Mortality Consequences of Non-Fatal Occupational Injuries

摘要：非致命性职业伤害和疾病的死亡后果 这项研究将使用关联的工人补偿、社会保障管理局和国家死亡指数 确定非致命工伤和疾病对全因死亡率的影响的数据。我们会跟随 所有工时损失补偿工伤和疾病的工人，其受伤日期为1994-2000年和 同一公司截至2012年的未受伤工人的对比组，提供长达19年的死亡率 后续行动。我们将对受伤的男性和女性分别使用COX比例风险回归 并比较工人在受伤之日后估计全因死亡的危险性。说明，说明 来自未观察到的混杂因素的潜在偏差，我们将使用有关补偿工作场所伤害和 来自收入动态小组研究的混杂因素和最近开发的调整统计方法 我们对失踪混杂因素的估计。 这项研究可以为我们理解非致命职业的负担增加一个新的维度 伤害：它们对死亡率的影响。在过去的10-15年里，研究人员发现，许多受伤的工人 除了慢性健康影响外，还会遭受收入的长期下降。我们假设这些撞击 导致在受伤后的几十年内死亡风险增加。记录死亡率的增加将增加 关于美国职业伤害和疾病负担巨大的新证据，从而支持 预防的目标。这可能导致一种新的衡量非致命性伤害影响的方法--伤害相关 超额死亡率。

Abstract: Mortality Consequences of Non-Fatal Occupational Injuries and Illnesses This study will use linked workers' compensation, Social Security Administration, and National Death Index data to determine the impact of non-fatal workplace injuries and illnesses on all-cause mortality. We will follow all workers with compensated lost-time workplace injuries and illness with dates of injury in 1994-2000 and a comparison group of uninjured workers in the same firms through 2012, providing up to 19 years of mortality follow-up. We will use separate Cox proportional hazards regressions for males and females for both injured and comparison workers to estimate the all-cause hazard of mortality after the date of injury. To account for potential bias from unobserved confounders, we will use information on compensated workplace injuries and confounders from the Panel Study of Income Dynamics and a recently-developed statistical method to adjust our estimates for missing confounders. This research can add a new dimension to our understanding of the burden of non-fatal occupational injuries: their impact on mortality. In the past 10-15 years, researchers have found that many injured workers suffer long-term declines in earnings in addition to chronic health impacts. We hypothesize that these impacts lead to increased mortality risk in the decades following injury. Documenting an increase in mortality would add new evidence about the substantial burden of occupational injuries and illnesses in the U.S., thus supporting the goal of prevention. This could lead to a novel measure of the impact of non-fatal injuries - injury-related excess mortality.