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Expanded analysis of injury mortality among unionized construction workers.
Chen GX; Johnston JJ; Alterman T; Burnett C; Steenland K; Stern F; Halperin WE
Am J Ind Med 2000 Apr; 37(4):364-373
To evaluate the utility of expanding the number and precision of injury categories used in previous occupational mortality studies, this study reanalyzed data from four previous studies of unionized construction workers (construction laborers, ironworkers, sheet metal workers, and operating engineers), by expanding the number of injury categories from 6 to 33. Proportionate mortality ratios (PMRs) were computed using the distribution of deaths from the National Occupational Mortality Surveillance System, a mortality surveillance system from 28 states, as a comparison. A blue collar comparison group was also used in additional analyses to adjust for socioeconomic and other factors. This reanalysis identified significantly elevated PMRs in at least one of the four worker groups for falls, motor vehicle crashes, machinery incidents, electrocutions, being struck by falling objects, being struck by flying objects, explosions, suffocation, and water transport incidents. Limiting the comparison population to deaths among blue collar workers did not change the results substantially. This study demonstrates that increasing the precision of categories of death from injury routinely used in mortality studies will provide improved information to guide prevention.
Construction; Mortality-data; Mortality-rates; Mortality-surveys; Construction-workers; Construction-industry; Occupational-hazards; Occupational-exposure; Occupational-accidents; Iron-workers; Statistical-analysis; Epidemiology; Demographic-characteristics; Traumatic-injuries; NOMS; National Occupational Mortality Surveillance; Author Keywords: construction; proportionate mortality ratio; fatal injury; occupation; epidemiology
Guang X. Chen, MD, Division of Safety Research, National Institute for Occupational Safety and Health, Mailstop P-1133, 1095 Willowdale Road, Morgantown, WV, 26505-2888
Issue of Publication
American Journal of Industrial Medicine