Work-related non-fatal injuries among foreign-born and US-born workers: findings from the U.S. National Health Interview Survey, 1997-2005.
Zhang-X; Yu-S; Wheeler-K; Kelleher-K; Stallones-L; Xiang-H
Am J Ind Med 2009 Jan; 52(1):25-36
Background: Millions of foreign-born workers are employed in the US. Population-based surveys have value in describing the non-fatal work-related injuries that these workers suffer. Methods: Using data from the 1997-2005 National Health Interview Survey, we compared the rates of non-fatal work-related injuries among foreign-born and US-born adult workers. Logistic regression was used to produce work-related injury odds ratios (ORs) and 95% confidence intervals (95% CI) by nativity and years of residence while controlling for sex, age, race/ethnicity, education, poverty, family size, insurance status, delayed medical care, and alcohol use. Industry-specific rates were also compared. Results: Foreign-born workers reported a lower rate of work-related injuries than US-born workers, 50 per 10,000 foreign-born workers versus 89 per 10,000 US-born workers (P<0.01). After controlling for confounding variables, the OR of work-related injuries for foreign-born workers as compared to US-born workers was 0.50 (95% CI=0.38-0.66). The construction, agriculture/forestry and fisheries, and manufacturing industries had the highest work-related injury rates for both groups of workers. Conclusions: Foreign-born workers had a lower overall rate of work-related injury when compared to US-born workers. Both US-born and foreign-born workers face significant injury risks, especially in certain industries. Interventions tailored with ethnic and cultural differences in mind are still warranted.
Occupational-accidents; Occupational-hazards; Racial-factors; Risk-factors; Information-retrieval-systems; Injuries; Injury-prevention; Workers; Statistical-analysis; Mathematical-models; Demographic-characteristics; Occupations;
Author Keywords: non-fatal; injury; occupational; industry; foreign-born workers
Dr. Huiyun Xiang,Center for Injury Research and Policy,The Research Institute at Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205
Agriculture, Forestry and Fishing
American Journal of Industrial Medicine
Children's Research Institute, Columbus, Ohio