Identification and characterization of Kentucky self-employed occupational injury fatalities using multiple sources, 1995-2004.
BACKGROUND
Identification and characterization of occupational injury fatalities in self-employed workers typically relies on a single data source and thus may miss some cases.


METHODS
Kentucky self-employed worker injury fatalities were identified using Fatality Assessment and Control Evaluation (FACE) program data (1995-2004) and compared to non self-employed worker data. Occupations and industries listed on death certificates were compared to those in which the decedent was actually engaged.


RESULTS
Of 1,281 Kentucky worker injury deaths, 28% were self-employed. Death certificates failed to identify 31% of these deaths as work-related; industry and occupation were incorrectly identified in 27% and 16%, respectively. Fifty-seven percent of the deaths were in agriculture, primarily tractor-related. For Kentucky, the self-employed crude death rate was higher (27.6/100,000) than the non self-employed worker (5.4/100,000) rate or the US (11.5/100,000) self-employed rate.


CONCLUSIONS
Multiple information sources improve identification of self-employed status in work-related injury fatalities. Effective prevention requires accurate surveillance and examination of contributing factors. Self-employed worker injuries in high-risk industries should be more fully examined for development of effective injury prevention programs.
Bunn
Terry
T
Fatality Assessment and Control Evaluation (FACE) Program, Kentucky Injury Prevention and Research Center, University of Kentucky, Lexington, Kentucky 40504, USA. tlbunn2@uky.edu
Costich
Julia
J
Slavova
Svetla
S
D000062:Accidents, Occupational / Q000401:mortality* / Q000706:statistics & numerical data*; D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000383:Agriculture / Q000706:statistics & numerical data*; D002423:Cause of Death; D004651:Employment / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance / Q000379:methods