Documenting the True Cost of Occupational Injury Burden in Agriculture: A Mixed Methods Effort to Improve Injury Surveillance Methods

摘要 负担、需要和影响(BNI)为我们优先进行职业安全研究提供了框架 和健康(OSH)。这些指导原则由国家职业安全和安全研究所使用 健康(NIOSH)，选择最关键的工作场所健康和安全问题，并确定明智使用的优先顺序 公共卫生经费。然而，由于缺乏关于职业病负担的信息， 研究人员和最高政策官员已经认识到，死亡率是充分实现 对美国工人的健康和安全需求进行优先排序。对农业来说尤其如此。 由于特殊的限制阻碍了对发病率、经济成本和相关因果风险因素的量化。 这项为期三年的导师研究科学家发展奖(K01)的总体目标是 解决在充分了解农业职业伤害负担方面的这一关键差距，因为它涉及 改善受伤监测，同时获得额外的培训，我需要成为一个完全独立和 多产的研究人员。对更准确和更有说服力的证据的需要保证了对Young的投资 调查人员和创新的伤害捕捉方法。 为此，我计划创建一个框架来全面描述数据源和变量， 加强东北地区农业伤害负担测算，最终提供一个框架，可以 其他高风险行业和部门也可效仿。我打算建议进行必要的政策改革 数据，针对利益攸关方和公共政策制定者。我的长期目标是加强对 农业的职业伤害负担，以及未来其他高风险行业的职业伤害负担。受过高级培训 在定性和混合方法、经济学和卫生政策方面，我将很好地处理关键的 在充分了解农业负担方面存在差距。我将有一个文件化的过程，可以用来 进一步列举其他领域，如职业病，以及林业等其他行业的这些差距， 商业捕鱼，甚至更多。 1

ABSTRACT Burden, Need, and Impact (BNI) provide the framework in which we prioritize research in Occupational Safety and Health (OSH). These guiding principles are used to by the National Institute for Occupational Safety and Health (NIOSH) to select the most critical workplace health and safety issues and to prioritize the judicious use of public health funding. However, a lack of information concerning the burden of occupational morbidity and mortality has been recognized by researchers and top policy officials as a critical impediment for the adequate prioritization of health and safety needs among US workers. This is especially true for the agricultural industry as special limitations hinder the quantification of morbidity, economic costs, and associated causal risk factors. The overarching objective of this three-year Mentored Research Scientist Development Award (K01) is to address this critical gap in fully understanding the burden of occupational injury in agriculture as it relates to improving injury surveillance, while gaining the additional training I need to be a fully independent and productive researcher. The need for more accurate and persuasive evidence warrants the investment in young investigators and innovative injury capture methods. To this end, I plan to create a framework to comprehensively characterize data sources and variables that will enhance the calculation of agricultural injury burden in the Northeast, ultimately providing a framework that can be replicated for other high-risk industries and sectors. I intend to suggest policy changes governing needed data, aimed at stakeholders and public policy makers. My long-term goal is to enhance the characterization of occupational injury burden in agriculture, and in the future in other high-risk industries. With advanced training in qualitative and mixed methods, economics, and health policy, I will be well positioned to address the critical gaps in fully understanding burden in agriculture. I will have a documented process which can be used to further enumerate these gaps in other areas, such as occupational illness, and for other industries e.g. forestry, commercial fishing, and beyond. 1