Zhang Xiaofei, Yu Songlin, Wheeler Krista, Kelleher Kelly, Stallones Lorann, Xiang Huiyun
The Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio 43205, USA.
Am J Ind Med. 2009 Jan;52(1):25-36. doi: 10.1002/ajim.20642.
Millions of foreign-born workers are employed in the US. Population-based surveys have value in describing the non-fatal work-related injuries that these workers suffer.
Using data from the 1997-2005 National Health Interview Survey, we compared the rates of non-fatal work-related injuries among foreign-born and US-born adult workers. Logistic regression was used to produce work-related injury odds ratios (ORs) and 95% confidence intervals (95% CI) by nativity and years of residence while controlling for sex, age, race/ethnicity, education, poverty, family size, insurance status, delayed medical care, and alcohol use. Industry-specific rates were also compared.
Foreign-born workers reported a lower rate of work-related injuries than US-born workers, 50 per 10,000 foreign-born workers versus 89 per 10,000 US-born workers (P < 0.01). After controlling for confounding variables, the OR of work-related injuries for foreign-born workers as compared to US-born workers was 0.50 (95% CI = 0.38-0.66). The construction, agriculture/forestry and fisheries, and manufacturing industries had the highest work-related injury rates for both groups of workers.
Foreign-born workers had a lower overall rate of work-related injury when compared to US-born workers. Both US-born and foreign-born workers face significant injury risks, especially in certain industries. Interventions tailored with ethnic and cultural differences in mind are still warranted.
数百万出生在国外的工人在美国就业。基于人群的调查对于描述这些工人所遭受的非致命性工作相关伤害具有重要价值。
利用1997 - 2005年国家健康访谈调查的数据,我们比较了出生在国外和美国本土的成年工人中非致命性工作相关伤害的发生率。在控制性别、年龄、种族/民族、教育程度、贫困状况、家庭规模、保险状况、延迟医疗护理和饮酒情况的同时,使用逻辑回归来计算按出生地和居住年限划分的工作相关伤害优势比(OR)和95%置信区间(95%CI)。还比较了特定行业的发生率。
出生在国外的工人报告的工作相关伤害发生率低于美国本土工人,每10000名出生在国外的工人中有50例,而每10000名美国本土工人中有89例(P < 0.01)。在控制混杂变量后,出生在国外的工人与美国本土工人相比,工作相关伤害的OR为0.50(95%CI = 0.38 - 0.66)。建筑、农业/林业和渔业以及制造业在两组工人中工作相关伤害发生率最高。
与美国本土工人相比,出生在国外的工人总体工作相关伤害发生率较低。美国本土和出生在国外的工人都面临重大的伤害风险,尤其是在某些行业。考虑到种族和文化差异的干预措施仍然是必要的。