Work-related non-fatal injuries among foreign-born and US-born workers: Findings from the U.S. National Health Interview Survey, 1997-2005

Am J Ind Med. 2009 Jan;52(1):25-36. doi: 10.1002/ajim.20642.

Abstract

Background: Millions of foreign-born workers are employed in the US. Population-based surveys have value in describing the non-fatal work-related injuries that these workers suffer.

Methods: Using data from the 1997-2005 National Health Interview Survey, we compared the rates of non-fatal work-related injuries among foreign-born and US-born adult workers. Logistic regression was used to produce work-related injury odds ratios (ORs) and 95% confidence intervals (95% CI) by nativity and years of residence while controlling for sex, age, race/ethnicity, education, poverty, family size, insurance status, delayed medical care, and alcohol use. Industry-specific rates were also compared.

Results: Foreign-born workers reported a lower rate of work-related injuries than US-born workers, 50 per 10,000 foreign-born workers versus 89 per 10,000 US-born workers (P < 0.01). After controlling for confounding variables, the OR of work-related injuries for foreign-born workers as compared to US-born workers was 0.50 (95% CI = 0.38-0.66). The construction, agriculture/forestry and fisheries, and manufacturing industries had the highest work-related injury rates for both groups of workers.

Conclusions: Foreign-born workers had a lower overall rate of work-related injury when compared to US-born workers. Both US-born and foreign-born workers face significant injury risks, especially in certain industries. Interventions tailored with ethnic and cultural differences in mind are still warranted.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Accidents, Occupational / statistics & numerical data*
  • Adolescent
  • Adult
  • Aged
  • Alcohol Drinking / epidemiology
  • Emigrants and Immigrants / statistics & numerical data*
  • Female
  • Health Surveys
  • Humans
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Occupations
  • Odds Ratio
  • Sex Distribution
  • United States / epidemiology
  • Wounds and Injuries / epidemiology*
  • Young Adult