Work-related Injuries Among Immigrant Workers

描述(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、建筑和服务行业。然而，尽管美国有数百万外国出生的工人，但关于工伤和改善外国出生工人工作条件的干预措施的研究有限。一些全国性的调查已经被用来研究美国移民中的各种健康问题；然而，这些国家数据库还没有被充分利用来研究外国出生的工人的工伤问题。我们的长期研究目标是研究美国劳动力中外国出生人员的工伤情况。在这项研究中，将利用1997年至2002年全国健康访谈调查中收集的数据，构建一大批年龄在18-之间的外国出生的成年人，以研究外国出生的工人中的非致命性工伤。此外，NHIS的数据将与1998-2003年医疗支出小组调查(MEPS)中收集的数据联系起来，以研究在美国外国出生的工人中治疗非致命性工伤的医疗支出和支付来源。这项研究的具体目的是：(1)比较在美国出生的外国和本地工人之间非致命性工伤的性质、频率和风险因素；(2)检查在美国出生的外国和本地工人中与非致命性工伤相关的医疗支出；(三)按用人单位规模和行业类型说明外籍和本籍职工非致命性工伤医疗的支付来源。这项拟议的研究是基于我们之前的研究，分析了用于伤害研究的NHIS和MEPS数据，以及该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所带来的好处。实现这项提案中概述的具体目标将确保外国出生的工人、工业界、学术界和国家公共卫生专业组织掌握有关外国出生的美国工人的非致命性工伤的最新信息。通过扩大外国出生的工人工伤的知识库，可以制定适当的伤害预防计划，我们更接近于实现国家职业安全与健康研究所促进所有人的工作安全和健康的使命。

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.