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Surveillance of mortality and morbidity in US workers.

Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, R01-OH-003915, 2008 Oct; :1-13
Race-ethnicity and socio-economic status health disparities in occupational health have not been extensively investigated. Although significantly under-reported, occupational disease and injury, and mortality represent a significant health impact on US workers and their families. However, the risks for this occupational mortality and morbidity are not evenly distributed. It appears that these risks disproportionately affect US workers from race-ethnicity subpopulations and from lower socio-economic class. The University of Miami Research Group has used their existing Study Database derived from the National Health Interview Survey (NHIS), a representative sample of the entire US civilian workforce, to explore issues of health disparities among US workers based on differences between race-ethnic and socio-economic classes. The augmented NHIS database of a representative sample of over 600,000 US workers allowed the exploration of morbidity and mortality differences between and within occupations by various race ethnic subpopulations and by socio-economic class. Based on their previous work, the Investigators used more sophisticated theoretical models and structural equation modeling to evaluate pathways of occupational risk, and morbidity and mortality between and within occupational subgroups. The use of these models allowed the Investigators to assess the relationship between occupation, indicators of morbidity, and the risk of mortality. Among other findings, the Investigators published manuscripts on a range of occupational health disparities issues: leisure-time physical activity, risky and healthy behaviors, dental care access, and injury and lung cancer mortality, various cancer screening issues, and second hand smoking in the workplace. The investigators have presented these results extensively at the NIOSH 2006 and 2008 NORA Conferences, APHA annually, and elsewhere. The Research Group also received the NCHS Award for their work on The NHIS, Health Disparities and US Workers at the NCHS 50th Anniversary Conference in Washington DC (June 2007).
Workers; Worker-health; Public-health; Health-hazards; Group-behavior; Surveillance-programs; Sociological-factors; Mortality-data; Mortality-rates; Morbidity-rates; Racial-factors; Occupational-health; Occupational-sociology
Lora E. Fleming, Miller School of Medicine and Rosenstiel School of Marine and Atmospheric Sciences, Clinical Research Building, 10th Floor (R669), 1120 NW 14th Street, Miami, FL 33136, USA
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Final Grant Report
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National Institute for Occupational Safety and Health
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University of Miami School of Medicine, Miami, Florida