Struttmann T W, Scheerer A, Moon E
Kentucky Injury Prevention and Research Center, Southeast Center for Agricultural Health and Injury Prevention, USA.
J Ky Med Assoc. 1998 Sep;96(9):369-73.
A population-based occupational fatality surveillance system was used to identify 452 work-related fatalities in Kentucky over a 3-year period. Three hundred eighty-six workers less than 65 years old were included in this analysis of potentially productive years of life lost (PPYLL). A total of 9,275 years of potentially productive life were lost due to these occupational fatalities, costing the state economy $148 million in lost wages. Most of this loss (70%) was in the industries of transportation/communication/public utilities, manufacturing, mining and construction. The transportation/communication/public utilities division alone accounted for 21.4% of the total lost earnings. The agriculture/forestry/fishing division exceeded all others in potentially productive years of life lost. However, because of its lower mean income and older ages at death, that division ranked fifth in lost earnings. This article demonstrates that prevention resources should be directed at the agriculture, transportation, and logging industries, and to the prevention of fatalities caused by tractors, motor vehicle crashes, and falling objects, to be most effective in reducing the enormous economic burden of occupational fatalities.
一个基于人群的职业死亡监测系统被用于识别肯塔基州在三年期间452起与工作相关的死亡事件。在对潜在生产性生命损失年数（PPYLL）的分析中纳入了386名65岁以下的工人。这些职业死亡事件总共导致了9275年的潜在生产性生命损失，给该州经济造成了1.48亿美元的工资损失。这种损失的大部分（70%）发生在运输/通信/公共事业、制造业、采矿业和建筑业。仅运输/通信/公共事业部门就占了总损失收入的21.4%。农业/林业/渔业部门在潜在生产性生命损失年数方面超过了所有其他部门。然而，由于其平均收入较低且死亡年龄较大，该部门在损失收入方面排名第五。本文表明，预防资源应针对农业、运输业和伐木业，以及预防由拖拉机、机动车碰撞和坠落物体导致的死亡事件，以便在减轻职业死亡带来的巨大经济负担方面最为有效。
