Citation

Boden LI, Ozonoff A. Ann. Epidemiol. 2008; 18(6): 500-506.

Affiliation

Department of Environmental Health and Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts.

Copyright

(Copyright © 2008, American College of Epidemiology, Publisher Elsevier Publishing)

DOI

10.1016/j.annepidem.2007.11.003

PMID

18083542

Abstract

PURPOSE: We examine reporting of nonfatal injury and illness reporting for the two most important sources of such data in the United States: workers' compensation data and the Bureau of Labor Statistics' annual Survey of Occupational Injuries and Illnesses. METHODS: We linked individual case records from establishments reporting to the BLS with individual cases reported to workers' compensation systems in 6 states for 1998-2002 and used capture-recapture analysis to estimate the proportion of injuries reported. Data are for private sector workers and exclude mining, railroad and water transportation, temporary employment agencies, membership organizations, and small agricultural establishments. RESULTS: For injuries and illnesses eligible for income benefits, using conservative assumptions, we estimate that workers' compensation systems in the six states missed more than 180,000 lost-time injuries in the sampled industries, that the Bureau of Labor Statistics survey missed more than 340,000, and that more than 67,000 injuries are unreported to either system. CONCLUSIONS: Underreporting of nonfatal occupational injury and illness is substantial in both systems, but particularly in the Survey of Occupational Injuries and Illnesses. Using both sources improves coverage but falls far short of an accurate count for 4 of the 6 states. Reporting rates vary widely, so we cannot infer them for the entire United States.

Language: en