Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Occup Environ Med. 2021 Oct;78(10):745-752. doi: 10.1136/oemed-2020-107257. Epub 2021 Mar 31.
To estimate the magnitude of under-reporting of non-fatal occupational injuries (OIs) by different organisational factors in Sweden for the year 2013.
Capture-recapture methods were applied using two data sources: (1) the national OI register and (2) records from a labour market insurance company. To assure comparability of data sources, the analysis was restricted to the public sector and private companies with at least 50 employees. OIs were matched using personal identification number and reported injury dates (±7 days). Organisational factors were obtained from the national labour market register and injury severity (no healthcare/only outpatient/hospitalised) from the National Patient Register. Total number of OIs and ascertainment by data sources were estimated assuming data source independence.
There were an estimated 98 493 OIs in 2013. Completeness of reporting OIs to the national register and to the insurance company was estimated at 73% and 43%, respectively. No report to either source was estimated at 15 000 OIs (~15%). Under-reporting to the national register differed by selected organisational factors, being higher among organisations in the public sector, those with more females, with a younger workforce and with a higher proportion of immigrants. Overall under-reporting was more common in agriculture (19.7%), other services (19.3%), commerce and hospitality (19.1%), health (18.4%) and education (18.4%). Under-reporting decreased as injury severity increased, with little variations across sectors of economic activity.
Results suggest considerable under-reporting of OIs in Sweden and differential under-reporting by organisational factors. Results are relevant for official estimates of burden and for setting priorities for workplace safety and prevention.
估计 2013 年瑞典因不同组织因素导致非致命性职业伤害（OI）漏报的程度。
使用两种数据源应用捕获-再捕获方法：（1）国家 OI 登记处和（2）一家劳动市场保险公司的记录。为确保数据源的可比性，分析仅限于公共部门和至少有 50 名员工的私营公司。OI 使用个人识别号码和报告的受伤日期（±7 天）进行匹配。组织因素从国家劳动力市场登记处获得，受伤严重程度（无需医疗/仅门诊/住院）从国家患者登记处获得。假设数据源独立，根据数据源估计 OI 的总数和确定数。
估计 2013 年有 98493 例 OI。向国家登记处和保险公司报告 OI 的完整性分别估计为 73%和 43%。估计有 15000 例 OI（约 15%）未向任何来源报告。向国家登记处的漏报情况因选定的组织因素而异，在公共部门的组织、女性比例较高、劳动力较年轻以及移民比例较高的组织中较高。总体漏报在农业（19.7%）、其他服务（19.3%）、商业和酒店业（19.1%）、卫生（18.4%）和教育（18.4%）中更为常见。漏报随着伤害严重程度的增加而减少，各经济活动部门之间的变化很小。
结果表明瑞典 OI 的漏报相当严重，且漏报情况因组织因素而异。结果对官方负担估计和工作场所安全与预防的优先事项设定具有重要意义。
