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智利因工作导致的死亡事故:2014 年和 2015 年登记册的横断面研究。

Work-related injuries resulting in death in Chile: a cross-sectional study on 2014 and 2015 registries.

机构信息

Facultad de Ciencias Médicas, Universidad de Santiago de Chile, Santiago, Chile.

Medwave Estudios Limitada, Santiago, Chile.

出版信息

BMJ Open. 2018 Jun 9;8(6):e020393. doi: 10.1136/bmjopen-2017-020393.

Abstract

OBJECTIVE

To characterise work-related fatal events that occurred in Chile in 2014 and 2015 in workers covered by the Occupational Accidents and Professional Disease No 16.744 Act.

DESIGN

Cross-sectional on registries of the Chilean Worker's Health and Safety National Information System, specifically focusing on the Fatal Work Accidents Registry of the Social Security Superintendence.

STUDY POPULATION

Secondary data analysis on all 815 cases of occupational injury-related deaths registered in 2014 and 2015 in Chile and that were accredited by the Social Security Superintendence up to March 2016.

OUTCOME MEASURES

Variables relating to employer, workers and the events were analysed.

RESULTS

The overall mortality rate for all injuries, both at work and during commuting, per 100 000 workers affiliated to the occupational social security system, was 7.2 for 2014 and 7.3 for 2015. For 2014, the highest mortality rates occurred in the transport and communications sectors (20.15) and the mining sector (18.17), while for 2015 the highest rates were found in the fishing industry (11.3) and in mining (12.1). Seventy-two per cent of cases occurred in small and medium-sized enterprises. Half of the companies that had work-related fatal injuries did not have a risk prevention department. Twenty-two per cent (121) of the companies had previous labour law infractions. The four activities most affected by workers' deaths in the two study years were freight land transport, engineering works under construction, minor works under construction and construction of complete buildings or parts of buildings. Half of all fatal injuries occurred in workers who had been employed for less than a year in their company.

CONCLUSIONS

This descriptive study provides valuable insight into the current national registry on occupational deaths in Chile. While containing valuable information, the registry was not designed for epidemiological surveillance. Further efforts are needed to achieve a proper epidemiological integration of surveillance data.

摘要

目的

描述 2014 年和 2015 年智利职业事故和职业病第 16.744 号法案涵盖的工人中发生的与工作相关的致命事件。

设计

智利工人健康和安全国家信息系统登记册的横断面研究,特别是关注社会保障监督局的致命工作事故登记册。

研究人群

2014 年和 2015 年智利所有 815 例职业伤害相关死亡病例的二次数据分析,这些病例在 2016 年 3 月前已由社会保障监督局认可。

结果测量

分析与雇主、工人和事件有关的变量。

结果

所有受伤工人(包括工作中和上下班期间)每 100000 名职业社会保障系统工人的总死亡率,2014 年为 7.2,2015 年为 7.3。2014 年,死亡率最高的部门是交通和通讯部门(20.15%)和矿业部门(18.17%),而 2015 年,渔业(11.3%)和矿业(12.1%)的死亡率最高。72%的病例发生在中小企业。一半有工作相关致命伤害的公司没有风险预防部门。22%(121 家)的公司曾有过劳动法规违规行为。这两年中,导致工人死亡的四项活动是货运陆运、在建工程、在建小型工程和完整建筑物或建筑物部分的建筑工程。一半的致命伤害发生在公司工作不满一年的工人身上。

结论

本描述性研究提供了智利当前职业死亡国家登记册的宝贵见解。虽然登记册包含了有价值的信息,但它不是为流行病学监测而设计的。需要进一步努力,实现对监测数据的适当流行病学整合。

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