Evidence map›Paper›PMID 38606790›Full record

ArticleAmerican journal of industrial medicine2024

Forty years of struggle in North Carolina: Workplace segregation and fatal occupational injury rates.

Elizabeth S McClure, Amelia T Martin, Shabbar I Ranapurwala, Maryalice Nocera, John Cantrell, Stephen Marshall, David B Richardson

Open access · greenAbstract read
In one paragraph

Article in American journal of industrial medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Occupational health equity: a call to consider social-structural factors in injury prevention research.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Elizabeth S McClureDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID 0000-0002-2339-8766
Amelia T MartinDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Shabbar I RanapurwalaDepartment of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Maryalice NoceraInjury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, Chapel Hill, North Carolina, USA.
John CantrellInjury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, Chapel Hill, North Carolina, USA.
Stephen MarshallInjury Prevention Research Center, University of North Carolina at Chapel Hill, Chapel Hill, Chapel Hill, North Carolina, USA.
David B RichardsonDepartment of Environmental and Occupational Health, Program in Public Health, University of California, Irvine, California, USA.
University of North Carolina at Chapel Hill · USUniversity of California, Irvine · US

Funding

UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Occupational Safety and Health and Education Research CenterT42OH008673 · OH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI NYLANDER-FRENCH, LEENA A · 2005 to 2025
$27.3M
UNC INJURY PREVENTION RESEARCH CENTERR49CE002479 · CE · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MARSHALL, STEPHEN WILLIAM · 2014 to 2018
$3.9M
Trends and disparities in fatal occupational injury in North CarolinaR01OH011256 · OH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RICHARDSON, DAVID B · 2018 to 2021
$2.1M
ACL HHS R49CE002479NCIPC CDC HHS R49 CE002479NIEHS NIH HHS P30 ES010126NIOSH CDC HHS R01 OH011256NIOSH CDC HHS R01 OH011256-01A1NIOSH CDC HHS T42 OH008673
6 · The paper itself

Abstract

objectiveTo assess workplace segregation in fatal occupational injury from 1992 to 2017 in North Carolina.

methodsWe calculated occupational fatal injury rates within categories of occupation, industry, race, age, and sex; and estimated expected numbers of fatalities among Black and Hispanic male workers had they experienced the rates of White male workers. We also estimated the contribution of workforce segregation to disparities by estimating the expected number of fatalities among Black and Hispanic male workers had they experienced the industry and occupation patterns of White male workers. We assessed person-years of life-lost, using North Carolina life expectancy estimates.

resultsHispanic workers contributed 32% of their worker-years and experienced 58% of their fatalities in construction. Black workers were most overrepresented in the food manufacturing industry. Hispanic males experienced 2.11 (95% CI: 1.86-2.40) times the mortality rate of White males. The Black-White and Hispanic-White disparities were widest among workers aged 45 and older, and segregation into more dangerous industries and occupations played a substantial role in driving disparities. Hispanic workers who suffered occupational fatalities lost a median 47 life-years, compared to 37 among Black workers and 36 among White workers.

conclusionsIf Hispanic and Black workers experienced the workplace safety of their White counterparts, fatal injury rates would be substantially reduced. Workforce segregation reflects structural racism, which also contributes to mortality disparities. Root causes must be addressed to eliminate disparities.

Indexed as

Black or African AmericanHispanic or LatinoOccupational InjuriesWhite PeopleAccidents, OccupationalAdultAgedFemaleHumansIndustryMaleMiddle AgedNorth CarolinaOccupationsSocial SegregationWorkplacehealth equityinjurymortalityworkplace

Identifiers

PMID38606790
PMCPMC11081859
OpenAlexW4394762775

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.