Three national US agencies report on work-related fatal injuries, and one uses the « injury at work » designation on the death certificate to identify and characterize these fatalities.
The accuracy of the « injury at work » notation has not been validated.
The authors used selected external causes of death (from the International Classification of Diseases, Ninth Revision, Clinical Modification) that are highly likely to be work-related or not work-related as a standard to compare with the California death certificate « at work » designation for the years 1979-1989.
Data from the National Center for Health Statistics for the years 1979-1984 were used to measure prevalence for purposes of determining the predictive value of a positive or negative work-related notation on the death certificate.
The sensitivity of the « at work » designation was 77.6%, with a specificity of over 99%. Sensitivity but not specificity varied by age, sex, and specific external cause of death.
The predictive value positive of the « at work » designation was about 60%, which suggests caution in using it for some epidemiologic purposes.
Mots-clés Pascal : Accident travail, Mortalité, Certificat décès, Validité, Evaluation, Source information, Epidémiologie, Méthode étude, Surveillance sanitaire, Registre, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Occupational accident, Mortality, Death certificate, Validity, Evaluation, Information source, Epidemiology, Investigation method, Sanitary surveillance, Register, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0321455
Code Inist : 002B30B04. Création : 01/03/1996.