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Utilizing hospital discharge data (HD) to compare fatal and non-fatal work-related injuries among Hispanic workers in New Jersey.

McGreevy-K; Lefkowitz-D; Valiante-D; Lipsitz-S
Am J Ind Med 2010 Feb; 53(2):146-152
BACKGROUND: This study explores the utilization of Hospital Discharge (HD) data to obtain estimates of work-related non-fatal injuries rates in NJ to determine if Hispanics workers have an increased risk of specific work-related injuries. In addition, HD data are used to compare the rate ratios between fatal and non-fatal injuries in this population to demonstrate the effectiveness of using HD as a surveillance tool for monitoring injury trends and performing evaluations. METHODS: Several types of fatal and non-fatal injuries were modeled using Poisson regression with the following predictor variables: gender, ethnicity, and year. The estimated number of workers by ethnicity employed in NJ each year was obtained from the U.S. Census Bureau, DataFerrett, Current Population Survey, November 2006, a data mining tool which accesses CPS data. RESULTS: These analyses, utilizing estimates of working population at-risk, indicate that Hispanic workers have an increased risk of four particular work-related injuries compared with non-Hispanics, and Hispanics were injured at a younger age than non-Hispanics. In addition the rankings of the rate ratios from the comparison between non-fatal and fatal risk estimates were similar; indicating that occupational surveillance of non-fatal injuries is a viable component to be considered. CONCLUSIONS: HD data are effective for monitoring trends over time across ethnic groups and injury types. Therefore, non-fatal injury surveillance should be considered for targeting specific worker populations for interventions to reduce exposure to workplace hazards, and can be a valuable surveillance tool in efforts to reduce occupational injuries.
Accident-analysis; Accident-statistics; Exposure-assessment; Exposure-levels; Exposure-limits; Exposure-methods; Injuries; Injury-prevention; Occupational-exposure; Psychological-responses; Racial-factors; Statistical-analysis; Surveillance-programs; Work-analysis; Work-environment; Worker-health; Work-organization; Work-performance; Workplace-studies; Work-practices; Author Keywords: Hispanic; hosptial discharge data; fatal injuries; non-fatal injuries
K. McGreevy or D. Lefkowitz, New Jersey Department of Health and Senior Services, Consumer, Environmental and Occupational Health Service, P.O. Box 369 Trenton, NJ 08625
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American Journal of Industrial Medicine