Occupational Morbidity and Fatal Injuries in Thailand, 2007–2024: A Nationwide Time-trend Study Using Workers’ Compensation Records

IF 3.2 3区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Safety and Health at Work Pub Date : 2026-09-01 Epub Date: 2026-07-28 DOI:10.1016/j.shaw.2026.07.005

Pirawan Wangupadcha, Wor Mi Thi, Thodsaphon Lunnoo, Ratanee Kammoolkon, Birabongse Hardthakwong

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引用次数: 0

Abstract

Background

Occupational injuries and work-related diseases remain a significant and persistent threat to the safety, health, and well-being of workers around the globe. This nationwide study aimed to examine long-term trends in occupational injuries and work-related diseases in Thailand from 2007 to 2024.

Methods

Administrative data from the Thailand Social Security Office were used to assess trends and to identify factors associated with fatal outcomes among reported occupational injury cases in 2024. Annual injury rates were calculated using decided cases as the numerator and the average number of registered employees as the denominator. Risk ratios (RRs) with 95% confidence intervals (CIs) were estimated.

Results

A total of 2,006,840 occupational injury cases were recorded. While the number of registered employees increased over time, overall injury rates declined from 24.57 to 7.29 per 1,000 workers and severe injury rates from 6.75 to 2.13 per 1,000 workers. However, fatal injury rates declined markedly but less consistently during the study period, from 9.61 to 4.94 per 100,000 workers. Musculoskeletal disorders remained the most frequently reported work-related disease. In 2024, older age (≥55 years; RR = 2.02, 95% CI: 1.56–2.62), construction-site injury (RR = 1.99, 95% CI: 1.64–2.42), vehicle-related injury (RR = 28.70, 95% CI: 24.55–33.55), and employment in establishments with ≤1,000 workers (RR = 1.75, 95% CI: 1.35–2.27) were associated with higher risk of fatal outcomes.

Conclusion

While overall occupational injury rates declined substantially over time, fatal injury rates showed a less consistent decline, indicating the need for continued efforts to prevent severe occupational injuries and fatalities.

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职业发病率和致命伤害在泰国，2007-2024：一个使用工人赔偿记录的全国性时间趋势研究

背景职业伤害和与工作有关的疾病仍然是对全球工人的安全、健康和福祉的重大和持续威胁。这项全国性的研究旨在调查2007年至2024年泰国职业伤害和与工作有关的疾病的长期趋势。方法使用泰国社会保障局的行政数据来评估2024年报告的职业伤害病例的趋势，并确定与致命结果相关的因素。年工伤率以已判决案件为分子，以注册员工平均人数为分母计算。估计95%置信区间（ci）的风险比（rr）。结果共记录职业伤害病例2006840例。虽然注册雇员的数量随着时间的推移而增加，但总体伤害率从每1000名工人24.57人下降到7.29人，严重伤害率从每1000名工人6.75人下降到2.13人。然而，在研究期间，致命伤害率明显下降，但不太稳定，从每10万名工人9.61人下降到4.94人。肌肉骨骼疾病仍然是报告最多的与工作有关的疾病。2024年，年龄较大（≥55岁，RR = 2.02, 95% CI: 1.56-2.62）、施工现场伤害（RR = 1.99, 95% CI: 1.64-2.42）、车辆相关伤害（RR = 28.70, 95% CI: 24.55-33.55）和在工人≤1000人的企业工作（RR = 1.75, 95% CI: 1.35-2.27）与较高的死亡风险相关。结论：随着时间的推移，总体职业伤害率大幅下降，但致命伤害率的下降并不一致，这表明需要继续努力防止严重的职业伤害和死亡。

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来源期刊

Safety and Health at Work Social Sciences-Safety Research

CiteScore

6.40

自引率

5.70%

发文量

1080

审稿时长

38 days

期刊介绍： Safety and Health at Work (SH@W) is an international, peer-reviewed, interdisciplinary journal published quarterly in English beginning in 2010. The journal is aimed at providing grounds for the exchange of ideas and data developed through research experience in the broad field of occupational health and safety. Articles may deal with scientific research to improve workers'' health and safety by eliminating occupational accidents and diseases, pursuing a better working life, and creating a safe and comfortable working environment. The journal focuses primarily on original articles across the whole scope of occupational health and safety, but also welcomes up-to-date review papers and short communications and commentaries on urgent issues and case studies on unique epidemiological survey, methods of accident investigation, and analysis. High priority will be given to articles on occupational epidemiology, medicine, hygiene, toxicology, nursing and health services, work safety, ergonomics, work organization, engineering of safety (mechanical, electrical, chemical, and construction), safety management and policy, and studies related to economic evaluation and its social policy and organizational aspects. Its abbreviated title is Saf Health Work.