University of Iowa provides an outstanding research environment and experienced mentors (Drs. Craig Zwerling, Kelley Donham, Johannes Ledolter, Robert Ohsfeldt). This study has two hypotheses: 1) The Finnish farmers who are members of the Occupational Health Service (OHS) have lower injury rates, respiratory disease rates, and claim costs compared to non-members, and 2) Severe injuries are associated with demographic, income, and farm characteristics. Hypothesis 1 is tested through a retrospective cohort study, measuring whether the 2002 claim rates and costs differ between OHS members and propensity score matched non-members. Longitudinal methods (Generalized Estimating Equations, time series) measure differences in incidence rates and trends over time. Hypothesis 2 is tested through a case-control study that identifies risk factors for severe (>?1500) injuries (those 20% of cases that represent 79% of the insurance costs). Both analyses are based on a large, well-defined cohort (N=98,437 in 2002) and extensive data on injuries (N=6812) and occupational diseases (N=464). Agriculture remains one of the most hazardous industries in the US and effective interventions are needed. This study evaluates a well established agricultural OHS intervention. The results have great importance for similar efforts in Iowa and elsewhere. This study addresses three NORA priority areas and four Healthy People 2010 priority areas.