美国养老院护工的工作相关伤害和社会经济资源方面的种族和民族差异。

Racial and ethnic disparities in work-related injuries and socio-economic resources among nursing assistants employed in US nursing homes.

机构信息

Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio, USA.

出版信息

Am J Ind Med. 2010 Oct;53(10):951-9. doi: 10.1002/ajim.20852.

DOI:10.1002/ajim.20852

PMID:20860052

Abstract

BACKGROUND

We aimed to estimate the proportion of nursing assistants (NAs) in the US with work-related injuries and insufficient socio-economic resources by race/ethnicity.

METHODS

Data from the 2004 National Nursing Assistant Survey (NNAS), a nationally representative sample survey of NAs employed in United States nursing homes, were analyzed accounting for the complex survey design.

RESULTS

Among 2,880 participants, 44% reported "scratch, open wounds, or cuts" followed by "back injuries" (17%), "black eyes or other types of bruising" (16%), and "human bites" (12%). When compared to non-Hispanic white NAs, the adjusted rate ratio (RR) for wound/cut was 0.74 for non-Hispanic black NAs (95% confidence interval [CI]: 0.65-0.85). RRs for black eyes/bruises were 0.18 for non-Hispanic black NAs (95% CI: 0.12-0.26), and 0.55 for Hispanic NAs (95% CI: 0.37-0.82).

CONCLUSIONS

Minority racial and ethnic groups were less likely to report having experienced injuries compared with non-Hispanic white NAs. Future research should focus on identifying preventable risk factors, such as differences by race and ethnicity in the nature of NA jobs and the extent of their engagement in assisting patients with activities of daily living.

摘要

背景

本研究旨在按种族/民族估计美国有多少与工作相关的受伤和资源不足的护理助理（NA）。

方法

对美国疗养院雇佣的 2880 名护理助理进行了 2004 年全国护理助理调查（NNAS）的数据分析，该调查是一项全国代表性的抽样调查，对数据进行了复杂的调查设计处理。

结果

在 2880 名参与者中，44%报告“划伤、开放性伤口或切口”，其次是“背部受伤”（17%）、“黑眼圈或其他类型的瘀伤”（16%）和“人咬伤”（12%）。与非西班牙裔白人 NA 相比，非西班牙裔黑人 NA 的调整后比值比（RR）为 0.74（95%置信区间[CI]：0.65-0.85）。对于黑眼圈/瘀伤，非西班牙裔黑人 NA 的 RR 为 0.18（95%CI：0.12-0.26），西班牙裔 NA 的 RR 为 0.55（95%CI：0.37-0.82）。