Disparities in Occupational Injury Hospitalization Rates in Five States (2003-2009)

作者：Sears Jeanne M^*; Bowman Stephen M; Hogg Johnson Sheilah

来源：American Journal of Industrial Medicine, 2015, 58(5): 528-540.

DOI：10.1002/ajim.22427

• occupational injuries
• injury surveillance
• traumatic injuries
• hospital discharge data
• disparities
• Latino
• Hispanic
• ethnicity
• injury severity

BackgroundAchievement of health equity and elimination of disparities are overarching goals of Healthy People 2020, yet there is a paucity of population-based data regarding race/ethnicity-based disparities in occupational injuries.
MethodsHospital discharge data for five states (Arizona, California, Florida, New Jersey, and New York) were obtained from the Healthcare Cost & Utilization Project (HCUP) for 2003-2009. Age-adjusted rates and trends for work-related injury hospitalizations were calculated using negative binomial regression (reference category: non-Latino white).
ResultsLatinos were significantly more likely to have a work-related traumatic injury hospitalization. The disparity for Latinos was greatest for machinery-related hospitalizations. Latinos were also more likely to have a fall-related hospitalization. African-Americans were more likely to have an occupational assault-related hospitalization, but less likely to have a fall-related hospitalization.
ConclusionsWe found evidence of substantial multistate disparities in occupational injury-related hospitalizations. Enhanced surveillance and further research are needed to identify and address underlying causes. Am. J. Ind. Med. 58:528-540, 2015.

• 出版日期2015-5