National Institute for Occupational Safety and Health (NIOSH), Denver, CO.
NIOSH, Morgantown, WV.
J Occup Environ Hyg. 2024 Mar;21(3):189-201. doi: 10.1080/15459624.2024.2302470. Epub 2024 Feb 26.
Work-related deaths are a persistent occupational health issue that can be prevented. However, prevention opportunities can be hampered by a lack of adequate public health resources. The Western States Occupational Network (WestON) is a network of federal, state, and local occupational health professionals that includes a 19-state region of the United States. To encourage public health collaboration, WestON partners examined work-related fatalities within the region. Fatality counts (numerators) were obtained from the U.S. Bureau of Labor Statistics (BLS) Census of Fatal Occupational Injuries restricted-access research files for all workers ages ≥15 years and fatally injured in WestON states from 2011 through 2017. Estimates of full-time equivalent hours worked (FTE) (denominators) were retrieved from the BLS Current Population Survey. Annual average fatality rates were calculated as number of fatalities per 100,000 FTE over the study period. Rates were stratified by state, select demographics, industry sector, and event/exposure types. Pearson chi-squared tests and rate ratios with 95% confidence probability limits were used to assess rate differences. All analyses were conducted using SAS v.9.4. From 2011 through 2017, the annual average overall occupational fatality rate for the WestON region was 3.5 fatalities per 100,000 FTE, comparable to the overall U.S. fatality rate. Male workers had a fatality rate almost 10 times higher than female workers in the region. Fatality rates increased with successive age groups. Alaska and New Mexico had significantly higher fatality rates for all racial/ethnic groups compared to respective regional rates. Wyoming, North Dakota, and Montana had the three highest occupational fatality rates among foreign-born workers. Agriculture/forestry/fishing, mining/oil/gas extraction, and transportation/warehousing/utilities were industry sector groups with the three highest fatality rates regionally. Transportation-related incidents were the most frequent event type associated with occupational fatalities for all 19 states. Work-related fatalities are a crosscutting occupational public health priority. This analysis can be an impetus for collaborative multistate initiatives among a dynamic and varied occupational public health network to better meet the needs of a rapidly changing workforce.
工作相关死亡是一个持续存在的职业健康问题，是可以预防的。然而，预防机会可能会因缺乏足够的公共卫生资源而受到阻碍。西方州职业网络（WestON）是一个由联邦、州和地方职业健康专业人员组成的网络，包括美国的 19 个州。为了鼓励公共卫生合作，WestON 的合作伙伴审查了该地区的工作相关死亡事件。死亡人数（分子）是从美国劳工统计局（BLS）受限访问的职业伤害致命性调查研究文件中获得的，这些数据涵盖了 2011 年至 2017 年期间在 WestON 各州年龄≥15 岁并因工作受伤的所有工人。全职等效工作小时数（分母）的估计值是从劳工统计局当前人口调查中检索到的。在研究期间，每年的平均死亡率计算为每 100,000 个 FTE 中死亡人数。根据州、特定人口统计学、行业部门和事件/暴露类型对死亡率进行分层。使用 Pearson 卡方检验和 95%置信概率限的率比来评估率差异。所有分析均使用 SAS v.9.4 进行。2011 年至 2017 年，WestON 地区的年平均职业总死亡率为每 100,000 FTE 3.5 例死亡，与美国整体死亡率相当。该地区男性工人的死亡率几乎是女性工人的 10 倍。死亡率随着连续的年龄组而增加。与各自地区的比率相比，阿拉斯加和新墨西哥的所有种族/族裔群体的死亡率都显著更高。怀俄明州、北达科他州和蒙大拿州的外国出生工人的职业死亡率最高。农业/林业/渔业、采矿业/石油/天然气开采以及运输/仓储/公用事业是地区性死亡率最高的三个行业部门群体。与所有 19 个州的职业死亡相关的最常见事件类型是与运输有关的事故。工作相关死亡是贯穿整个职业公共卫生的重点。这项分析可以激励一个充满活力和多样化的职业公共卫生网络中的合作多州倡议，以更好地满足快速变化的劳动力的需求。
