TY - JOUR
T1 - Characteristics of agricultural and occupational injuries by workers’ compensation and other payer sources
AU - Missikpode, Celestin
AU - Peek-Asa, Corinne
AU - Wright, Brad
AU - Ramirez, Marizen
N1 - Publisher Copyright:
© 2019 Wiley Periodicals, Inc.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Background: Workers’ compensation claims data are routinely used to identify and describe work-related injury for public health surveillance and research, yet the proportion of work-related injuries covered by workers’ compensation, especially in the agricultural industry, is unknown. Methods: Using data from the Iowa Trauma Registry, we determined the sensitivity and specificity of the use of workers’ compensation as a payer source to ascertain work-related injuries requiring acute care comparing agriculture with other rural industries. Results: The sensitivity of workers’ compensation as a payer source to identify work-related agricultural injuries was 18.5%, suggesting that the large majority of occupational agricultural injuries would not be accurately identified through workers’ compensation records. For rural nonagricultural, rural occupational injuries, the sensitivity was higher (64.2%). Work-related agricultural injuries were most frequently covered by private insurance (39.6%) and public insurance (21.4%), while rural nonagricultural injuries were most frequently covered by workers’ compensation (65.2%). Conclusions: Workers’ compensation claims data will not include the majority of work-related agricultural injuries.
AB - Background: Workers’ compensation claims data are routinely used to identify and describe work-related injury for public health surveillance and research, yet the proportion of work-related injuries covered by workers’ compensation, especially in the agricultural industry, is unknown. Methods: Using data from the Iowa Trauma Registry, we determined the sensitivity and specificity of the use of workers’ compensation as a payer source to ascertain work-related injuries requiring acute care comparing agriculture with other rural industries. Results: The sensitivity of workers’ compensation as a payer source to identify work-related agricultural injuries was 18.5%, suggesting that the large majority of occupational agricultural injuries would not be accurately identified through workers’ compensation records. For rural nonagricultural, rural occupational injuries, the sensitivity was higher (64.2%). Work-related agricultural injuries were most frequently covered by private insurance (39.6%) and public insurance (21.4%), while rural nonagricultural injuries were most frequently covered by workers’ compensation (65.2%). Conclusions: Workers’ compensation claims data will not include the majority of work-related agricultural injuries.
KW - agricultural industry
KW - and specificity
KW - sensitivity
KW - work-related injuries
KW - workers’ compensation
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U2 - 10.1002/ajim.23040
DO - 10.1002/ajim.23040
M3 - Article
C2 - 31436863
AN - SCOPUS:85071307730
SN - 0271-3586
VL - 62
SP - 969
EP - 977
JO - American Journal of Industrial Medicine
JF - American Journal of Industrial Medicine
IS - 11
ER -