Environmental and Occupational Health Sciences Division, School of Public Health, University of Illinois at Chicago, Chicago, Illinois (Dr Almberg, Dr Cohen); Respiratory Health Division, Surveillance Branch, National Institute for Occupational Safety and Health, Morgantown, West Virginia (Dr Almberg, Dr Cohen, Mr Blackley, Dr Laney, Dr Storey, Dr Halldin).
J Occup Environ Med. 2017 Oct;59(10):930-934. doi: 10.1097/JOM.0000000000001084.
Increase knowledge of US coal miners' respiratory health by linking data from the black lung benefits program (BLBP) and the coal workers' health surveillance program (CWHSP).
BLBP claims data from 2000 through 2013 was linked to CWHSP data from 1970 through 2016.
Overall, 273,644 miners participated in CWHSP, 37,548 in BLBP, and 22,903 in both programs. Median age of miners at their time of first/only participation in CWHSP was 28 and 32 years, respectively. BLBP claimants were older (median age 59). Thirty-nine percent of BLBP claimants had not participated in CWHSP. The relative contributions of states to participation differed between CWHSP and BLBP. For example, Kentucky miners accounted for 18% of CWHSP participants, but 36% of BLPB participants.
Many BLBP claimants never appeared in CWHSP, indicating missed opportunities for secondary prevention.
通过将来自黑肺福利计划(BLBP)和煤矿工人健康监测计划(CWHSP)的数据进行关联,增加对美国煤矿工人呼吸健康的了解。
将 2000 年至 2013 年期间的 BLBP 索赔数据与 1970 年至 2016 年期间的 CWHSP 数据进行了关联。
总体而言,共有 273644 名矿工参加了 CWHSP,37548 名矿工参加了 BLBP,22903 名矿工同时参加了这两个项目。矿工首次/唯一参加 CWHSP 的中位年龄分别为 28 岁和 32 岁。BLBP 索赔人年龄更大(中位年龄 59 岁)。39%的 BLBP 索赔人从未参加过 CWHSP。各州在 CWHSP 和 BLBP 中的参与度存在差异。例如,肯塔基州的矿工占 CWHSP 参与者的 18%,但占 BLBP 参与者的 36%。
许多 BLBP 索赔人从未出现在 CWHSP 中,这表明错过了二级预防的机会。