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Citation |
Chaumont Menendez C, Castillo DN, Rosenman K, Harrison R, Hendricks S. Occup. Environ. Med. 2012; 69(11): 810-814. |
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Affiliation |
Division of Safety Research, National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA. |
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Copyright |
(Copyright © 2012, BMJ Publishing Group) |
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DOI |
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PMID |
22864251 |
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Abstract |
BackgroundThe Fatality Assessment and Control Evaluation (FACE) programme was established by the National Institute for Occupational Safety and Health to help prevent occupational traumatic fatalities by funding states to conduct targeted fatality investigations within cause-specific focus areas and associated prevention efforts.PurposeTo investigate the impact of the state-based FACE programme on two previous focus areas.MethodsA longitudinal time-series analysis spanning 22 years compared state fatality rates for occupational falls and electrocutions before and after FACE programme funding with states not receiving FACE programme funding. Lag periods were utilised to allow time for the programme to have an effect, and rates were adjusted for a variety of covariates. Separate analyses were conducted for each injury outcome.ResultsA reduction in fall fatality rates that was of borderline significance (1-year lag adjRR=0.92 (0.84 to 1.00)) and a non-significant reduction in electrocution fatality rates (3-year lag adjRR=0.92 (0.82 to 1.03)) were observed in states with FACE programme funding, Best-fit models presented two separate lag periods.ConclusionsWhile it is challenging to quantitatively evaluate effectiveness of programmes such as FACE, the data suggest the FACE programme may be effective in preventing occupational injury deaths within its outcome focus areas throughout the state. It is important to look for ways to measure intermediate effects more precisely, as well as ways to maintain effects over time. Language: en |