An Impact Evaluation of a Federal Mine Safety Training Regulation on Injury Rates Among US Stone, Sand, and Gravel Mine Workers: An Interrupted lime-Series Analysis

作者：Monforton Celeste^*; Windsor Richard

来源：American Journal of Public Health, 2010, 100(7): 1334-1340.

DOI：10.2105/AJPH.2009.178301

Objectives. We evaluated the impact of a safety training regulation, implemented by the US Department of Labor's Mine Safety and Health Administration (MSHA) in 1999, on injury rates at stone, sand, and gravel mining operations.
Methods. We applied a time-series design and analyses with quarterly counts of nonfatal injuries and employment hours from 7998 surface aggregate mines from 1995 through 2006. Covariates included standard industrial classification codes, ownership, and injury severity.
Results. Overall crude rates of injuries declined over the 12-year period. Reductions in incident rates for medical treatment only, restricted duty, and lost-time injuries were consistent with temporal trends and provided no evidence of an intervention effect attributable to the MSHA regulation. Rates of permanently disabling injuries (PDIs) declined markedly. Regression analyses documented a statistically significant reduction in the risk rate in the post-intervention time period (risk rate=0.591; 95% confidence interval=0.529, 0.661).
Conclusions. Although a causal relationship between the regulatory intervention and the decline in the rate of PDIs is plausible, inconsistency in the results with the other injury-severity categories preclude attributing the observed outcome to the MSHA regulation. Further analyses of these data are needed. (Am J Public Health. 2010;100:1334-1340. doi:10.2105/AJPH.2009.178301)

• 出版日期2010-7