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1.
Int Marit Health ; 75(2): 79-88, 2024.
Article de Anglais | MEDLINE | ID: mdl-38949220

RÉSUMÉ

BACKGROUND: In confined waters, ships run a high risk of groundings, contact, sinkings and near misses. In such waters the maritime traffic is dense, the waterway is narrow, the depth is limited, and tides and currents are constantly changing. MATERIALS AND METHODS: From 2009-2019, 75 accidents were investigated in the estuary of the Seine. Weather conditions and perceived fatigue were studied. From May to June 2020, 114 seafarers, 34 pilots and 80 captains, responded to a questionnaire focusing on the use of Pilot Portable Units (PPU) and Electronic Chart Display Information Systems (ECDIS). RESULTS: The 75 accidents corresponded to an average of 6.8 ± 3.2 accidents per year. Groundings were the most frequent accidents (35%, n = 26) followed by contact accidents with the quayside (25%, n = 19), between ships or tugs while manoeuvring (8%, n = 6) or while sailing (1%, n = 1). There was no loss of vessels nor fatalities of crew members. In poor weather conditions, there were 76% more accidents than in normal conditions (4.4 ± 2.5 accidents/10,000 movements versus 2.5 ± 1.9 accidents/10,000 movements, p < 0.03). Almost all the accidents (96%) were related to human errors of judgment (81%), or negligence (53%), or both (39). Perceived fatigue was probably in cause in 6 accidents. Only 3 accidents were related to mechanical causes. Through the questionnaires, 69% of the pilots complained of difficulties in mastering the devices and software. They felt distracted by alarms which affected their attention while navigating. They requested training on a simulator. Concerning ship captains, 83% felt comfortable with ECDIS devices yet only 20% were able to configure the ECDIS correctly. CONCLUSIONS: In the Seine estuary, 75 accidents occurred within the 11 year-study. Risk factors were poor weather conditions and human error. PPU and ECDIS were considered as useful tools in the prevention of accidents. However, pilots and captains requested more thorough training in their use.


Sujet(s)
Accidents du travail , Navires , Humains , Accidents du travail/statistiques et données numériques , France/épidémiologie , Adulte , Enquêtes et questionnaires , Temps (météorologie) , Mâle , Estuaires , Pilotes/statistiques et données numériques , Médecine navale , Fatigue/épidémiologie , Femelle , Adulte d'âge moyen
2.
Front Public Health ; 12: 1368991, 2024.
Article de Anglais | MEDLINE | ID: mdl-38975359

RÉSUMÉ

Occupational accidents, despite continuous safety updates, are still a scourge in the occupational and forensic spheres, constituting, among other things, the subject of a large share of litigation. Demographic data can help to understand the areas where the application of health surveillance is lacking. This meta-analysis sets out to analyse data from studies on accidents at work, focusing on the correlation between the areas in which accidents occur and whether or not personal safety equipment is used, in relation to the different regulations in force. For the selection of the data, a systematic review was carried out according to the PRISMA guidelines, with the primary objective of identifying the trend of occupational accidents in specific geographical areas, which differ in terms of the attention paid to preventive aspects. The data we highlighted showed, regarding the type of accident, substantial differences between low-income countries and industrialised countries (stratified according to the Human Development Index) and, an overall indifference as to whether or not individual safety devices were used, revealing that, despite the continuous normative evolution in the field of safety at work, even today, the investigative data on the actual application of the regulations, during accidents at work, is underestimated and little researched.


Sujet(s)
Accidents du travail , Équipement de protection individuelle , Humains , Accidents du travail/statistiques et données numériques , Équipement de protection individuelle/statistiques et données numériques , Santé mondiale
3.
Front Public Health ; 12: 1322884, 2024.
Article de Anglais | MEDLINE | ID: mdl-38903585

RÉSUMÉ

Farmers are considered a high-risk group for intentional and unintentional injuries. This review identified significant risk factors for agricultural injuries in farmers and explored injury prevention countermeasures based on the literature. Therefore, CiteSpace software was used to analyze the relevant literature in this field. Additionally, we identified both key risk factors and countermeasures using the Haddon matrix and the 5 E's risk reduction strategies conceptual framework, respectively. The risk factors were identified from four categories (host, agent, physical environment, and social environment) corresponding to three phases (pre-event, event, and post-event). Interventions of 5 E's risk reduction strategies including education, engineering, enforcement, economic, and emergency response have been proven effective in preventing injuries or reducing their severity. Our findings provide a comprehensive foundation and research direction for the study and prevention of injuries among farmers.


Sujet(s)
Agriculteurs , Blessures professionnelles , Humains , Agriculteurs/statistiques et données numériques , Facteurs de risque , Blessures professionnelles/prévention et contrôle , Blessures professionnelles/épidémiologie , Comportement de réduction des risques , Agriculture/statistiques et données numériques , Accidents du travail/prévention et contrôle , Accidents du travail/statistiques et données numériques
4.
Rev Med Liege ; 79(5-6): 285-290, 2024 Jun.
Article de Français | MEDLINE | ID: mdl-38869113

RÉSUMÉ

Occupational medicine is an essential branch of preventive medicine that aims to protect the health of workers in the workplace. Any work situation exposes the worker to occupational hazards. The three levels of prevention applied in occupational medicine make it possible, together, to control risks. Primary prevention aims to prevent the occurrence of damage related to occupational risks, secondary prevention aims to early detect work-related health problems and in tertiary prevention, the objective is to limit the consequences of occupational risks or diseases already developed. It is not always possible to completely eliminate an occupational hazard. Regular medical examinations, at a frequency appropriate to the risks identified, meet this objective and therefore make it possible to detect work-related health problems or problems that could influence work. A proactive approach focused on prevention helps to reduce occupational risks, prevent work-related diseases, and to promote a healthy and safe work environment for all.


La médecine du travail est une branche essentielle de la médecine préventive qui vise à protéger la santé des travailleurs sur leur lieu de travail. Toute situation de travail expose le travailleur à des dangers professionnels. Les trois niveaux de prévention appliqués en médecine du travail permettent, ensemble, de maîtriser les risques. La prévention primaire vise à empêcher l'apparition des dommages liés aux risques professionnels, la prévention secondaire vise à détecter précocement les problèmes de santé liés au travail et en prévention tertiaire, l'objectif est de limiter les conséquences des risques professionnels ou des maladies déjà développées. Il n'est pas toujours possible de supprimer complètement un risque professionnel. Les examens médicaux réguliers, à une périodicité adaptée aux risques identifiés, répondent à cet objectif et permettent donc de détecter les éventuels problèmes de santé liés au travail ou qui pourraient influencer le travail. Une approche proactive axée sur la prévention contribue à réduire les risques professionnels, à prévenir les maladies liées au travail, et à promouvoir un environnement de travail sain et sécurisé pour tous.


Sujet(s)
Maladies professionnelles , Médecine du travail , Humains , Maladies professionnelles/prévention et contrôle , Accidents du travail/prévention et contrôle , Santé au travail
5.
J Safety Res ; 89: 13-18, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38858035

RÉSUMÉ

INTRODUCTION: Motor vehicle crashes (MVCs) are the leading cause of work-related deaths in the United States. The increasing popularity of the competitive rideshare market and the lack of oversight over workforce health and safety limits understanding of the current occupational hazards and associated risk factors faced by this precarious workforce. The objective of this analysis was to determine what the personal, social and occupational risk factors for work-related crashes in rideshare drivers are in the United States and suggest further research required to understand occupational health risks and opportunities for interventions. MATERIAL AND METHODS: We conducted a survey of a convenience sample of rideshare and taxi drivers using an online questionnaire. Rideshare respondents (n = 277) were recruited through an email that was distributed to people who subscribe to TheRideshareGuy.com. We examined the general characteristics of rideshare drivers by history of work-related MVCs and logistic regression models were used to determine major predictors of MVCs. RESULTS: Of 276 rideshare drivers that reported their crash history, one-third (n = 91, 33%) reported being involved in a work-related crash. Results from a multivariable logistic regression model showed rideshare MVCs were more likely in older drivers (aOR for 10 year increases in age, 1.55, p = 0.001), if drivers undertook 10 or more rideshare trips per day (aOR 1.84, p = 0.041), frequently or very frequently were driving on unfamiliar roads (aOR 1.72, p = 0.048) and driving whilst tired (aOR 3.03, p = 0.003). CONCLUSION: Precarious workers and health and safety is emerging as a major area of research focus. There is a unique opportunity to explore the occupational health risks in rideshare drivers to provide interventions that encourage growth of a healthy and fit rideshare workforce and promote work practices and future regulations aimed at improving safe work practices. PRACTICAL APPLICATIONS: This analysis paints a complex picture of personal and occupational factors that are associated with MVCs in rideshare drivers suggesting that additional policy development related to occupational health and safety of rideshare drivers could be constructive.


Sujet(s)
Accidents de la route , Humains , Mâle , États-Unis/épidémiologie , Femelle , Accidents de la route/statistiques et données numériques , Adulte , Adulte d'âge moyen , Facteurs de risque , Enquêtes et questionnaires , Conduite automobile/statistiques et données numériques , Jeune adulte , Accidents du travail/statistiques et données numériques , Accidents du travail/prévention et contrôle , Sujet âgé , Modèles logistiques
6.
J Safety Res ; 89: 19-25, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38858042

RÉSUMÉ

INTRODUCTION: Preventing occupational accidents is a major global challenge, and employee safety practices play a crucial role in accident prevention. Although perceived organizational support (POS) is related to safety practices, there is currently insufficient evidence supporting a relationship between POS and occupational accidents. We investigated the relationships between POS and both occupational accidents and near-miss events that can lead to accidents in the following year among workers in various industries in Japan. METHOD: This prospective cohort study was conducted from March 2022 to March 2023 using a questionnaire survey. In total, 9916 participants who completed the follow-up survey and met our inclusion criteria were analyzed. The follow-up survey asked participants about both occupational accidents and near-miss events experienced in the year following the baseline assessment. POS was evaluated at baseline using the eight-item version of the Survey of Perceived Organizational Support. Odds ratios (ORs) for the relationships between POS and occupational accidents and near-miss events were estimated using multilevel logistic regression analyses nested by industries. RESULTS: The ORs for self-reported occupational accidents were significantly higher for the moderate (OR = 1.41, 95% confidence interval [CI]: 1.10-1.82), low (OR = 1.49, 95%CI: 1.18-1.89), and very low (OR = 2.03, 95%CI: 1.61-2.56) POS groups compared with the very high group. The ORs for self-reported near-miss events were also significantly higher for the moderate (OR = 1.21, 95%CI: 1.03-1.43), low (OR = 1.20, 95%CI: 1.03-1.40), and very low (OR = 1.56, 95%CI: 1.34-1.82) groups than the very high group. CONCLUSIONS: Our findings suggest lower POS is related to a higher occurrence of occupational accidents and near-miss events in the following year. Organizations should consider enhancing employees' POS to reduce occupational accidents and near-miss events. PRACTICAL APPLICATIONS: To enhance employees' POS, organizations should address identified antecedents of POS (e.g., fairness, supervisor support, rewards, favorable job conditions, and human resource practices).


Sujet(s)
Accidents du travail , Humains , Études prospectives , Japon/épidémiologie , Accidents du travail/prévention et contrôle , Accidents du travail/statistiques et données numériques , Mâle , Femelle , Adulte , Adulte d'âge moyen , Enquêtes et questionnaires , Culture organisationnelle , Santé au travail , Peuples d'Asie de l'Est
7.
J Safety Res ; 89: 288-298, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38858052

RÉSUMÉ

INTRODUCTION: The occupational road-accident risk on public roads and the work conditions for professional driving is still an important issue in occupational health despite lower road-accident rates. This study presents the evolution over time of the work-related constraints for these employees based on the Sumer surveys carried out in 2003, 2010 and 2017. METHOD: Data from the 2010 and 2017 surveys were restricted to match the scope of the 2003 survey in order to enable prevalence data to be compared in equivalent populations. The main variable of interest was "driving (car, truck, bus, and other vehicles) on public thoroughfares" for work (during the last week of work: yes/no). Work time characteristics, work rhythm, autonomy and scope for initiative, collective work group, standards and evaluations variables were completed by the occupational health physicians. A self-administered questionnaire was also provided to employees and contained the Job Content Questionnaire, which assesses decision latitude, social support and psychological demands, the reward scale of Siegrist questionnaire, the hostile behaviour with inspired questions for Leymann, sick leave and work accidents during the past 12 months and job satisfaction. Finally, prevention in the workplace was also completed by the occupational health physicians. RESULTS: About 25% of employees in France were exposed to work-related driving in 2017, which was stable in comparison with 2003 and 2010. However, the population was older and there were more females, more often from the clerical staff/middle manager category and working in companies with fewer than 10 employees. Employees exposed to work-related driving were also more frequently exposed to sustained work schedules and physical constraints, but less exposed to psychosocial risks. CONCLUSIONS: The percentage of employees exposed to occupational road accident risk, i.e., exposure to work-related driving, remained stable at about 25% in 2017 compared with previous surveys. These employees were also more frequently exposed to sustained work schedules and physical constraints, but less exposed to psychosocial risks. PRACTICAL APPLICATIONS: Prevention campaigns on work-related road accident risk should be provided to all employees in all companies since all jobs can be concerned.


Sujet(s)
Conduite automobile , Lieu de travail , Humains , France/épidémiologie , Mâle , Femelle , Adulte , Conduite automobile/statistiques et données numériques , Enquêtes et questionnaires , Adulte d'âge moyen , Santé au travail , Satisfaction professionnelle , Accidents de la route/statistiques et données numériques , Accidents du travail/statistiques et données numériques , Accidents du travail/prévention et contrôle
8.
J Safety Res ; 89: 91-104, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38858066

RÉSUMÉ

INTRODUCTION: Workplace accidents in the petroleum industry can cause catastrophic damage to people, property, and the environment. Earlier studies in this domain indicate that the majority of the accident report information is available in unstructured text format. Conventional techniques for the analysis of accident data are time-consuming and heavily dependent on experts' subject knowledge, experience, and judgment. There is a need to develop a machine learning-based decision support system to analyze the vast amounts of unstructured text data that are frequently overlooked due to a lack of appropriate methodology. METHOD: To address this gap in the literature, we propose a hybrid methodology that uses improved text-mining techniques combined with an un-bias group decision-making framework to combine the output of objective weights (based on text mining) and subjective weights (based on expert opinion) of risk factors to prioritize them. Based on the contextual word embedding models and term frequencies, we extracted five important clusters of risk factors comprising more than 32 risk sub-factors. A heterogeneous group of experts and employees in the petroleum industry were contacted to obtain their opinions on the extracted risk factors, and the best-worst method was used to convert their opinions to weights. CONCLUSIONS AND PRACTICAL APPLICATIONS: The applicability of our proposed framework was tested on the data compiled from the accident data released by the petroleum industries in India. Our framework can be extended to accident data from any industry, to reduce analysis time and improve the accuracy in classifying and prioritizing risk factors.


Sujet(s)
Accidents du travail , Fouille de données , Gestion du risque , Humains , Accidents du travail/prévention et contrôle , Gestion du risque/méthodes , Fouille de données/méthodes , Inde , Consensus , Facteurs de risque , Industrie pétrolière et gazière , Apprentissage machine , Techniques d'aide à la décision
9.
Rev Bras Enferm ; 77(2): e20230384, 2024.
Article de Anglais, Portugais | MEDLINE | ID: mdl-38896714

RÉSUMÉ

OBJECTIVE: To learn the strategies used regarding underreporting of pesticide use in rural areas. METHODS: A qualitative study was carried out in eight primary healthcare units in rural areas and two emergency care units in a municipality in southern Brazil. Data collection took place in 2023 through interviews. Twenty professional nurses participated. The data was submitted to content analysis. RESULTS: The strategies identified were lifelong and continuing education for the professionals who carry out the notification, active search and training of workers who deal directly with this type of substance, computerizing the notification by filling in the forms online, and carrying out research on the subject. FINAL CONSIDERATIONS: Nurses play an important role in reporting occupational accidents caused by the use of pesticides, improving occupational safety in rural areas.


Sujet(s)
Accidents du travail , Infirmières et infirmiers , Pesticides , Recherche qualitative , Population rurale , Humains , Brésil , Accidents du travail/statistiques et données numériques , Population rurale/statistiques et données numériques , Femelle , Adulte , Infirmières et infirmiers/statistiques et données numériques , Infirmières et infirmiers/psychologie , Mâle , Adulte d'âge moyen
10.
Rev Bras Epidemiol ; 27: e240032, 2024.
Article de Anglais | MEDLINE | ID: mdl-38922200

RÉSUMÉ

OBJECTIVE: To analyze the temporal trend and magnitude of national indicators of previdenciary benefits for workplace accidents issued and granted by the Social Security of Brazil. METHODS: Secondary data from Social Security from 2008 to 2019 were used. The trend and percentage variation of the indicators were estimated through Prais-Winsten generalized linear regression. RESULTS: A total of 9,220,372 previdenciary benefits for workplace accidents were issued by the Social Security of Brazil in the period, costing approximately R$ 8.4 billion and representing about 2.0% of the net value of all benefits paid. None of the categories of previdenciary benefits for workplace accidents showed an increasing trend. The highest variation in the benefits granted and issued for workplace accidents occurred in temporary disability benefit (B91), with an annual percentage variation of -54.00% and -29.29%, respectively. CONCLUSION: A reduction in magnitude and an overall decreasing trend were observed in the historical series of national indicators of benefits granted and benefits issued related to workplace accidents in Brazil from 2008 to 2019.


Sujet(s)
Accidents du travail , Brésil/épidémiologie , Humains , Accidents du travail/statistiques et données numériques , Accidents du travail/prévention et contrôle , Facteurs temps , Sécurité sociale/statistiques et données numériques , Indemnisation des accidentés du travail/statistiques et données numériques , Lieu de travail
11.
PLoS One ; 19(5): e0302263, 2024.
Article de Anglais | MEDLINE | ID: mdl-38718058

RÉSUMÉ

Unsafe behavior among construction personnel poses significant risks in petroleum engineering construction projects. This study addresses this issue through the application of a multi-field coupled homogeneous analysis model. By conducting case analyses of petroleum engineering construction accidents and utilizing the WSR methodology, the influencing factors of unsafe behaviors among construction personnel are systematically categorized into organizational system factors, equipment management factors, and construction personnel factors. Subsequently, employing Risk coupling theory, the study delves into the analysis of these influencing factors, discussing their coupling mechanisms and classifications, and utilizing the N-K model to elucidate the coupling effect among them. Furthermore, a novel approach integrating coupling analysis and multi-agent modeling is employed to establish an evolutionary model of construction personnel's unsafe behavior. The findings reveal that a two-factor control method, concurrently reinforcing equipment and construction personnel management, significantly mitigates unsafe behavior. This study provides valuable insights into the evolution of unsafe behavior among construction personnel and offers a robust theoretical framework for targeted interventions. Significantly, it bears practical implications for guiding safety management practices within petroleum engineering construction enterprises. By effectively controlling unsafe behaviors and implementing targeted safety interventions, it contributes to fostering sustainable development within the petroleum engineering construction industry.


Sujet(s)
Industrie de la construction , Humains , Modèles théoriques , Pétrole , Accidents du travail/prévention et contrôle , Gestion de la sécurité
12.
J Int Bioethique Ethique Sci ; 35(1): 47-59, 2024.
Article de Français | MEDLINE | ID: mdl-38710631

RÉSUMÉ

The widespread use of teleworking during the health crisis reduced the flow of occupational accident claims by 20%. This applies to commuting accidents, as well as claims related to « immediate » or “deferred” risks (Rapp. annuel 2020 de l’Assurance maladie - Risques professionnels : Eléments statistiques et financiers, déc. 2021, p. 2 and 113). On the basis of these figures, working at home could be analyzed as a means of preventing occupational risks and improving workers’ health. In reality, however, these figures should not obscure the fact that telecommuting is a major occupational hazard. This is all the more the case given that, while telecommuting was not very widespread before the pandemic, it is now popular with employees and is being developed by many companies as a source of productivity (Rapp. CNP, May 16 2022). We therefore need to keep a close eye on the development of workplace accident legislation in this area, its adaptability to the specific claims experience of teleworkers and its perfectibility, not forgetting the thorny question of the possible recognition of the employer’s inexcusable fault in the event of the accident being covered by professional legislation.


Sujet(s)
Accidents du travail , Télétravail , Humains , Accidents du travail/prévention et contrôle , Accidents du travail/législation et jurisprudence , Santé au travail/législation et jurisprudence , France
13.
PLoS One ; 19(5): e0301370, 2024.
Article de Anglais | MEDLINE | ID: mdl-38709752

RÉSUMÉ

Occupational injuries in the construction industry have plagued many countries, and many cases have shown that accidents often occur because of a combination of project participants. Assembled construction (AC) projects have received extensive attention from Chinese scholars as a future trend, but few studies have explored the interrelationships and potential risks of various stakeholders in depth. This study fills this research gap by proposing a multi-stakeholder AC risk framework. The study surveyed 396 stakeholders, then analyzed the collected data and created a risk framework based on Structural Equation Modelling (SEM) and the CRITIC weighting method. The results revealed that factors like "regular supervision is a formality," "blindly approving the wrong safety measures," and "failure to organize effective safety education and training." are vital risks in AC of China. Finally, the study validates the risk factors and the framework with 180 real-life cases, which shows that the proposed framework is theoretically grounded and realistic. The study also suggests multi-level strategies such as introducing AI-based automated risk monitoring, improving the adaptability of normative provisions to technological advances, and advancing the culture of project communities of interest to ensure AC's safe practices.


Sujet(s)
Industrie de la construction , Humains , Chine , Accidents du travail/prévention et contrôle , Participation des parties prenantes , Facteurs de risque , Analyse de structure latente , Blessures professionnelles/prévention et contrôle , Blessures professionnelles/épidémiologie , Appréciation des risques/méthodes , Enquêtes et questionnaires
14.
PLoS One ; 19(5): e0302397, 2024.
Article de Anglais | MEDLINE | ID: mdl-38776265

RÉSUMÉ

Drowning is an overlooked public health concern and drowning risk is dependent on environmental risk factors. The preponderance of drowning deaths occurs in low- and middle-income countries. Small-scale fishers face high occupational risk of drowning. Climate change increases the frequency and intensity of storms, thereby exacerbating fishers' risks and creating a need to examine the contribution of storms to fisher drowning deaths for the development of mitigation strategies. We examined this relationship between weather and fisher drowning deaths in Lake Victoria, which is Africa's largest lake, a site of high fishing pressure, and where climate change is predicted to increase thunderstorms. We conducted a verbal autopsy with people knowledgeable about recent fatal fisher drowning incidents to collect information about the deceased fishers and circumstances surrounding the incidents across 43 landing sites in the Kenyan shore of Lake Victoria. Semi-structured interviews with stakeholders also elucidated community perspectives on drowning risks. Fatal drownings were often attributed to bad weather (41.8%). Other risk factors, such as non-use of life jacket and navigation equipment, co-occurred with bad weather at high rates (69.5% and 67.8%, respectively) to jointly contribute to fatal drowning incidents. Such co-occurrence of risk factors indicates that actions across multiple risk factors can help mitigate the issue. Stakeholder analysis revealed a range of opportunities for improved communication of risks and action to mitigate risks across boat operators and manufacturers, as well as multiple levels of management. Across global small-scale fisheries, limited use of safety equipment and intensive fishing pressure may coincide with increases in extreme weather events, necessitating action to address current and mitigate future drowning risks to small-scale fishers.


Sujet(s)
Changement climatique , Noyade , Pêcheries , Humains , Noyade/mortalité , Noyade/épidémiologie , Mâle , Adulte , Facteurs de risque , Femelle , Adulte d'âge moyen , Kenya/épidémiologie , Jeune adulte , Lacs , Adolescent , Temps (météorologie) , Sujet âgé , Accidents du travail/mortalité , Accidents du travail/statistiques et données numériques
15.
Rev Saude Publica ; 58: 13, 2024.
Article de Anglais, Portugais | MEDLINE | ID: mdl-38695442

RÉSUMÉ

OBJECTIVE: To analyze the distribution and association of sociodemographic and occupational factors with self-reported work accidents (WA) in a representative sample of the Brazilian population, with emphasis on occupational class, and to examine gender differences in this distribution. METHODS: A population-based cross-sectional study, using data from the 2019 National Health Survey (PNS), analyzed the responses of a sample of adults aged 18 or over. Factors associated with WA were investigated using binary logistic regression and hierarchical analysis using blocks (sociodemographic and occupational variables). The final model was adjusted by variables from all blocks, adopting a significance level of 5%. The values of odds ratios (OR) and respective confidence intervals were obtained. RESULTS: Among the participants, 2.69% reported having suffered a WA, with a higher prevalence in men (3.37%; 95%CI 2.97-3.82%) than in women (1.86%; 95%CI 1.55-2.23%). The analysis identified that age group, night work, working hours, and exposure to occupational risks were associated with WA, with emphasis on gender differences. The class of manual workers, both qualified (ORwomen = 2.87; 95%CI 1.33-6.21 and ORmen = 2.46; 95%CI 1.37-4.40) and unskilled (ORwomen = 2.55; 95%CI 1.44-4.50 and ORmen = 3.70; 95%CI 1.95-7.03), had a higher chance of WA than the class of managers/professionals. CONCLUSION: Occupational factors contributed significantly to the increase in the probability of WA for men and women, with greater magnitude among those positioned in the lower strata of the occupational structure. The results obtained are clues for working out WA prevention actions.


Sujet(s)
Accidents du travail , Facteurs socioéconomiques , Humains , Brésil/épidémiologie , Mâle , Femelle , Adulte , Études transversales , Accidents du travail/statistiques et données numériques , Adulte d'âge moyen , Jeune adulte , Facteurs sexuels , Adolescent , Facteurs de risque , Répartition par sexe , Enquêtes de santé , Professions/statistiques et données numériques , Professions/classification , Prévalence , Facteurs sociodémographiques , Autorapport
16.
J Forensic Sci ; 69(4): 1490-1494, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38572827

RÉSUMÉ

Power hammers are mechanised forging devices that constitute a pivotal part of steel manufacturing. Power hammer-associated injuries are a rare occurrence. We report a noteworthy case of a 52-year-old man who sustained a high-energy penetrating injury while working with a power (counterblow) hammer. The man used a sizable disc-shaped metallic object to dislodge the forging wedged in the machine by applying the force of the striking ram on it. On impact, the object ejected and struck the man in the right lateral portion of the chest. The autopsy disclosed extensive damage to the thoracic and abdominal organs. The cause of death was opined to be exsanguination due to penetrating trauma of the heart and transection of the descending aorta. The investigation confirmed a breach of safety regulations. To the best of our knowledge, this is the first power (counterblow) hammer-related fatality in medico-legal literature.


Sujet(s)
Exsanguination , Plaies pénétrantes , Humains , Mâle , Adulte d'âge moyen , Plaies pénétrantes/anatomopathologie , Exsanguination/étiologie , Aorte thoracique/traumatismes , Aorte thoracique/anatomopathologie , Lésions traumatiques du coeur/anatomopathologie , Accidents du travail , Corps étrangers/anatomopathologie
17.
Am J Ind Med ; 67(6): 539-550, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38606790

RÉSUMÉ

OBJECTIVE: To assess workplace segregation in fatal occupational injury from 1992 to 2017 in North Carolina. METHODS: We 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. RESULTS: Hispanic 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. CONCLUSIONS: If 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.


Sujet(s)
, Hispanique ou Latino , Blessures professionnelles , , Humains , Caroline du Nord/épidémiologie , Mâle , Adulte d'âge moyen , Adulte , Blessures professionnelles/mortalité , Hispanique ou Latino/statistiques et données numériques , /statistiques et données numériques , /statistiques et données numériques , Lieu de travail/statistiques et données numériques , Femelle , Ségrégation sociale , Jeune adulte , Professions/statistiques et données numériques , Sujet âgé , Accidents du travail/mortalité , Accidents du travail/statistiques et données numériques , Industrie/statistiques et données numériques
18.
Front Public Health ; 12: 1369948, 2024.
Article de Anglais | MEDLINE | ID: mdl-38584924

RÉSUMÉ

Introduction: Forestry provides a wide range of employment opportunities worldwide and is seen as one of the high-risk industries in terms of occupational accidents. Objectives: The submitted study analyzed the injury rate in the Military Forests and Estates of the Slovak Republic (62.6 thousand ha) between 2013 and 2022. Methods: The data analyses included regression and correlation analyses, χ2 tests to analyze the relationships between studied variables, and incidence rates. Results: During the observed period, employees suffered 26 occupational accidents, of which 19.2% were light, 57.7% were registered, 23.1% were severe, and 0% were fatal. For every 1 million m3 of harvested timber, 7.7 accidents occurred. The incidence rate during the observed period was 672.1/100,000 employees. The highest proportion of accidents was in the age group 51-60 years and in employees with the lowest length of work experience <5 years. Regarding time, the highest proportion of occupational accidents occurred between 8:01 and 10:00 AM (53.8%) and day-wise on Thursdays (46.2%). The highest proportion of accidents occurred among forest workers (65.3%) during pruning and silviculture activities (42.3%). The most common injury site was forest stands (65.3%). Superficial injuries (34.6%) were the most common, mainly affecting the lower limbs (50%). The most frequent material agents causing the accidents were work and transport areas as sources of worker fall (38.5%), and the most frequent reason for an accident to occur was the lack of personal requirements for proper work performance (92.4%), whereas only (3.8%) of accidents occurred due to the use of forbidden or hazardous working procedures. Conclusion: The presented study identified the most vulnerable worker groups and provided an overview of the overall injury rate at the state forest company in Slovakia. The documentation can be incorporated into the safety strategies of forest enterprises.


Sujet(s)
Accidents du travail , Science forêt , Humains , Adulte d'âge moyen , Incidence , Industrie , Slovaquie/épidémiologie
19.
J Agromedicine ; 29(3): 511-515, 2024 Jul.
Article de Anglais | MEDLINE | ID: mdl-38652800

RÉSUMÉ

Given the high variability of secondary agricultural teacher background and facility constraints, the instruction of tractor (and similar agricultural machinery) component identification, function, maintenance, and corresponding safety precautions oftentimes prove difficult and/or inconsistent. This study focused on the development and plausible application of quick response codes, commonly referred to as QR codes, placed on a demonstration tractor or machine to be used as a self-guided student learning experience for training the next generation of safe operators. This review documents a novel self-guided instruction methodology utilizing "gamification" learning theory. Content materials were derived from the nationally disseminated, open source, Gearing Up for Safety Production Agriculture Safety Training for Youth curriculum. Specifically, QR code learning modules were recommended to supplement Gearing Up for Safety, Lesson 16: Hands-On Tractor Operation of the youth worker certification component of the Pre-Operational Skills Exam.


Sujet(s)
Agriculture , Humains , Agriculture/enseignement et éducation , Agriculture/instrumentation , Programme d'études , Santé au travail , Accidents du travail/prévention et contrôle , Agriculteurs/enseignement et éducation
20.
Int J Occup Saf Ergon ; 30(2): 559-570, 2024 Jun.
Article de Anglais | MEDLINE | ID: mdl-38576355

RÉSUMÉ

The use of data analytics has seen widespread application in fields such as medicine and supply chain management, but their application in occupational safety has only recently become more common. The purpose of this scoping review was to summarize studies that employed analytics within establishments to reveal insights about work-related injuries or fatalities. Over 300 articles were reviewed to survey the objectives, scope and methods used in this emerging field. We conclude that the promise of analytics for providing actionable insights to address occupational safety concerns is still in its infancy. Our review shows that most articles were focused on method development and validation, including studies that tested novel methods or compared the utility of multiple methods. Many of the studies cited various challenges in overcoming barriers caused by inadequate or inefficient technical infrastructures and unsupportive data cultures that threaten the accuracy and quality of insights revealed by the analytics.


Sujet(s)
Santé au travail , Humains , Accidents du travail/prévention et contrôle , Blessures professionnelles/prévention et contrôle , Blessures professionnelles/épidémiologie , Gestion de la sécurité/méthodes
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