Examination of Potential Sources of Bias in the US Coal Workers' Health Surveillance Program.

Objectives. We examined the potential influences of certain selection factors on the utility of the Coal Workers' Health Surveillance Program (CWHSP) data for tracking disease distribution and trends. Methods. We combined data from the CWHSP and the Energy Information Administration to examine any i...

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Publicado en:American Journal of Public Health Vol. 104; no. 1; pp. 165 - 171
Autores principales: Laney, A. Scott, Attfield, Michael D.
Formato: Journal Article
Publicado: American Public Health Association Jan2014
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Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2014
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        10.2105/AJPH.2012.301051
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        atl: Examination of Potential Sources of Bias in the US Coal Workers' Health Surveillance Program.
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        au:
          Laney, A. Scott
          Attfield, Michael D.
      su:
        United States
        National Institute for Occupational Safety & Health
        Public health surveillance
        Health status indicators
        Population geography
        Retrospective studies
        Database evaluation
        Mineral industries
        Fossil fuels
        Dust diseases
        Research methodology
        Time
        Research bias
        Disease prevalence
        Descriptive statistics
        Diagnosis
      sug:
        subj:
          Public health surveillance
          Health status indicators
          Population geography
          Retrospective studies
          United States
          National Institute for Occupational Safety & Health
          Coal and Other Mineral and Ore Merchant Wholesalers
          Mineral, ore and precious metal merchant wholesalers
          Database evaluation
          Mineral industries
          Fossil fuels
          Dust diseases
          Research methodology
          Time
          Research bias
          Disease prevalence
          Descriptive statistics
          Diagnosis
      ab: Objectives. We examined the potential influences of certain selection factors on the utility of the Coal Workers' Health Surveillance Program (CWHSP) data for tracking disease distribution and trends. Methods. We combined data from the CWHSP and the Energy Information Administration to examine any influence of variable worker participation on observed disease prevalence. We evaluated effects of differential participation by coal mining region, temporal changes in employment, and active surveillance efforts. Results. The published findings of pneumoconiosis distribution and trends from the CWHSP were robust compared with the various participation factors that might have affected their validity for population-based estimates of disease burden. Exploration of factors that could potentially bias the findings generally led to small increases in the primary estimates, mostly for the early years of the program. Conclusions. We confirmed previously reported findings that there was a high prevalence of coal worker pneumoconiosis (CWP) around 1970-1974, a substantial decline in 1995-1999, and indications of an increase since then. Overall our findings suggest that the previously reported distribution and trends in CWP prevalence were broadly accurate.
      pubtype: Academic Journal
      doctype: Journal Article
      src: R
    language: English
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