Māori work-related fatal injury in Aotearoa-New Zealand, 2005-2014: a decade of continued inequities for Indigenous Māori.

IF 4.9 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Taitimuroa Akuhata, Gabrielle Davie, Rebbecca Lilley
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引用次数: 0

Abstract

Objectives: Using Coronial data, this observational study describes and compares the characteristics of work-related fatal injury (WRFI) in Indigenous Māori and non-Māori workers to identify disparities in WRFI in Aotearoa New Zealand (NZ) for the period 2005-2014.

Methods: A population-level WRFI dataset was created by coding Coronial case files for the period 1995-2014. WRFI frequencies and rates were calculated by age, sex, socioeconomic deprivation, occupation and industry, stratified for Māori and non-Māori. Standardisation of rates was used to examine possible reasons for differences.

Results: The crude rate of WRFI in Māori workers was 7.6 fatalities per 100 000 workers over the decade: almost double that for non-Māori workers (incident rate ratio (IRR) 1.9, 95% CI 1.6, 2.3). Of variables considered in standardisation, occupation made the biggest difference to the crude IRR (SIRR 1.5, 95% CI 1.2, 1.7). The largest equity gaps occurred in the transport sector (IRR 2.1, 95% CI 1.6, 2.9) and for machinery operators (IRR 2.2, 95% CI 1.6, 3.2). Vehicle crashes accounted for 33% of Māori WRFI compared with 25% of non-Māori (difference 8%, 95% CI 2%, 16%).

Conclusions: WRFI continues to be a significant and systemic source of inequity for Indigenous Māori in NZ. Consistent with previous decades, Māori workers experience disproportionately higher rates of WRFI in NZ, largely explained by the higher representation of Māori workers in high-risk occupations and industries. Future efforts to address inequities in WRFI for Māori workers should focus on high-risk industries and occupations, as well as address the inequitable distribution of WRFI risks.

Māori 2005-2014年在新西兰奥特罗瓦发生的工伤致死事件:十年来对土著人的持续不平等Māori。
目的:利用冠状数据,本观察性研究描述并比较了土著Māori和non-Māori工人的工伤致死性伤害(WRFI)特征,以确定2005-2014年新西兰奥特罗阿(Aotearoa New Zealand, NZ)工伤致死性伤害的差异。方法:通过对1995-2014年冠状病例档案进行编码,建立人口水平的WRFI数据集。WRFI频率和比率按年龄、性别、社会经济剥夺、职业和行业进行计算,并对Māori和non-Māori进行分层。费率的标准化是用来检查造成差异的可能原因。结果:十年来Māori工人的WRFI粗死亡率为每10万名工人7.6人死亡:几乎是non-Māori工人的两倍(事故率比(IRR) 1.9, 95% CI 1.6, 2.3)。在标准化考虑的变量中,职业对粗IRR的影响最大(SIRR 1.5, 95% CI 1.2, 1.7)。最大的公平差距发生在运输部门(内部收益率2.1,95%置信区间1.6,2.9)和机械操作员(内部收益率2.2,95%置信区间1.6,3.2)。车辆碰撞占Māori WRFI的33%,占non-Māori的25%(差异8%,95% CI 2%, 16%)。结论:WRFI仍然是新西兰土著Māori不平等的重要和系统性来源。与前几十年一致,Māori工人在新西兰经历了不成比例的更高的WRFI率,主要原因是Māori工人在高风险职业和行业中的代表性更高。今后为解决Māori工人在WRFI方面的不平等问题所作的努力应侧重于高风险行业和职业,并解决WRFI风险的不公平分配问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Epidemiology and Community Health
Journal of Epidemiology and Community Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
11.10
自引率
0.00%
发文量
100
审稿时长
3-6 weeks
期刊介绍: The Journal of Epidemiology and Community Health is a leading international journal devoted to publication of original research and reviews covering applied, methodological and theoretical issues with emphasis on studies using multidisciplinary or integrative approaches. The journal aims to improve epidemiological knowledge and ultimately health worldwide.
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