Department of Epidemiology, ASL TO3 Grugliasco, Turin, Italy.
Am J Ind Med. 2012 Jul;55(7):584-92. doi: 10.1002/ajim.22025. Epub 2012 Feb 21.
Occupational injuries research and surveillance is important for prevention and public health protection. A new occupational surveillance system based on linkage of work histories calculated from the Italian National Social Security Institute (INPS) and occupational injuries provided by the National Insurance Institute for Occupational Injuries (INAIL) was created and assessed.
It has been extracted a 1% sample of individuals from INPS. For each subject, a detailed description of the career has been compiled between 1985 and 2004, and matched on an individual basis to work injuries between 1994 and 2003. It has been calculated injury rates and risks by economic activity, gender, age, job tenure, country of birth, and firm size.
The linkage success is very high both in engineering than in the construction sector. The comparison with Eurostat statistics is very positive. The injury risks calculated by job tenure, country of birth, and firm size are consistent with literature. The high injury rate for short work contracts remain unvaried also after controlling by age.
It is finally possible to describe injuries based on some main characteristics of the recent changes in the labor market, such as precarization, ageing of workers, migration, that databases currently available in Italy do not allow. The sample is longitudinal and can contribute to describing the development of the phenomena over time. The Ministry of Health is completing procedures to extend the sample and to increase the health outcomes for which a follow-up is available.
职业伤害研究和监测对于预防和公共卫生保护非常重要。一个新的职业监测系统，基于从意大利国家社会保障研究所（INPS）计算的工作历史和国家保险研究所（INAIL）提供的职业伤害数据的链接，已经创建并进行了评估。
从 INPS 中提取了 1%的个体样本。对于每个个体，在 1985 年至 2004 年期间编制了详细的职业描述，并在个人基础上与 1994 年至 2003 年期间的职业伤害相匹配。按经济活动、性别、年龄、工作年限、出生国家和企业规模计算了伤害率和风险。
在工程和建筑部门，链接成功率都非常高。与欧盟统计局统计数据的比较非常积极。按工作年限、出生国家和企业规模计算的伤害风险与文献一致。短工作合同的高伤害率在控制年龄后仍然不变。
终于可以根据劳动力市场近期变化的一些主要特征（如不稳定就业、工人老龄化、移民）来描述伤害，而目前意大利的数据库无法做到这一点。该样本是纵向的，可以有助于描述随着时间的推移现象的发展。卫生部正在完成程序，以扩大样本并增加可跟踪的健康结果。
