Blurring the distinctions between on and off the job injuries: similarities and differences in circumstances

Objectives: To compare the causes of non-fatal work and non-work injuries and the places or environments where they occur. It has been suggested that many injuries may have similar etiologies on and off the job and thus involve some common prevention strategies. However lack of comparable data on work relatedness has prevented testing this proposition. Methods: The National Health Interview Survey (NHIS) now collects information on the cause, location, and work relatedness of all medically attended injuries. National US estimates of non-fatal work and non-work injuries were compared by cause and place/location for working age adults (18–64 years). Results: Overall 28.6% of injuries to working age adults were work related (37.5% among employed people). The causes and locations of many work and non-work injuries were similar. Falls, overexertion, and struck/caught by were leading causes for work and non-work injuries. Motor vehicle injuries were less likely to be work related (3.4% at work v 19.5% non-work) and overexertion injuries more likely to be work related (27.1% v 13.8%). Assaults were less than 1% of work injuries and 1.8% of non-work injuries. Both work and non-work injuries occurred in every location examined—including the home where 3.5% of injuries were work related. Conclusions: Work and non-work injuries share many similarities suggesting opportunities to broaden injury prevention programs commonly restricted to one setting or the other. Comprehensive efforts to prevent both non-work and work injuries may result in considerable cost savings not only to society but also directly to employers, who incur much of the associated costs.

[1]  Massey Jt,et al.  Design and estimation for the National Health Interview Survey 1985-94. , 1989 .

[2]  Mark R Lehto,et al.  Computerized coding of injury narrative data from the National Health Interview Survey. , 2004, Accident; analysis and prevention.

[3]  Ted R. Miller,et al.  An Estimate of the U.S. Government’s Undercount of Nonfatal Occupational Injuries , 2004, Journal of occupational and environmental medicine.

[4]  B Barnwell,et al.  SUDAAN User's Manual, Release 7.5, , 1997 .

[5]  Gordon S. Smith,et al.  The use of sentinel injury deaths to evaluate the quality of multiple source reporting for occupational injuries. , 2005, Annals of epidemiology.

[6]  M. Shields Proxy reporting of health information. , 2004, Health reports.

[7]  L. L. Jackson,et al.  Non-fatal occupational injuries and illnesses treated in hospital emergency departments in the United States , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[8]  L. McCaig,et al.  A comparison of work-related injury visits and other injury visits to emergency departments in the United States, 1995-1996. , 1998, Journal of occupational and environmental medicine.

[9]  S. Westneat,et al.  Agricultural Disability Awareness and Risk Education (AgDARE) for high school students , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[10]  G. Smith,et al.  Public health approaches to occupational injury prevention: do they work? , 2001, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[11]  H. Shannon,et al.  Opportunities and challenges for collaboration in research and practice in injury prevention across work and other settings. , 2005, Scandinavian journal of work, environment & health.

[12]  A. Hardy,et al.  Recreational injury and its relation to socioeconomic status among school aged children in the US , 2002, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[13]  M. Feinleib National Center for Health Statistics (NCHS) , 2005 .

[14]  P. Scheidt,et al.  The effects of recall on estimating annual nonfatal injury rates for children and adolescents. , 1994, American journal of public health.

[15]  T. Driscoll,et al.  Unintentional fatal injuries arising from unpaid work at home , 2003, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[16]  G. Smith Injury prevention: blurring the distinctions between home and work , 2003, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[17]  S. Hendricks,et al.  Effect of recall on reporting of at-work injuries. , 1995, Public health reports.

[18]  I B Pless,et al.  Reliability and validity of proxy respondent information about childhood injury: an assessment of a Canadian surveillance system. , 1997, American journal of epidemiology.

[19]  Charles Levenstein,et al.  Occupational injury and illness surveillance: conceptual filters explain underreporting. , 2002, American journal of public health.

[20]  T. Miller,et al.  Incidence and costs of 1987-1994 childhood injuries: demographic breakdowns. , 2000, Pediatrics.

[21]  G. Lowe,et al.  How many injured workers do not file claims for workers' compensation benefits? , 2002, American journal of industrial medicine.

[22]  Theodore K Courtney,et al.  Injuries at work in the US adult population: contributions to the total injury burden. , 2005, American journal of public health.

[23]  Stanton A Glantz,et al.  Effect of smoke-free workplaces on smoking behaviour: systematic review , 2002, BMJ : British Medical Journal.

[24]  D. Wagener,et al.  Injuries in working populations: black-white differences. , 1991, American journal of public health.

[25]  J Gilchrist,et al.  LACUNAE , 2003, Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention.

[26]  J. Felton Occupational health in the USA in the 21st century. , 2000, Occupational medicine.

[27]  M. Seguí-Gómez Evaluating worksite-based interventions that promote safety belt use. , 2000, American journal of preventive medicine.

[28]  R Spicer,et al.  Comparison of injury case fatality rates in the United States and New Zealand , 2005, Injury Prevention.

[29]  T K Courtney,et al.  Using narrative text and coded data to develop hazard scenarios for occupational injury interventions , 2004, Injury Prevention.

[30]  Jack R. Anderson Design and estimation for the National Health Interview Survey, 1995-2004. , 2000, Vital and health statistics. Series 2, Data evaluation and methods research.

[31]  L A Fingerhut,et al.  Injury and poisoning episodes and conditions: National Health Interview Survey, 1997. , 2000, Vital and health statistics. Series 10, Data from the National Health Survey.

[32]  C Zwerling,et al.  Effect of recall period on the reporting of occupational injuries among older workers in the Health and Retirement Study. , 1995, American journal of industrial medicine.

[33]  N Schenker,et al.  The effects of recall on reporting injury and poisoning episodes in the National Health Interview Survey , 2005, Injury Prevention.