Terceira A. Berdahl ^1*

¹ Agency for Healthcare Research and Quality

^* To whom correspondence should be addressed. E-mail: terceirab{at}yahoo.com.

	Abstract

Objectives. I examined workplace injury risk over time and across racial/ethnic and gender groups to observe patterns of change and to understand how occupational characteristics and job mobility influence these changes.

Methods. I used hierarchical generalized linear models to estimate individual workplace injury and illness risk over time ("trajectories") for a cohort of American workers who participated in the National Longitudinal Survey of Youth (1988–1998).

Results. Significant temporal variation in injury risk was observed across racial/ethnic and gender groups. At baseline, White men had a high risk of injury relative to the other groups and experienced the greatest decline over time. Latino men demonstrated a pattern of lower injury risk across time compared with White men. Among both Latinos and non-Latino Whites, women had lower odds of injury than did men. Non-Latino Black women’s injury risk was similar to Black men’s and greater than that for both Latino and non-Latino White women. Occupational characteristics and job mobility partly explained these differences.

Conclusions. Disparities between racial/ethnic and gender groups were dynamic and changed over time. Workplace injury risk was associated with job dimensions such as work schedule, union representation, health insurance, job hours, occupational racial segregation, and occupational environmental hazards.

Key Words: Injury/Emergency Care/Violence, Men's Health, Occupational Health, Race/Ethnicity, Socioeconomic Factors, Women's Health