title: Disabling and fatal occupational claim rates, risks, and costs in the Oregon construction industry 1990-1997.
abstract: This study estimated injury and illness rates, risk factors, and costs associated with construction work in Oregon from 1990-1997 using all accepted workers' compensation claims by Oregon construction employees (N = 20,680). Claim rates and risk estimates were estimated using a baseline calculated from Current Population Survey data of the Oregon workforce. The average annual rate of lost-time claims was 3.5 per 100 workers. More than 50% of claims were by workers under 35 years and with less than 1 year of tenure. The majority of claimants (96.1%) were male. There were 52 total fatalities reported over the period examined, representing an average annual death rate of 8.5 per 100,000 construction workers. Average claim cost was $10,084 and mean indemnity time was 57.3 days. Structural metal workers had the highest average days of indemnity of all workers (72. 1), highest average costs per claim ($16,472), and highest odds ratio of injury of all occupations examined. Sprains were the most frequently reported injury type, constituting 46.4% of all claims. The greatest accident risk occurred during the third hour of work. Training interventions should be extensively utilized for inexperienced workers, and prework exercises could potentially reduce injury frequency and severity.
authors.affiliation: University of Texas School of Public Health at Houston, Houston, Texas 77030, USA. ihorwitz@sph.uth.tmc.edu
authors.forename: Irwin B
authors.initials: IB
authors.lastname: Horwitz
authors.forename: Brian P
authors.initials: BP
authors.lastname: McCall
mesh_terms: D000062:Accidents, Occupational / Q000191:economics* / Q000401:mortality* / Q000706:statistics & numerical data; D000328:Adult; D000368:Aged; D003365:Costs and Cost Analysis; D006233:Persons with Disabilities; D005160:Facility Design and Construction / Q000191:economics / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009026:Mortality / Q000639:trends*; D016272:Occupational Health / Q000706:statistics & numerical data*; D009922:Oregon / Q000453:epidemiology; D010561:Personnel Staffing and Scheduling; D018570:Risk Assessment; D012449:Safety; D013180:Sprains and Strains / Q000453:epidemiology; D014942:Workers' Compensation / Q000191:economics / Q000706:statistics & numerical data