Lima R C, Victora C G, Dall'Agnol M, Fassa A
Secretaria Municipal de Saúde e Bem-Estar Social, Prefeitura Municipal de Pelotas, C. P. 464, Pelotas, RS 96001-970, Brasil.
Cad Saude Publica. 1999 Jul-Sep;15(3):569-80. doi: 10.1590/s0102-311x1999000300014.
A case-control study was conducted to study the association between individual and socioeconomic characteristics and occupational accidents. Cases were 264 workers who had suffered a "typical" occupational accident registered at the National Institute of Social Security in the city of Pelotas in 1996. Workers were interviewed in their homes with a standardized questionnaire. Two fatal accidents were excluded, as were those leading to absence from work for less than seven days. For each case, three controls were selected: a colleague from the same workplace, a neighbor, and a population control. These were matched to cases by age (+/-5 years) and sex and had not suffered a work-related accident in the preceding month. All cases and controls had formal employment contracts and were residents in the urban area. Conditional logistic regression was used in the data analyses. Schooling and monthly income were the main determinants of occupational accidents. Effects of age, skin color, smoking, alcohol dependence (CAGE questionnaire), and stressful life events disappeared after adjustment for schooling and income.
开展了一项病例对照研究,以探讨个体特征、社会经济特征与职业事故之间的关联。病例为1996年在佩洛塔斯市国家社会保障研究所登记的264名遭遇“典型”职业事故的工人。采用标准化问卷在工人家中对其进行访谈。排除了两起致命事故以及导致缺勤少于七天的事故。对于每一例病例,选取了三名对照:一名来自同一工作场所的同事、一名邻居以及一名人群对照。这些对照在年龄(±5岁)和性别方面与病例相匹配,且在前一个月内未遭遇与工作相关的事故。所有病例和对照均有正式雇佣合同且为市区居民。数据分析采用条件逻辑回归。受教育程度和月收入是职业事故的主要决定因素。在对受教育程度和收入进行调整后,年龄、肤色、吸烟、酒精依赖(CAGE问卷)以及应激性生活事件的影响消失。