La Torre Giuseppe, Verrengia Giovanna, Saulle Rossella, Kheiraoui Flavia, Mannocci Alice
Dipartimento di Sanità Pubblica e Malattie Infettive, Sapienza Università di Roma.
Med Lav. 2017 Jun 28;108(3):209-221. doi: 10.23749/mdl.v108i3.6127.
To identify the determinants of the regional differences in work injuries and mortality rates in Italy.
Several linear regression models were built assessing the association between regional differences in work mortality and injury rates (as dependent variables) and socio-demographic factors (occupation and population) and variables describing alcohol consumption, mean age and availability of health care (as independent variables). Data sources are from ISTAT, INAIL, Health for All database and the national report Osservasalute. The analysis was carried out using data coming from all the Italian Regions.
The mean work mortality rate for the period 2006-2014 was 7.73 (DS 1.85) per 100,000 workers, while the injury rate was 4503.1 (DS 1413.5) per 100,000 workers. Socio-demographic variables and that related to health care (TC availability) were inversely associated with mortality rates, while for the work injury rates, significant associations with alcohol were found, while Gross domestic product and TC availability were inversely associated.
The study pointed out the extreme heterogeneity between different geographical areas in the field of work injury, due to different socio-demographic and economic factors. In the future, health surveillance and work injury and mortality rates could be improved in areas at high risk.
确定意大利工伤和死亡率地区差异的决定因素。
建立了几个线性回归模型，评估工作死亡率和伤害率的地区差异（作为因变量）与社会人口因素（职业和人口）以及描述酒精消费、平均年龄和医疗保健可及性的变量（作为自变量）之间的关联。数据来源为意大利国家统计局、意大利国家工伤保险协会、全民健康数据库和国家报告《健康观察》。分析使用了来自意大利所有地区的数据。
2006 - 2014年期间，每10万名工人的平均工作死亡率为7.73（标准差1.85），而伤害率为每10万名工人4503.1（标准差1413.5）。社会人口变量和与医疗保健相关的变量（技术能力可及性）与死亡率呈负相关，而对于工伤率，发现与酒精有显著关联，同时国内生产总值和技术能力可及性呈负相关。
该研究指出，由于不同的社会人口和经济因素，工伤领域不同地理区域之间存在极大的异质性。未来，高风险地区的健康监测以及工伤和死亡率有望得到改善。
