Fatal occupational injuries in North Carolina, 1992–2017

Details

• Alternative Title:
  Occup Environ Med
• Personal Author:
  Martin, Amelia T ; McClure, Elizabeth S ; Ranapurwala, Shabbar I ; Nocera, Maryalice ; Cantrell, John ; Marshall, Stephen W ; Richardson, David B
• Description:
  Objectives:
  
  After declining for several decades, fatal occupational injury rates have stagnated in the United States since 2009. To revive advancements in workplace safety, interventions targeting at-risk worker groups must be implemented. Our study aims to identify these at-risk populations by evaluating disparities in unintentional occupational fatalities occurring in North Carolina (NC) from 1992–2017.
  
  Methods:
  
  Our retrospective cohort study drew upon both the NC Office of the Chief Medical Examiner system and the NC death certificate data system to identify unintentional fatal occupational injuries occurring from 1992–2017. Unintentional fatal occupational injury rates were reported across industries, occupations, and demographic groups, and rate ratios were calculated to assess disparities.
  
  Results:
  
  Among those aged 18 and older, 2645 unintentional fatal occupational injuries were identified. Fatal occupational injury rates declined by 0.82 injuries/ 100,000 person-years over this period, falling consistently from 2004–2009 and increasing from 2009–2017. Fatal injury rates were highest among Hispanic workers, who experienced 2.75 times the fatal injury rate of non-Hispanic White workers (95%CI: 2.42, 3.11) and self-employed workers, who experienced 1.44 times the fatal injury rate of private workers (95%CI: 1.29, 1.60). We also observed that fatal injury rates increased with age-group and were higher among male relative to female workers even after adjustment for differential distributions across occupations.
  
  Conclusions:
  
  The decline in unintentional fatal occupational injury rates over this period is encouraging, but the increase in injury rate after 2009 and the large disparities between occupations, industries, and demographic groups highlight the need for additional targeted safety interventions.
  
  
• Subjects:
  Accidental Injuries Accidents, Occupational Female Humans Industry Male North Carolina Occupational Injuries Retrospective Studies Wounds And Injuries
• Source:
  Occup Environ Med. 80(12):680-686
• Pubmed ID:
  37940382
• Pubmed Central ID:
  PMC11515926
• Document Type:
  Journal Article
• Funding:
  R01 OH011256/OH/NIOSH CDC HHSUnited States/ ; R49 CE002479/CE/NCIPC CDC HHSUnited States/ ; T42 OH008673/OH/NIOSH CDC HHSUnited States/
• Volume:
  80
• Issue:
  12
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:2d85edb7bc27095349b4700489604f291c6fdd38148461d3dc947b752da57de8f4617a8a3fa309495ca055751b8b1f5bbbc90753b4a596106e56968031e0b6c6
• Download URL:
  https://stacks.cdc.gov/view/cdc/168748/cdc_168748_DS1.pdf
• File Type:
  [PDF - 233.42 KB ]