Work-related injuries among Hispanic construction workers-evidence from the medical expenditure panel survey.

BACKGROUND Although a large number of Hispanic workers have entered the construction industry, few studies have estimated non-fatal work-related injuries for Hispanic construction workers at a national level. This study examines work-related injury conditions among Hispanic construction workers and assesses disparities between Hispanic and white, non-Hispanic workers. METHODS Pooled data were analyzed from a large national population survey, the Medical Expenditure Panel Survey (MEPS), between 1996 and 2002. More than 7,000 construction workers were identified from the MEPS data including 1,833 Hispanic workers and 4,533 white, non-Hispanic workers. Univariate and multivariate analyses were conducted using SAS-callable SUDAAN. RESULTS Hispanic workers differ from white, non-Hispanic workers in demographic and socioeconomic status. After controlling for major risk factors, Hispanic construction workers were more likely than their white, non-Hispanic counterparts to suffer non-fatal work-related injury conditions (OR = 1.28, 95% CI: 1.00-1.64). CONCLUSIONS This study provides important evidence concerning Hispanic workers' safety on construction sites. Enhanced safety and health programs for Hispanic construction workers and improved occupational injury data systems are recommended.

[1]  Laura S Welch,et al.  Is the Apparent Decrease in Injury and Illness Rates in Construction the Result of Changes in Reporting? , 2007, International journal of occupational and environmental health.

[2]  J. B. Erickson,et al.  Predictors of Work-Related Injuries and Illnesses: National Survey Findings , 2004, Journal of occupational and environmental hygiene.

[3]  D. Richardson,et al.  Fatal occupational injury rates in southern and non-southern States, by race and Hispanic ethnicity. , 2004, American journal of public health.

[4]  Glenn Pransky,et al.  Occupational risks and injuries in non-agricultural immigrant Latino workers. , 2002, American journal of industrial medicine.

[5]  X. Dong,et al.  Occupational fatalities of Hispanic construction workers from 1992 to 2000. , 2004, American journal of industrial medicine.

[6]  Philip J. Landrigan,et al.  Costs of Occupational Injuries and Illnesses , 2000 .

[7]  M J Brunette,et al.  Construction safety research in the United States: targeting the Hispanic workforce , 2004, Injury Prevention.

[8]  Joseph C. Gardiner,et al.  How Much Work-Related Injury and Illness is Missed By the Current National Surveillance System? , 2006, Journal of occupational and environmental medicine.

[9]  K. Guire,et al.  Establishment size and risk of occupational injury. , 1995, American journal of industrial medicine.

[10]  L. Punnett,et al.  Back to the future: sweatshop conditions on the Mexico-U.S. border. II. Occupational health impact of maquiladora industrial activity. , 1997, American journal of industrial medicine.

[11]  D. Schillinger,et al.  Social context of work injury among undocumented day laborers in San Francisco , 2002, Journal of General Internal Medicine.

[12]  D. Wegman,et al.  Wounding the Messenger: The New Economy Makes Occupational Health Indicators Too Good to Be True , 2004, International journal of health services : planning, administration, evaluation.

[13]  Katherine Loh,et al.  Foreign-Born Workers: Trends in Fatal Occupational Injuries, 1996-2001; Workplace Fatalities among Foreign-Born Workers Reflect the Large Influx of Those Workers into the U.S. Workforce and Their Employment in Occupations and Industries with Inherently Higher Risks of Fatal Injury , 2004 .

[14]  Rafael Moure-Eraso,et al.  Occupational Health among Latino Workers: A Needs Assessment and Recommended Interventions , 2004, New solutions : a journal of environmental and occupational health policy : NS.

[15]  L S Welch,et al.  Surveillance of construction worker injuries through an urban emergency department. , 1994, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[16]  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.

[17]  Johan Ivarsson,et al.  Pedestrian and pedalcyclist injury costs in the United States by age and injury severity. , 2004, Annual proceedings. Association for the Advancement of Automotive Medicine.

[18]  L S Welch,et al.  Injury and employment patterns among Hispanic construction workers. , 2000, Journal of occupational and environmental medicine.

[19]  K. Kreiss,et al.  Construction injury rates may exceed national estimates: evidence from the construction of Denver International Airport. , 1998, American journal of industrial medicine.

[20]  Tanja Popovic,et al.  Work-related injury deaths among hispanics--United States, 1992-2006. , 2008, MMWR. Morbidity and mortality weekly report.

[21]  H Siem,et al.  No real progress towards equity: health of migrants and ethnic minorities on the eve of the year 2000. , 1995, Social science & medicine.

[22]  Ewa Menckel,et al.  Aging and occupational accidents a review of the literature of the last three decades , 1995 .

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

[24]  R. Rosa Worker health chartbook, 2000 : Fatal illness , 2002 .

[25]  M. Brunette,et al.  Development of Educational and Training Materials on Safety and Health: Targeting Hispanic Workers in the Construction Industry , 2005, Family & community health.

[26]  L. Strong,et al.  Occupational injury and absence from work among African American, Hispanic, and non-Hispanic White workers in the national longitudinal survey of youth. , 2005, American journal of public health.