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在伊利诺伊州医院看到西班牙裔/拉丁裔农业工人受伤
Jared Walker1, Dana Madigan1, Lee S Friedman1
1Environmental and Occupational Health Sciences, School of Public Health, University of Illinois, Chicago, IL, USA.
Journal of agromedicine
|December 18, 2023
概括
农场工人,特别是西班牙裔/拉丁裔工人,面临重大风险. 这项研究使用了医院数据来分析与农场有关的伤害,发现西班牙裔/拉丁裔工人的严重程度相似,但成本更高.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生监督 公共卫生监督
- 健康 公平 研究 健康 公平 研究
背景情况:
- 农业带来了重大的职业风险,对西班牙裔/拉丁裔工人产生了不成比例的影响.
- 改进的监测系统对于理解和解决不稳定的农业工人的健康问题至关重要.
研究的目的:
- 在医院数据中使用ICD-10代码制定识别农场相关伤害和疾病的标准.
- 评估西班牙裔/拉丁裔农业工人的健康公平问题和相关成本.
主要方法:
- 使用ICD-10代码提取了伊利诺伊州医院出院数据 (2018-2021年) 关于使用ICD-10代码的农业相关伤害和疾病.
- 根据种族分层的伤害数据,分析原因,性质,严重程度和临床护理.
- 采用多变量模型来比较种族之间的伤害严重程度,护理水平和成本.
主要成果:
- 确定了3745起与农场相关的伤害,196起涉及西班牙裔/拉丁裔个人.
- 西班牙裔/拉丁裔患者比较年轻,更有可能没有保险或获得工人赔偿,并经历了来自不同机制 (例如动物,切削工具) 的伤害.
- 在调整了混因素后,没有发现伤害严重程度或护理水平的种族差异,但对于西班牙裔/拉丁裔个人来说,成本相当或更高.
结论:
- 开发的病例定义有效地识别了与农业有关的病例,并提供了对临床护理的种族洞察力.
- 这种方法可以在农业劳动力多样化的国家提供监测信息.
- 需要进一步的研究,以了解差异性的暴露,减少危险,并解决农场相关伤害的财务负担.
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