Occupational injury among Rhode Island adolescents: an analysis of workers' compensation claims, 1998 to 2002

Assessing the effect of working conditions on routine medical checkup among artisanal goldminers in Ghana

The socio-economic impacts of unforeseen health challenges among mine workers cannot be overemphasized. Due to the nature of artisanal mining in Ghana, workers are responsible for their own health care. This, however, necessitates the need for insight into the dynamics of self-care among artisanal miners. A cross-sectional survey of 500 artisanal gold miners was conducted to explore the relationship between working conditions of artisanal miners and voluntarily going for routine medical checkup, even in the absence of the right support systems, using a nested binary logistic regression. All the working condition variables were robust in predicting routine medical checkup in all three models. In this case, goldminers who reported good health, safety and environmental conditions were more likely to go for routine medical checkup as compared to their co-workers who reported poor health, safety and environmental conditions. Contrariwise, miners who reported good economic conditions were less likely to go for routine medical checkup as compared to their counterparts who reported poor economic conditions. Also, routine medical checkup was less likely among artisanal miners who did not protect themselves at work and had experienced work related health challenges. For the compositional factors, miners who had senior high school education were more likely to go for routine medical checkup as compared to those with no formal education. Likewise, older miners were more probable to go for routine medical checkup as compared to their younger counterparts. At the contextual level, miners who worked on shift regime and miners who worked in non-production departments were more likely to go for routine medical checkup. The outcome of this study provides insight into the dynamics of self-care amongst artisanal miners and how best to possibly improve it in an attempt to maintain a healthy workforce and its cascading effects. To increase consciousness of self-health care in artisanal mining, there is the need for a national dialogue on how to improve the working conditions of artisanal miners in Ghana.

Managing occupational health among goldminers in Ghana: Modelling the likelihood of experiencing occupational related health problems

Background

The importance of goldmining to Ghana’s development cannot be overestimated. However, the associated morbidities and mortalities resulting from occupational exposure to health hazards and the general cost associated with it is critical. In managing occupational health, a simple comprehension of the main determinants of the problem is required.

Methods

A cross-sectional survey of 504 goldminers was fitted to a nested binary logistic regression model to evaluate the independent effect of subsector departments, compositional attributes, contextual factors and working conditions on goldminers’ likelihood of experiencing occupational related health problems.

Results

Subsector department was robust and persisted in predicting experiencing occupational related health problems in all three models. Goldminers who were in artisanal small scale (ASM) non-production, large scale (LSM) production and LSM non-production were less likely to experience occupational related health problems as compared to their counterparts in ASM production. For the compositional factors, female goldminers were more likely to experience occupational related health problems as compared to their male co-workers. Goldminers who were married and also older miners were more likely to experience occupational related health problems as compared to the unmarried and the relatively younger goldminers. At the contextual level, miners who worked on shift-based schedule and also miners who lived close to mine sites were more likely to experience occupational related health problems. Among the working conditions, goldminers who worked in good health conditions were less likely to experience occupational related health problems. Surprisingly, goldminers who rated their safety conditions as good were more likely to experience occupational related health problems.

Conclusion

Gold miners are exposed to different health risk scenarios across subsectors and departments. These conditions need critical attention and action from industry stakeholders. Programs that promote self-care culture should be promoted, especially in the ASM subsector. PPE’s could be relied on for protection in the mining industry but they should be the last line of defense and not to replace preventive measures and actions.

Assessing disabling and non-disabling injuries and illnesses using accepted workers compensation claims data to prioritize industries of high risk for Oregon young workers

INTRODUCTION

Young workers are especially vulnerable to occupational injuries and illnesses. There is a continued need to investigate injury burden among young workers across demographics and industry to inform targeted interventions. Workers compensation (WC) claims are important for quantifying work-related injuries and illnesses, however published studies have focused on disabling claims. This study extended previous research on Oregon young workers by including the most recent WC claims data to identify patterns of injury and high risk industries.

METHODS

We obtained all accepted disabling claims (N = 13,360) and a significant portion of non-disabling claims (N = 24,660) on workers aged 24 years and under from 2013 to 2018. Claim count, rate and cost were calculated by year, age, gender, industry, and injury type. A prevention index (PI) method was used to rank industries in order to inform prevention efforts.

RESULTS

Average annual disabling and non-disabling claim rates were 111.6 and 401.3 per 10,000 young workers. Workers aged 19-21 (disabling: 119.0 per 10,000 and non-disabling: 429.3) and 22-24 years (115.7 and 396.4) and male workers (145.3 and 509.0) had higher claim rates than workers aged 14-18 (80.6 and 297.0) and female workers (79.8 and 282.9). The most frequent injury types were "struck by/against" (35.6%) and "work-related musculoskeletal disorders (WMSDs)" (19.5%). High risk industries included agriculture, construction, and manufacturing for both genders combined. For female young workers, the highest risk industry was healthcare.

CONCLUSIONS

This study demonstrated the added value of non-disabling WC claims data. Using both disabling and non-disabling data and PI method, agriculture, construction, manufacturing and healthcare industries were identified as priority workplaces to prevent common and costly injuries among Oregon young workers. Practical Applications: While the industries identified are considered hazardous for all workers, findings in this study can guide targeted research and prevention efforts specific to young workers.

Incident Surveillance in New Jersey Career and Technical Education Programs, 1999 to 2008

Through school-sponsored career and technical education programs in New Jersey, students work part-time during or after school in paid and unpaid structured learning experiences regulated by the New Jersey Department of Education. Schools submit information on “reportable incidents,” injury or illness resulting in physician treatment. Incidents including reported use of personal protective equipment (PPE) were assessed; 1,600 incident reports (1999 to 2008) were received. Attributes such as type and severity, body parts affected, and PPE use for incidents occurring at school among students grades 9 to 12 or labeled as “adults” during school hours ( n = 285) were analyzed. Older teens incurred more injuries. PPE use was consistently low across age and gender. Students most frequently experienced knife injuries involving fingers and hands. Results identified potential injury determinants and training and intervention topics such as PPE, and support development of an enhanced reporting form.

Injuries and Seasonal Risks among Young Workers in West Virginia—A 10-Year Retrospective Descriptive Analysis

This study used workers' compensation data to examine seasonal trends of compensable injuries among workers 14 to 24 years old during a 10-year period. These workers had higher rates of occupational injuries in major classes of industry (e.g., service, manufacturing, and agriculture) during summer and non-summer months. The overall rate of occupational injury was significantly higher for male workers than female workers in all age groups ( p & .001). Young workers experienced occupational injuries within less than 3 hours of starting a shift. Among males, injury rates were highest in the manufacturing industry for those 14 to 18 years old and in the service industry for those 22 to 24 years old for both seasons. These results indicate that preventing injuries among young workers should be a primary concern of education and health and safety professionals and parents.

Occupational injuries to Oregon workers 24 years and younger: An analysis of workers' compensation claims, 2000-2007

BACKGROUND

Occupational injuries to adolescents and young adults are a known public health problem. We sought to describe and estimate rates of occupational injuries to workers younger than 25 years of age in Oregon during an 8-year period.

METHODS

Oregon workers' compensation disabling claims data (n = 23,325) and one commercial insurance carrier's non-disabling claims data (n = 16,153) were analyzed. Total employment from the Local Employment Dynamics of the U.S. Census Bureau and the Oregon Labor Market Information System was used as a denominator for rates.

RESULTS

Injuries were more frequent among 22-24 year olds and among males, though females accounted for a higher proportion of claims in the youngest age group. The most common injury type was a sprain or strain, but lacerations and burns were more frequently reported in the 14-18 year olds. When non-disabling claims were included, the rate of injury for 14-18 year olds doubled. The overall rate of injury was 122.7/10,000 workers, but was higher in the construction, manufacturing, and transportation sectors, and in the agriculture, forestry, fishing, and hunting sector for older teens and young adults.

CONCLUSIONS

Young workers continue to be at risk for occupational injuries. Our results show that specific interventions may be needed for older teen and young adult workers to reduce their rate of injury.

Young adults, mortality, and employment

OBJECTIVE

This study assessed the relationship between employment status and mortality over a 2-year period among a nationally representative sample of young adults aged 18 to 24 years (n = 121,478, representing more than 21 million US young adults).

METHODS

By using data from the 1986-2000 National Health Interview Survey and its public-use mortality follow-up through 2002, mortality after 2-year follow-up (for each individual) was regressed on employment status at baseline, controlling for gender, race, education, season, and survey design.

RESULTS

Having been employed was associated with significantly lower risks of all-cause, homicide, and "other-cause" mortality (adjusted odds ratios range: 0.51 to 0.60).

CONCLUSION

Working appears to be a factor that may prevent premature mortality among young adults; increasing unemployment may result in increased mortality risks among young adults in the future.

Supervising structured learning experiences for students in New Jersey: training teachers in school-based occupational health and safety practice

This article describes the structured learning experience (SLE) supervisory training curriculum coordinated by the New Jersey Safe Schools Program, a project supported by the New Jersey Department of Education, Office of Career and Technical Education. The New Jersey SLE supervisory training program comprises training courses and resources for teachers who supervise secondary school minors (students aged 16 to 18 years and special needs students up to age 21) enrolled in various programs--college preparatory, general education, career and technical education, career academies, and special education. One goal of the program is to enhance knowledge and awareness of legal and scientific occupational safety and health principles to ensure safe, rewarding work experiences inside and outside classrooms. This article describes our experiences and data available from November 2005 to January 2008. We summarize relevant federal and state laws and agencies; potential exposure agents and microenvironments of concern; stakeholders and training partners; process and immediate impact data from SLE supervisory trainings; and lessons learned to inform states that may adopt similar strategies or regulations.

Business impact of nurse-designed training for claims case managers

Teaching is a fundamental role of occupational health nurses. The primary purpose of any training is to change behavior. Time, resources, money, and personnel required for effective training are in short supply. Occupational health nurses must be able to quantify the effect of their training for business leaders to increase occupational health nurse funding. This article details how to calculate the business impact of training conducted by occupational health nurses. Two separate groups of claims case managers were evaluated for best practice scores. One group was trained by an occupational health nurse to determine occupational injury or illness causality. Best practice scores were analyzed 4 months later. A 14% difference was observed between the trained group and the control group. Occupational health nurses can quantify the effect their training has and use those results to improve their training and secure more resources from business leaders.

Business Impact of Nurse-Designed Training for Claims Case Managers

Teaching is a fundamental role of occupational health nurses. The primary purpose of any training is to change behavior. Time, resources, money, and personnel required for effective training are in short supply. Occupational health nurses must be able to quantify the effect of their training for business leaders to increase occupational health nurse funding. This article details how to calculate the business impact of training conducted by occupational health nurses. Two separate groups of claims case managers were evaluated for best practice scores. One group was trained by an occupational health nurse to determine occupational injury or illness causality. Best practice scores were analyzed 4 months later. A 14% difference was observed between the trained group and the control group. Occupational health nurses can quantify the effect their training has and use those results to improve their training and secure more resources from business leaders.

Adolescent occupational injuries and workplace risks: an analysis of Oregon workers' compensation data 1990-1997

PURPOSE

Injuries to adolescents from occupational activities has been recognized as a significant public health concern. The objective of this study was to quantify adolescent injury rates, analyze risk factors, and measure the severity of injuries sustained using Oregon workers' compensation data.

METHODS

From 1990-1997, a total of 8060 workers' compensation claims, submitted by claimants 16-19 years old, were accepted by Oregon and used in these analyses. Data from the Bureau of Labor Statistics were used to derive injury rates.

RESULTS

An overall estimated claim rate of 134.2 (95% confidence interval [CI] 124.9-143.6) per 10,000 adolescent workers was found, with males having over twice the rate of females. The total average annual claim cost was $3,168,457, representing $3145 per claim. The average total temporary disability period per claim was 22.3 days. Precision production workers had the highest claim rate of 296.2 (95% CI 178.9-413.4) and highest associated costs ($8266) for all occupations, whereas those in the farming/fishing/forestry occupation had the longest average periods of indemnification with 31.6 days. Day shift workers had the highest claim rates and most severe injuries relative to other shifts.

CONCLUSION

The injury rates found among adolescent workers demonstrates that continued safety interventions and increased training are needed. Because of high claim rate and injury severity, particular attention should be focused on adolescents in food service, manufacturing, and agricultural occupations. Understanding the differences of adolescent circadian rhythm patterns in establishing work schedules and supervisory practices could also prove valuable for decreasing injury risk.

An ecological study of regional variation in work injuries among young workers

BACKGROUND

The investigation of geographic variation in occupational injuries has received little attention. Young workers 15 to 24 years are of particular concern because they consistently show elevated occupational injury rates compared to older workers. The present study sought to: (a) to describe the geographic variation of work injuries; (b) to determine whether geographic variation remained after controlling for relevant demographic and job characteristics; (c) to identify the region-level factors that correlate with the geographic variation.

METHODS

Using workers compensation claims and census data, we estimated claim rates per 100 full-time equivalents for 15 to 24 year olds in 46 regions in Ontario. A total of 21 region-level indicators were derived primarily from Census and Labour Force Survey data to reflect social and material deprivation of the region as well as demographic and employment characteristics of youth living in those areas.

RESULTS

Descriptive findings showed substantial geographic variation in young worker injury rates, even after controlling for several job and demographic variables. Region-level characteristics such as greater residential stability were associated with low work injury rates. Also, regions with the lowest claim rates tended to have proportionally fewer cuts and burns than high-claim-rate regions.

CONCLUSION

The finding of substantial geographic variation in youth claim rates even after controlling for demographic and job factors can aid in targeting prevention resource. The association between region-level indicators such as residential stability and youth work injury suggests that work injury prevention strategies can be integrated with other local economic development measures. The findings partially support the notion that work safety measures may be unevenly distributed with respect to regional socio-economic factors.

The hospital costs of treating work-related sawmill injuries in British Columbia

OBJECTIVE

This study estimates the hospital costs of treating work-related injury among a cohort of sawmill workers in British Columbia.

METHODS

Hospital discharge records were extracted from 1989 to 1998 for a cohort of 5,876 actively employed sawmill workers. Injury cases were identified as work-related from these records using ICD-9 external cause of injury codes that indicate place of occurrence and the responsibility of payment schedule that identifies workers' compensation as being responsible for payment. The hospitals in British Columbia have a standard ward rate chart prepared annually by the provincial Ministry of Health to bill and collect payment from agency like workers' compensation agency. Costs were calculated from the hospital perspective using this billing chart. All costs were expressed in 1995 Canadian dollars. The workers' compensation claim records for this study population were extracted and matched with the hospitalised work-related injury records. Costs were also calculated for work-related hospitalisations that the hospital did not appear to be reimbursed for by the workers' compensation system.

RESULTS

There were 173 injuries requiring hospitalisation during the 10-year followup period. The median stay in hospitals was 3 days and the median hospital costs were $847. The most costly cause of injury categories were fire, flame, natural and environmental and struck against with median costs of $10,575 and $1,206, respectively, while the least costly category was cutting and piercing with median costs of $296. The most costly nature of injury categories were burns and fracture of lower limb with median costs of $10,575 and $1,800, respectively, while the least costly category was dislocation, sprains and strains with median costs of $437. The total hospital costs for all the work-related injuries were $434,990. Out of a total hospital cost of $434,990 for the 173 work-related injuries, the provincial compensation agency apparently did not compensate $50,663 (12%).

CONCLUSION

Prevention of work-related injuries can save significant amount of health care resources. Substantial costs remain uncompensated by the provincial compensation agency and are thus transferred to the provincial health care system annually.