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Introduction
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January 2007 - present
Publications
Publications (62)
Introduction:
First responders, including law enforcement officers (LEOs), firefighters, emergency medical services (EMS) clinicians, and public safety telecommunicators, face unique occupational stressors and may be at elevated risk for suicide. This study characterized suicides among first responders and identifies potential opportunities for ad...
As businesses dealt with an increasingly anxious public during the COVID-19 pandemic and were frequently tasked with enforcing various COVID-19 prevention policies such as mask mandates, workplace violence and harassment (WPV) emerged as an increasing important issue affecting worker safety and health. Publicly available media reports were searched...
Introduction
During the COVID-19 pandemic, public health workers (PHWs) were at an increased risk for violence and harassment due to their public health work and experienced adverse mental health conditions. This article quantifies the prevalence of job-related threats, harassment, and discrimination against PHWs and measures the association of the...
Problem:
COVID-19 has impacted United States workers and workplaces in multiple ways including workplace violence events (WVEs). This analysis scanned online media sources to identify and describe the characteristics of WVEs related to COVID-19 occurring in the United States during the early phases of the pandemic.
Method:
Publicly available onl...
Background:
The public safety sector includes law enforcement officers (LEO), corrections officers (CO), firefighter service (FF), wildland firefighting (WFF), and emergency medical services (EMS), as defined in the National Occupational Research Agenda (NORA) of the National Institute for Occupational Safety and Health (NIOSH). Across these occup...
Increases in mental health conditions have been documented among the general population and health care workers since the start of the COVID-19 pandemic (1-3). Public health workers might be at similar risk for negative mental health consequences because of the prolonged demand for responding to the pandemic and for implementing an unprecedented va...
Increases in mental health conditions have been documented among the general population and health care workers since the start of the COVID-19 pandemic (1-3). Public health workers might be at similar risk for negative mental health consequences because of the prolonged demand for responding to the pandemic and for implementing an unprecedented va...
Introduction
Officers can be unintentionally injured during officer–suspect interactions, and these injuries are often not coded as assaults. This article defines and enumerates injuries that officers sustain while chasing, detaining, arresting, or pursuing suspects. These are termed resistance-related injuries.
Methods
Data on law enforcement off...
BACKGROUND
The purpose of this study was to estimate the prevalence, identify risk factors, and assess the impact of nonphysical workplace violence (WPV) events among education workers (teachers, professionals, and support personnel).
METHODS
A cross‐sectional survey was mailed to a random sample of 6450 education workers, stratified by sex, occup...
Background:
The purpose of this analysis was to identify and prioritize high-risk industry groups for traumatic brain injury (TBI) prevention efforts.
Methods:
Workers with TBI from 2001 to 2011 were identified from the Ohio Bureau of Workers' Compensation data. To prioritize industry groups by claim type (lost-time (≥8 days away from work) and...
Background:
Motor vehicle crashes (MVCs) remain a leading cause of death for US law enforcement officers. One large agency implemented a crash prevention program with standard operating policy changes, increased training, and a marketing campaign. This was a scientific evaluation of that crash prevention program.
Methods:
MVC and motor vehicle i...
Drug overdose fatalities have risen sharply and the impact on US workplaces has not been described. This paper describes US workplace overdose deaths between 2011 and 2016. Drug overdose deaths were identified from the Census of Fatal Occupational Injuries and fatality rates calculated using denominators from the Current Population Survey. Fatality...
During 2000-2016, the suicide rate among the U.S. working age population (persons aged 16-64 years) increased 34%, from 12.9 per 100,000 population to 17.3 (https://www.cdc.gov/injury/wisqars). To better understand suicide among different occupational groups and inform suicide prevention efforts, CDC analyzed suicide deaths by Standard Occupational...
Introduction:
Several studies of nonfatal firefighter injuries have been conducted but are limited by the inclusion criteria used and coverage. The aim of this study was to enhance current knowledge by providing national estimates of nonfatal injuries to firefighters treated in U.S. emergency departments.
Methods:
Nonfatal injuries from 2003 thr...
Introduction:
Limited studies exist that describe nonfatal work-related injuries to law enforcement officers. The aim of this study is to provide national estimates and trends of nonfatal injuries to law enforcement officers from 2003 through 2014.
Methods:
Nonfatal injuries were obtained from the National Electronic Injury Surveillance System-O...
Introduction
Attention surrounding officer-involved shootings has raised awareness about a range of internal policing issues including use-of-force, discipline of officers, and policing culture, as well as concerns about the overall health and safety of law enforcement officers (LEOs). Recently, law enforcement practitioners, criminologists, and pu...
The IACP Research Advisory Committee is proud to offer the monthly Research in Brief column. This column features evidence-based research summaries that highlight actionable recommendations for Police Chief magazine readers to consider within their own agencies. The goal of the column is to feature research that is innovative, credible, and relevan...
Purpose – The purpose of this paper is to examine the situational and individual officer characteristics of officer-involved vehicle collisions that result in fatality, injury, and non-injury outcomes.
Design/methodology/approach – Data on 35,840 vehicle collisions involving law enforcement officers in California occurring between January 2000 and...
Purpose
Motor-vehicle related events (MVEs) are the leading cause of on-duty death for law enforcement officers, yet little is known about how officers view this significant job hazard. This paper explores officers’ motor-vehicle risk perception and examines how prior on-duty MVEs and the death or injury of a fellow officer influences this percept...
We examined racial/ethnic and gender-specific associations between suicide ideation/attempts and risky behaviors, sadness/hopelessness, and victimization in Montana American Indian and White youth using 1999–2011 Youth Risk Behavior Survey data. Logistic regression was used to calculate odds ratios and 95% confidence intervals in stratified racial/...
Suicide rates have risen considerably in recent years. National workplace suicide trends have not been well documented. The aim of this study is to describe suicides occurring in U.S. workplaces and compare them to suicides occurring outside of the workplace between 2003 and 2010.
Suicide data originated from the Census of Fatal Occupational Injury...
Purpose Little is known about work-related traumatic brain injuries (WRTBI). This study describes non-fatal WRTBIs treated in US emergency departments (ED) from 1998 through 2007.
Methods Non-fatal WRTBIs were identified from the National Electronic Injury Surveillance System occupational supplement (NEISS-Work) using the diagnoses of concussion,...
Objective:
Enumerate and describe physical assaults occurring to Pennsylvania education workers.
Methods:
A cross-sectional survey was mailed to a random sample of 6450 workers, stratified on gender, occupation, and region. Logistic regression was used to examine risk factors for physical assault.
Results:
During the 2009-2010 school year, 309...
The purpose of this study was to examine non-robbery-related occupational homicides in the retail industry from 2003 to 2008.
Data were abstracted from the Census of Fatal Occupational Injuries. Motive (robbery- or non-robbery-related) and workplace violence (WPV) typology (Type I-IV) were assigned using narrative text fields. Non-robbery-related h...
Purpose: Non-fatal physical assaults and non-physical workplace violence (NP-WPV) are common among education workers, yet little is known about how this violence affects them. Here we describe the impact of physical and NP-WPV on quality of life, job stress, and job satisfaction among a cohort of education workers.
Methods: A statewide sample of...
Background: Motor-vehicle incidents are the leading cause of occupational death among U.S. law enforcement officers (LEOs), yet little is known about non-fatal crashes. This study used a cross-sectional survey to identify the knowledge, perceptions, and safety practices of LEOs with regard to motor-vehicle safety. Here, we present data on motor-veh...
Background: Law enforcement officers (LEOs) spend a great deal of time in close proximity to moving traffic, putting them at an increased risk of being stuck by a motor-vehicle (MV). We performed a cross-sectional survey to identify the knowledge, perceptions, and safety practices of LEOs with regard to MV safety, including struck-by events.
Meth...
BACKGROUND: This study describes and compares the three surveillance systems used to record occupational injury fatalities among U.S. law enforcement officers (LEOs).
METHODS: The Census of Fatal Occupational Injuries (CFOI), National Law Enforcement Officer Memorial Fund database (NLEOMF), and Law Enforcement Officers Killed and Assaulted reports...
The objective of this research was to describe the slip, trip, and fall injury experience and trends in a population of nursing home workers, identify risk factors for slip, trip, and fall injuries, and develop prevention strategies for slip, trip, and fall hazards. Workers' compensation injury claims data and payroll data from 1996 through 2003 we...
The objective of this research was to describe the slip, trip, and fall injury experience and trends in a population of nursing home workers, identify risk factors for slip, trip, and fall injuries, and develop prevention strategies for slip, trip, and fall hazards. Workers' compensation injury claims data and payroll data from 1996 through 2003 we...
Migrant farmworkers are at risk for heat-related illness (HRI) at work.
The purpose of this study was to determine which risk factors could potentially reduce the prevalence of HRI symptoms among migrant farmworkers in Georgia.
Trained interviewers conducted in-person interviews of adults who attended the South Georgia Farmworker Health Project cli...
The purpose of this study was to measure the prevalence and characteristics of physical and non-physical WPV in a state-based cohort of education workers.
A sample of 6,450 workers was drawn using de-identified union membership lists, stratified on gender, occupation, and school location. A cross-sectional survey was mailed to participants.
An esti...
Background. Mortality from poisoning has been increasing in the US. Indeed, poisoning is the leading cause of injury-related death in the US. Appalachia is characterized by myriad health disparities. This study quantifies poisoning mortality in Appalachia compared to the non-Appalachian US. Methods. Data from the US National Vital Statistics System...
Background: Research on work-related injuries in the construction industry is extensive, but little research has focused on traumatic brain injuries (TBIs).This study describes nonfatal work-related TBIs in the construction industry treated in emergency departments (EDs) from 2001 through 2005.
Methods: Nonfatal work-related TBIs in the construct...
This study describes fatal and nonfatal occupational injuries among U.S. correctional officers.
Fatal injuries were obtained from the Census of Fatal Occupational Injuries; nonfatal injuries were identified from the National Electronic Injury Surveillance System- Occupational Supplement.
From 1999-2008, there were 113 fatalities and an estimated 12...
The purpose of this evaluation was to evaluate the causes and costs of slips, trips, and falls (STFs) in a helicopter manufacturing plant.
STFs are a significant portion of the total industry injury burden.
For this study, 4,070 helicopter plant workers who were employed from January 1, 2004, through February 28, 2008, were enrolled. Company record...
Intimate partner violence (IPV) is an important public health issue with serious consequences for the workplace. Workplace homicides occurring to U.S. women over a 6-year period, including those perpetrated by an intimate partner, are described.
Workplace homicides among U.S. women from 2003 to 2008 were categorized into type I (criminal intent), t...
Provide descriptive statistics and discuss priorities for injury and fatality risks among services sector workers.
Bureau of Labor Statistics Survey of Occupational Injuries and Illnesses and Census of Fatal Occupational Injuries data for 2003 to 2007 were analyzed to identify occupational injury and fatality risks for services sector industry grou...
Purpose: Traumatic brain injuries (TBI) can result in short-term or long-term disabilities. Little is known about TBIs occurring in the workplace. This research describes nonfatal occupational TBIs treated in emergency departments (EDs).
Methods: Nonfatal TBIs occurring to civilian workers were identified in the National Electronic Injury Surveil...
Although traumatic brain injury (TBI) is one of the leading causes of death and disability in the U.S., work-related TBI has not been well documented.
The aim of this study was to describe the epidemiologic characteristics and temporal trends of fatal occupational TBI in the U.S between 2003 and 2008.
A cross-sectional analysis of the Census of Fat...
Purpose: Homicide remains a leading cause of occupational death for women in the U.S. workplace. This study classifies workplace homicides occurring to U.S. women between 2003 and 2008 and compares these events to non-homicide occupational fatalities.
Methods: Data from the U.S. Census of Fatal Occupational Injuries were used to enumerate and des...
Occupational injury deaths remain high for Law Enforcement Officers (LEOs). This study describes and compares intentional and transportation-related fatality rates in US LEOs between 1992 and 2002.
Workplace injury deaths among LEOs from 1992 to 2002 were categorized into "Intentional," "Transportation-related," and "Other," using the Census of Fat...
Background: Although attempted suicide is an important public health problem among American Indian (AI) teens, little research focuses on this population. The objective of this study was to examine associations between risk behaviors, victimization and risk for attempted suicide among Montana AI teens.
Methods: Data for AI youth were extracted fr...
Purpose: While traumatic brain injury (TBI) is one of the leading causes of death and lifelong disability in the US, work-related TBI deaths have not been well documented. We analyzed data from the US Census of Fatal Occupational Injuries database (CFOI) to examine the epidemiological characteristics of work-related TBI deaths.
Methods: We perfor...
Despite prior research demonstrating higher injury-mortality rates among rural populations, few studies have examined the differences in nonfatal injury risk between rural and urban populations. The objective of this study was to compare injury-hospitalization rates between rural and urban populations using population-based national estimates deriv...
Purpose: Hip fracture is a leading cause of morbidity and mortality among older adults. While several risk factors for hip fracture have been identified, the role of rurality has not been examined. We compared hip fracture hospitalization rates and characteristics across four levels of rurality.
Methods: We performed a cross-sectional analysis of...
The differences in occupational and non-occupational injuries between military men and women have not been documented. This study compares occupational and non-occupational injuries between male and female United States Army soldiers by examining injury hospitalization rates and characteristics.
The U.S. Army's Total Army Injury and Health Outcomes...
Purpose: Injuries to military women outside of BASIC training or in non-occupational settings have not been well documented. This study compares occupational and non-occupational injuries between male and female US Army soldiers by examining hospitalization rates for injuries occurring in the first 11 months of service.
Methods: The US Army's Tot...
Purpose: An injury is one of the major risk factors predicting another injury. Such re-injuries may be important among military personnel because of time lost from duty, potential disability, and health care costs. We investigated the role of re-injury on physical disability discharge from the US Army by following a cohort of soldiers with a hospit...
The response of trauma systems in rural areas is uncertain since distances between injury scenes and trauma care are considerable. Timely arrival at definitive care is critical for persons with traumatic brain injury (TBI) since secondary damage can occur during the hours following injury. We evaluated how the implementation of a trauma system in a...
Although death rates from injuries are higher in rural areas compared with large metropolitan areas, little is known about how non-fatal injury rates vary by rurality. Data from the 1997-2001 US National Health Interview Surveys were used to explore associations between rurality and non-fatal injury.
A nationally representative survey.
The annual i...
The authors used data from a population based prospective cohort study to determine if depressive symptoms predicted incidence of unintentional injury.
The Keokuk County Rural Health Study, based in Iowa, is a prospective cohort study of health status that includes injury outcomes. Depressive symptoms were measured using the 11-item Center for Epid...
Objective: The Patient Safety Center in the Veterans Health Administration (VHA) introduced a program aimed at reducing the incidence and severity of injury to caregivers in handling patients. The program involved an ergonomic assessment protocol, patient handling technology, decision algorithms to select equipment, and guidelines for safe patient...
Transferring patients is a high-risk activity. Learn how the proper equipment can ease this process.
Thesis (M.S.P.H.)--University of South Florida, 1999. Includes bibliographical references (leaves 50-54).