确定国家暴力死亡报告系统记录的职业：自动编码程序的评估。
Determining occupation for National Violent Death Reporting System records: An evaluation of autocoding programs.
机构信息
Department of Occupational and Environmental Health, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Division of General Medical Sciences, Washington University School of Medicine, St. Louis, Missouri, USA.
出版信息
Am J Ind Med. 2021 Dec;64(12):1018-1027. doi: 10.1002/ajim.23292. Epub 2021 Sep 7.
BACKGROUND
Suicide is a leading cause of death for working-age adults. Suicide risk varies across occupations. The National Violent Death Reporting System (NVDRS) collects information about violent deaths occurring in the United States. Occupation can be determined using autocoding programs with NVDRS data. The objective of this analysis is to determine the accuracy of autocoding programs for assigning occupations in the NVDRS.
METHODS
Deaths from suicide were identified in NVDRS for individuals age 16 and older from 2010 to 2017. Occupations were assigned after processing job description free text with autocoding programs. Job assigned by autocoding program were compared with the occupation code recorded on the death certificate.
RESULTS
Assignment of major occupation group had substantial agreement (Cohen's kappa > 0.7) for the two autocoding programs evaluated. Agreement of assigned code varied across race/ethnicity and occupation type.
CONCLUSIONS
Autocoding programs provide an efficient method for identifying the occupation for decedents in NVDRS data. By identifying occupation, circumstances of suicide and rates of suicide can be studied across occupations.
背景
自杀是导致工作年龄段成年人死亡的主要原因。自杀风险因职业而异。国家暴力死亡报告系统（NVDRS）收集美国发生的暴力死亡信息。可以使用 NVDRS 数据的自动编码程序来确定职业。本分析的目的是确定 NVDRS 中自动编码程序分配职业的准确性。
方法
从 2010 年到 2017 年，从 NVDRS 中确定了年龄在 16 岁及以上的自杀死亡者。使用自动编码程序处理工作描述自由文本后，分配职业。自动编码程序分配的职业与死亡证明上记录的职业代码进行比较。
结果
评估的两个自动编码程序对主要职业群体的分配具有实质性一致性（Cohen's kappa > 0.7）。分配代码的一致性因种族/民族和职业类型而异。
结论
自动编码程序为 NVDRS 数据中死者的职业识别提供了一种有效的方法。通过确定职业，可以研究不同职业的自杀情况和自杀率。
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