Boden Leslie I, Ozonoff Al
Department of Environmental Health, Boston University School of Public Health, Boston, MA 02118, USA.
Ann Epidemiol. 2008 Jun;18(6):500-6. doi: 10.1016/j.annepidem.2007.11.003. Epub 2008 Feb 20.
We examine reporting of nonfatal injury and illness reporting for the two most important sources of such data in the United States: workers' compensation data and the Bureau of Labor Statistics' (BLS) annual Survey of Occupational Injuries and Illnesses.
We linked individual case records from establishments reporting to the BLS with individual cases reported to workers' compensation systems in six states for 1998-2002 and used capture-recapture analysis to estimate the proportion of injuries reported. Data are for private sector workers and exclude mining, railroad and water transportation, temporary employment agencies, membership organizations, and small agricultural establishments.
For injuries and illnesses eligible for income benefits, using conservative assumptions, we estimate that workers' compensation systems in the six states missed over 180,000 lost-time injuries in the sampled industries, that the BLS survey missed almost 340,000, and that about 69,000 injuries were unreported to either system.
Underreporting of nonfatal occupational injury and illness is substantial in both systems, but particularly in the Survey of Occupational Injuries and Illnesses. Using both sources improves coverage but falls far short of an accurate count for four of the six states. Reporting rates vary widely, so we cannot infer them for the entire United States.
我们研究美国两个最重要的非致命伤害和疾病数据来源的报告情况，即工伤赔偿数据和劳工统计局（BLS）的年度职业伤害和疾病调查。
我们将向劳工统计局报告的企业的个体病例记录与1998 - 2002年六个州向工伤赔偿系统报告的个体病例相链接，并使用捕获再捕获分析来估计报告的伤害比例。数据针对私营部门工人，不包括采矿、铁路和水上运输、临时就业机构、会员组织以及小型农业企业。
对于符合收入福利条件的伤害和疾病，在保守假设下，我们估计六个州的工伤赔偿系统在抽样行业中遗漏了超过180,000起导致误工的伤害，劳工统计局的调查遗漏了近340,000起，并且约69,000起伤害未向任何一个系统报告。
两个系统中，非致命职业伤害和疾病的报告不足情况都很严重，但在职业伤害和疾病调查中尤为突出。使用这两个来源可提高覆盖范围，但对于六个州中的四个州而言，仍远未达到准确计数。报告率差异很大，因此我们无法推断整个美国的情况。
