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Medical expenditures associated with nonfatal occupational injuries among immigrant and U.S.-born workers.

Authors
Xiang-H; Shi-J; Lu-B; Wheeler-K; Zhao-W; Wilkins-JR; Smith-GA
Source
BMC Public Health 2012 Aug; 12:678
NIOSHTIC No.
20042344
Abstract
BACKGROUND: No national study has investigated whether immigrant workers are less likely than U.S.-workers to seek medical treatment after occupational injuries and whether the payment source differs between two groups. METHODS: Using the 2004-2009 Medical Expenditure Panel Survey (MEPS) data, we estimated the annual incidence rate of nonfatal occupational injuries per 100 workers. Logistic regression models were fitted to test whether injured immigrant workers were less likely than U.S.-born workers to seek professional medical treatment after occupational injuries. We also estimated the average mean medical expenditures per injured worker during the 2 year MEPS reference period using linear regression analysis, adjusting for gender, age, race, marital status, education, poverty level, and insurance. Types of service and sources of payment were compared between U.S.-born and immigrant workers. RESULTS: A total of 1,909 injured U.S.-born workers reported 2,176 occupational injury events and 508 injured immigrant workers reported 560 occupational injury events. The annual nonfatal incidence rate per 100 workers was 4.0% (95% CI: 3.8%-4.3%) for U.S.-born workers and 3.0% (95% CI: 2.6%-3.3%) for immigrant workers. Medical treatment was sought after 77.3% (95% CI: 75.1%-79.4%) of the occupational injuries suffered by U.S.-born workers and 75.6% (95% CI: 69.8%-80.7%) of the occupational injuries suffered by immigrant workers. The average medical expenditure per injured worker in the 2?year MEPS reference period was $2357 for the U.S.-born workers and $2,351 for immigrant workers (in 2009 U.S. dollars, P?=?0.99). Workers' compensation paid 57.0% (95% CI: 49.4%-63.6%) of the total expenditures for U.S.-born workers and 43.2% (95% CI: 33.0%-53.7%) for immigrant workers. U.S.-born workers paid 6.7% (95% CI: 5.5%-8.3%) and immigrant workers paid 7.1% (95% CI: 5.2%-9.6%) out-of-pocket. CONCLUSIONS: Immigrant workers had a statistically significant lower incidence rate of nonfatal occupational injuries than U.S.-born workers. There was no significant difference in seeking medical treatment and in the mean expenditures per injured worker between the two groups. The proportion of total expenditures paid by workers' compensation was smaller (marginally significant) for immigrant workers than for U.S.-born workers.
Keywords
Humans; Men; Women; Sociological-factors; Demographic-characteristics; Workers; Injury-prevention; Hazards; Risk-factors; Statistical-analysis; Injuries; Traumatic-injuries; Models
Contact
Huiyun Xiang, M.D., M.P.H., Ph.D., The Ohio State University College of Medicine 700 Children's Drive, Columbus, OH 43205
CODEN
BPHMAJ
Publication Date
20120820
Document Type
Journal Article
Email Address
huiyun.xiang@nationwidechildrens.org
Funding Type
Grant
Fiscal Year
2012
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-008639
ISSN
1471-2458
Source Name
BMC Public Health
State
OH
Performing Organization
Children's Research Institute, Columbus, Ohio
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