Section of Audiology, School of Population Health, University of Auckland, Auckland 1142, New Zealand.
Occup Med (Lond). 2013 Jun;63(4):284-6. doi: 10.1093/occmed/kqt024. Epub 2013 Mar 27.
Workplace injury rates in low and middle-income countries are known to be high. Contemporary data on this topic from Pacific Island countries and territories are scant.
To describe the epidemiology of fatal and hospitalized workplace injuries in Fiji using a population-based trauma registry.
An analysis of data from a prospective population-based surveillance registry investigated the characteristics associated with workplace injuries resulting in death or hospital admission among people aged 15 years and older in Viti Levu, the largest island in the Republic of Fiji, from October 2005 to September 2006. Incidence rates were calculated using denominator data from the 2004-05 Fiji Employment Survey.
One hundred and eighty-nine individuals met the study eligibility criteria (including nine deaths). This corresponded to annual injury-related hospitalization and death rates of 73.4 and 3.7 per 100 000 workers, respectively. Males accounted for 95% of injuries, and hospitalization rates were highest among those aged 15-29 years (33 per 100 000 workers). Fijian and Indian workers had similar rates of admission to hospital (38.3 and 31.8 per 100 000 workers, respectively). Fractures (40%) and 'cuts/bites/open wounds' (32%) were the commonest types of injury while 'being hit by a person or object' (34%), falls (27%) and 'cutting or piercing' injuries (27%) were the commonest mechanisms. Overall, 7% of injuries were deemed intentional.
Acknowledging the likely underestimation of the overall burden of workplace injuries, these findings support the need to identify context-specific risk factors and effective approaches to preventing workplace injuries in Fiji.
中低收入国家的工作场所受伤率众所周知较高。关于该主题的当代太平洋岛国数据稀缺。
使用基于人群的创伤登记处描述斐济致命和住院工作场所受伤的流行病学。
对 2005 年 10 月至 2006 年 9 月在斐济最大岛屿维提莱武，针对年龄在 15 岁及以上人群，基于人群的前瞻性监测登记处数据进行分析，调查导致死亡或住院的工作场所伤害与特征相关联。使用 2004-05 年斐济就业调查的分母数据计算发病率。
189 人符合研究资格标准（包括 9 例死亡）。这相当于每年与伤害相关的住院和死亡率分别为每 10 万工人 73.4 和 3.7。男性占 95%，15-29 岁人群的住院率最高（每 10 万工人 33）。斐济和印度工人的住院率相似（分别为每 10 万工人 38.3 和 31.8）。骨折（40%）和“切割/咬伤/开放性伤口”（32%）是最常见的受伤类型，而“被人或物体撞击”（34%）、跌倒（27%）和“切割或刺穿”受伤（27%）是最常见的受伤机制。总体而言，7%的受伤被认为是有意的。
考虑到工作场所受伤总体负担的可能低估，这些发现支持有必要确定特定背景下的风险因素，并找到预防斐济工作场所受伤的有效方法。
