WORKPLACE ASSAULT-RELATED INJURIES:INCIDENCE & RISK

在美国，7,000名与工作有关的创伤性死亡中， 每年都有与攻击有关的国家。 非致死性严重 工作不明时因袭击相关原因造成的伤害。 整体 本研究的目的是了解其重要性， 致命性和非致命性工伤的决定因素。 到 为了实现这一目标，我们的具体目标是：1）估计发病率 四个国家的致命和非致命以及与工作有关的袭击伤害率 南加州县; 2）确定个人职业和 与工作相关的致命性和非致命性住院的环境预测因子 南方四个地区某些高风险职业中的攻击性伤害 加州县。 实际上，没有关于 程度、范围、高风险职业，或个人、环境、 或与工作相关的风险预测因素。 因此，研究设计分为两部分 部分：一项发病率研究，以衡量一些重要的 社会人口、职业和工业参数;第二， 病例对照研究，以确定致命性和非致命性的风险因素 攻击性伤害，并估计其对结果的影响。 使用 验尸官的记录和验尸官生成的死亡证明，警方报告， 和伤害监测，我们将确定，特别是，致命和非致命的， 案例，联合收割机结合这一信息与1991年的人口普查，然后进行 约200例病例的病例和匹配的工作场所对照 鉴定 病例对照部分将侧重于高风险职业 以及便利店、加油站、酒类商店等行业， 酒吧、餐馆、出租车和送货卡车。 的一个理由 设计的目的是最大限度地提供1991年人口普查数据， 深入研究与目标相关的案例。 因素 与职业环境和工作场所有关的， 将对员工、环境和暴露事件进行评估， 将衡量它们对结果的影响。 从总体结果来看， 我们不仅能精确估计致命和非致命的 发病率，但我们也应该能够确定，第一， 时间，在科学进行的研究中，风险因素及其潜力 影响曝光。 这些发现的应用具有普遍性 美国各地类似的职业。

About 13 percent of the 7,000 traumatic work-related deaths in the United States each year are assault-related. The number of nonfatal serious injuries from assault related causes while work is unknown. The overall Goal of the proposed research is to Understand the Magnitude and Identify the Determinants of fatal and non-fatal work-related assault injuries. To accomplish this goal, our specific aims are: 1) to estimate the incidence rates of fatal and nonfatal and work-related assault injuries in four Southern California counties; 2) to identify individual occupational and environmental predictors of fatal and nonfatal hospitalized work-related assault injuries in selected high-risk occupations in four Southern California counties. There is virtually no information available on the magnitude, scope, occupations at high risk, or individual, environmental, or work-related predictors of risk. Hence, the research design is in two parts: an incidence study to measure risk in a number of important sociodemographic occupational and industrial parameters; and, second, a case control study to identify risk factors for fatal and nonfatal assaultive injuries and to estimate their effects on the outcomes. Using coroner's records and coroner-generated death certificates, police reports, and injury surveillance, we will identify, specifically, fatal and nonfatal cases, combine this information with the 1991 census, and then carry out a case and matched place-at-work control for approximately 200 of the cases identified. The case-control component will focus on High Risk Occupations and Industries such as convenience stores, gas stations, liquor stores, bars, and restaurants, taxicabs, and delivery trucks. One rationale for the design is to maximize the availability of 1991 census data and to focus on in-depth studies of cases of relevance to the objectives. Factors associated with the occupational setting and the place of work, with the employee, with the environment, and exposure events will be assessed, and their affects on the outcome will be measured. From the overall results, we should be able to not only to estimate precisely fatal and nonfatal incidence rates, but we should also be able to identify, for the first time, in a scientifically conducted study, risk factors and their potential effects on exposure. The applications of these findings are generalizable to similar occupations throughout the United States.