Institute for Work & Health, Toronto, Ontario, Canada.
Am J Ind Med. 2012 Jan;55(1):84-91. doi: 10.1002/ajim.21000. Epub 2011 Aug 19.
The objective of this study was to examine and compare the demographic and labor market risks for more serious and less serious work-related injuries and illnesses.
Secondary analysis of accepted workers' compensation claims in Ontario, combined with labor force estimates for the period 1991 to 2006. Serious injuries and illnesses were claims resulting in wage replacement. Less serious injuries and illnesses were claims only requiring health care. Regression models examined the relationship between demographic and labor market characteristics (age, gender, industry, job tenure, and unemployment) and claim type.
Relative risk estimates for serious and less serious claims were not concordant across age, gender and industry employment groups. For example, while the mining and utilities and the construction industry had an increased probability of reporting NLTCs, they had a decreased probability of reporting LTCs.
The risk for serious and less serious work-related injury and illness claims differ by demographic and labor market groups. The use of composite measures that combine wage-replacement and health care only claims should be considered when using compensation data for surveillance and primary prevention targeting strategies.
本研究旨在考察和比较严重和不严重的工作相关伤害和疾病的人口统计学和劳动力市场风险。
对安大略省已受理的工人赔偿索赔进行二次分析,并结合 1991 年至 2006 年期间的劳动力估计数。严重伤害和疾病是指导致工资替代的索赔。不严重的伤害和疾病仅需要医疗保健的索赔。回归模型考察了人口统计学和劳动力市场特征(年龄、性别、行业、工作年限和失业)与索赔类型之间的关系。
在年龄、性别和行业就业群体中,严重和不严重索赔的相对风险估计值并不一致。例如,虽然采矿和公用事业以及建筑行业报告 NLTC 的可能性增加,但报告 LTC 的可能性却降低了。
严重和不严重的工作相关伤害和疾病索赔的风险因人口统计学和劳动力市场群体而异。在使用赔偿数据进行监测和初级预防目标策略时,应考虑使用综合措施,将工资替代和医疗保健索赔结合起来。