Multiple jobholder mortality patterns in Kentucky: An examination of occupational fatalities


  • Disclosure Statement: This work was supported by grant/cooperative agreement number 2460OH008483-08 from NIOSH. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of NIOSH.

Kentucky Injury Prevention and Research Center, College of Public Health, University of Kentucky, 333 Waller Ave., Suite 242, Lexington, KY 40504. E-mail:



The percentage of multiple jobholders was elevated in Kentucky compared to the US from 2002 to 2010.


Kentucky Fatality Assessment and Control Evaluation (FACE) multiple jobholder fatality data were analyzed to identify contributing injury factors from 2002 to 2010.


Kentucky's total occupational fatality rates were higher than US rates for all years (2002–2010). Kentucky multiple jobholder fatalities averaged 8.4 deaths per 100,000 employees compared to the total average occupational fatality rate of 6.5. Almost half of multiple jobholder fatalities (47%) occurred in the agricultural industry and management occupation as the primary industry and occupation; 67% were tractor-related. The most prevalent secondary industry and occupation were the construction industry and management occupation.


Increased surveillance of multiple jobholder injuries is needed to improve safety and health on the job. Future investigations should include the relationship between multiple jobholding and agricultural employment as farm owners. Am. J. Ind. Med. 56:881–888, 2013. © 2013 Wiley Periodicals, Inc.