Intervention Effectiveness in Finnish Agriculture

这个K 01项目旨在通过指导研究和培训来提高候选人的研究生涯。 候选人拥有职业和环境健康博士学位，并在以下方面拥有丰富的经验： 农业健康与安全。他的短期目标包括进行拟议的K 01研究，领导 在类似的爱荷华州项目中进行数据分析，并竞争两个R 01奖项。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。鉴于他 背景和最近的教师任命，他是很好的定位，成为一个独立的调查。 爱荷华州大学提供了一个优秀的研究环境和经验丰富的导师（克雷格博士 Zwerling，Kelley Donham，Johannes Ledolter，Robert Ohsfeldt）.本研究有两个假设：1） 参加职业健康服务（OHS）的芬兰农民受伤率较低， 与非成员相比，呼吸道疾病发生率和索赔费用，以及2）严重伤害与 人口、收入和农场特征。假设1通过回顾性队列进行检验 研究，衡量是否2002年索赔率和成本不同的职业健康安全局成员和倾向- 分数匹配的非成员。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通过病例对照进行检验 一项确定严重（> 1500）伤害风险因素的研究（占79%的20%的病例）， 保险费）。这两项分析均基于一个大型、明确定义的队列（2002年N= 98，437）和广泛的 伤害（N=6812）和职业病（N=464）数据。农业仍然是世界上 美国的危险工业和有效的投资是必要的。这项研究评估了一个良好的- 建立农业OHS干预措施。这一结果对爱荷华州的类似努力具有重要意义， 其他地方这项研究涉及三个诺拉优先领域和四个健康人2010年优先领域。

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 insurace 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 inverventions 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.