Work-related Injuries Among Immigrant Workers

描述（由申请人提供）：许多外国出生的人受雇于美国劳动力中最危险的部门，包括农业、建筑和服务业。然而，尽管美国有数百万外国出生的工人，但有关工伤和改善外国出生工人工作条件的干预措施的研究却很有限。一些全国性的调查被用来研究美国移民的各种健康问题；然而，这些国家数据库尚未被充分利用来研究外国出生工人的工伤情况。我们的长期研究目标是研究美国劳动力中外国出生的人的工伤情况。本研究使用1997-2002年全国健康访谈调查（NHIS）收集的数据，构建了一个18-64岁的外国出生成年人的大队列，以研究外国出生工人的非致命性工伤。此外，NHIS数据将与1998-2003年医疗支出小组调查（MEPS）收集的数据相关联，以研究美国外国出生工人治疗非致命性工伤的医疗保健支出和支付来源。本研究的具体目的是：(1)比较美国外国出生工人和本土出生工人之间非致命性工伤的性质、频率和风险因素；(2)研究美国外国出生和本土出生的工人与非致命性工伤相关的医疗支出；(3)按雇主规模和行业类型说明外国出生和本地出生工人非致命工伤医疗费用的来源。这项拟议的研究是基于我们之前的研究，分析了NHIS和MEPS的伤害研究数据，并从团队在工伤预防研究和健康结果研究领域的广泛补充经验中获益。实现本提案中概述的具体目标将确保外国出生工人、工业界、学术界和国家公共卫生专业组织掌握在美国的外国出生工人中非致命工伤的最新信息。适当的伤害预防计划可以开发，我们更接近实现国家职业安全与健康研究所的使命，促进所有人在工作中的安全和健康。

Description (provide by applicant): Many foreign-born persons are employed in the most hazardous sectors of the U.S. workforce, including the agriculture, construction, and service industries. However, despite the fact that there are millions of foreign-born workers in the U.S., research on work-related injuries and interventions to improve working conditions for foreign-born workers is limited. Several national surveys have been used to study a variety of health issues among immigrants in the U.S.; however, these national databases have not been fully utilized to study work-related injuries among foreign-born workers. Our long-term research goal is to study work-related injuries among foreign-born persons in the U.S. workforce. In this study, a large cohort of foreign born adults aged 18-64 years will be constructed using data collected in the 1997-2002 National Health Interview Survey (NHIS) to study nonfatal work-related injuries among foreign-born workers. In addition, the NHIS data will be linked with data collected in the 1998-2003 Medical Expenditure Panel Survey (MEPS) to study medical care expenditures and sources of payments for treating nonfatal work-related injuries among foreign-born workers in the U.S. The Specific Aims of this study are: (1) To compare the nature, frequency, and risk factors of nonfatal work-related injuries between foreign-born and native-born workers in the U.S.; (2) To examine the medical expenditures associated with nonfatal work-related injuries among foreign-born and native-born workers in the U.S.; and (3) To describe the sources of payments for the medical treatment of nonfatal work-related injuries among foreign-born and native-born workers by size of employer and type of industry. The proposed study is based on our previous research analyzing NHIS and MEPS data for injury research and its benefits from the team's extensive complementary experience in work-related injury prevention research and in the field of health outcomes research. Accomplishing the Specific Aims outlined in this proposal will ensure that foreign-born workers, industry, academia, and national public health professional organizations have current information about nonfatal work-related injuries among foreign-born workers in the U.S. By expanding the knowledge base on work-related injuries among foreign-born workers, appropriate injury prevention programs can be developed and we move closer to achieving the National Institute of Occupational Safety and Health's mission of promoting safety and health at work for all people.