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1.
BMC Public Health ; 19(1): 1072, 2019 Aug 08.
Artigo em Inglês | MEDLINE | ID: mdl-31395067

RESUMO

BACKGROUND: Low back pain, the most commonly reported musculoskeletal problem, is a major burden on individuals, health systems and social care systems with the indirect cost being predominant. It results in disability, poor service, low quality of life and sickness absences in working places. The problem of low back pain and its risk factors among hotel housekeepers are not well known in Ethiopia. Therefore, this study was aimed to investigate the prevalence and identify determinants of low back pain among hotel industries' housekeepers in Gondar town, Ethiopia. METHODS: Institutional based cross-sectional study was conducted from March to May 2017. A systematic random sampling technique was applied to select 422 study participants, and the data was collected by a standardized Nordic questionnaire for the analysis of musculoskeletal symptoms. Bivariate and multivariable binary logistic regression analyses were performed using SPSS version 20. The significance level was obtained at 95% CI and p-value ≤ 0.05. RESULTS: The prevalence of low back pain among hotel housekeepers in Gondar town was 58.1% (95% CI: 53.6, 62.8%). Being temporary employee (AOR: 3.22), type of job which requires reaching/overstretching (AOR: 2.93), engaging in a job that requires repetitive bending (AOR: 1.97), making > 30 beds per day (AOR: 3.19) signified the significant risk factors for low back pain. However, hotel housekeepers who were satisfied in their current job were less impacted by low back pain (AOR: 0.49). CONCLUSION: A high proportion of hotel housekeepers in this study reported they had low back pain. Employment pattern, rest break taken, reaching/overstretching, repetitive bending, job satisfaction, training related to health and safety and numbers of beds making were among the factors associated with low back pain. Hence, ergonomic measures focusing on correcting the arrangement of work station, rest breaks and changing some equipment are potentially important targets to reduce the problem.


Assuntos
Serviço de Limpeza , Dor Lombar/epidemiologia , Doenças Profissionais/epidemiologia , Salários e Benefícios/estatística & dados numéricos , Adulto , Estudos Transversais , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Prevalência , Fatores de Risco , Adulto Jovem
2.
Sci Total Environ ; 687: 898-906, 2019 Oct 15.
Artigo em Inglês | MEDLINE | ID: mdl-31412493

RESUMO

BACKGROUND: The thermal working environment can have direct and in-direct effects on health and safety. Ambient temperatures have been associated with an increased risk of occupational injuries but it is unknown how the relationship can vary by weather, location and climate. OBJECTIVES: To examine the relationship between ambient temperatures and work-related injury and illness compensation claims in three Australian cities: Melbourne and Perth (temperate climate) and Brisbane (subtropical climate) in order to determine how hot and cold weather influences the risk of occupational injury in Australia. METHODS: Workers' compensation claims from each city for the period 2005 to 2016 were merged with local daily weather data. A time-stratified case-crossover design combined with a distributed lag non-linear model was used to quantify the impacts of daily maximum temperature (Tmax) on the risk of work-related injuries and illnesses. RESULTS: Compared to the median maximum temperature (Tmax), extremely hot temperatures (99th percentile) were associated with a 14% (95%CI: 3-25%) increase in total workers' compensation claims in Melbourne, but there were no observed effects in Brisbane or Perth, with the exception of traumatic injuries that increased by 17% (95%CI: 3-35%) during extreme heat in Perth. For extremely low temperatures (1st percentile), there was a protective effect in Brisbane (RR 0.89; 95%CI: 0.81-0.98), while no effects were observed in Melbourne or Perth. CONCLUSION: The relationship between injury and ambient temperature appears to be variable depending on location and climate. In general, work-related injuries and illnesses appear to be more common at higher temperatures than lower temperatures. Adopting adaptation and prevention measures could reduce the social and economic burden of injury, and formulating effective measures for dealing with high temperatures should be prioritised given the predicted increase in the frequency and intensity of hot weather.


Assuntos
Doenças Profissionais/epidemiologia , Exposição Ocupacional/estatística & dados numéricos , Traumatismos Ocupacionais/epidemiologia , Temperatura Ambiente , Austrália , Cidades , Humanos , Local de Trabalho
4.
Pan Afr Med J ; 32: 145, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31308860

RESUMO

Introduction: porcine cysticercosis is under-reported particularly in Nigeria, despite the reportedly high prevalence of epilepsy and associated life-threatening health implications. This study was aimed at determining the prevalence of porcine cysticercosis and factors related to Taenia solium transmission to humans. Methods: slaughtered pigs at a major abattoir, south-western Nigeria were randomly inspected and questionnaire was administered to pig workers/consumers while the data were analysed using Stata 12.0. Results: a 4.4% (11/250) prevalence of porcine cysticercosis was obtained; the age, breed, sex and body conditions of pigs were not significant for infection (p < 0.05). Further, none (0.0%) of the respondents knew that T. solium could cause epilepsy in man and 39.5% often defaecated on neighbouring open fields and farmlands. Respondents purchasing pork from home slaughter were about four and ten times less likely to demonstrate good knowledge (OR = 0.24; 95% CI: 0.08-0.74) and practice (OR = 0.10; 95% CI: 0.05-0.22) than those purchasing from abattoir. Moreover, those lacking toilet facility were about four and five times less likely to demonstrate good knowledge (OR = 0.24; 95% CI: 0.07-0.86) and practice (OR = 0.19; 95% CI: 0.08-0.45) than those who had it. Other factors associated with practices related to T. solium transmission included age (p = 0.000), sex (p = 0.000) and duration (p = 0.003). Conclusion: the increased odds of poor knowledge and practices related to Taenia solium transmission especially among respondents purchasing home slaughter pork and lacking toilet facility provides insights into the parasite epidemiology. Above findings are important in lowering the infection prevalence in pigs and humans in this endemic area.


Assuntos
Cisticercose/epidemiologia , Doenças Profissionais/epidemiologia , Doenças dos Suínos/epidemiologia , Taenia solium/isolamento & purificação , Matadouros , Adulto , Fatores Etários , Animais , Cisticercose/transmissão , Epilepsia/parasitologia , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Nigéria/epidemiologia , Doenças Profissionais/parasitologia , Prevalência , Carne Vermelha/parasitologia , Fatores Sexuais , Inquéritos e Questionários , Suínos/parasitologia , Doenças dos Suínos/transmissão , Toaletes/normas , Adulto Jovem
5.
BMC Ophthalmol ; 19(1): 145, 2019 Jul 10.
Artigo em Inglês | MEDLINE | ID: mdl-31291941

RESUMO

BACKGROUND: Welders are at an increased risk of eye disorders as a result of their occupation, leading to enormous vocational and economic consequences. With limited published studies among welders in low resource settings, we sought to determine the prevalence, pattern and factors associated with ocular disorders among small-scale welders in Katwe, Kampala. METHODS: In a field-based cross-sectional study, we recruited 343 small-scale welders. Simple random sampling was done to select the study participants. A pretested questionnaire was used to collect information on demographics, ocular, general history, systemic and ocular examination. The proportion of small-scale welders with ocular disorders (defined as any abnormal finding on eye examination) was determined. The bivariate and multivariate analyses were carried out, using logistic regression methods at a level of significance of 0.05. RESULTS: The mean age of the participants was 36 years (SD ± 12). The overall prevalence of ocular disorders was found to be 59.9%. The common ocular disorders included conjunctiva disorders (32%) and presbyopia (27%). There was a statistically significant relationship between females (OR = 4.279, P-value = 0.007), age 35 and above (OR = 4.244, P-value< 0.001), history of foreign body removal (OR = 1.677, P-value = 0.041), and ocular disorders. CONCLUSIONS: There is a high prevalence of ocular disorders among small-scale welders. Conjunctiva disorders, presbyopia and myopia were the commonest. Being female, age 35 and above and foreign body removal, were significantly associated with ocular disorders among welders. Policies should be put in place to ensure all welders use proper personal -protective equipment (welding helmets), and also receive regular eye checkup and health education.


Assuntos
Oftalmopatias/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Medição de Risco/métodos , Acuidade Visual , Soldagem , Adolescente , Adulto , Idoso , Estudos Transversais , Oftalmopatias/diagnóstico , Oftalmopatias/etiologia , Feminino , Seguimentos , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/diagnóstico , Doenças Profissionais/etiologia , Oftalmoscopia , Prevalência , Estudos Retrospectivos , Inquéritos e Questionários , Fatores de Tempo , Uganda/epidemiologia , Adulto Jovem
6.
J Laryngol Otol ; 133(8): 713-718, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31317837

RESUMO

OBJECTIVE: The main objective of this study was to determine the prevalence of work-related musculoskeletal symptoms in otolaryngology and head and neck surgery specialists and trainees in Spain, and to measure the effect that physical exercise could have on muscular discomfort. METHOD: A cross-sectional survey was administered between September and December 2017 to practising otolaryngologists. RESULTS: Four hundred and three ENT surgeons responded, with a median age of 44.9 years, and 89.8 per cent reported discomfort or physical symptoms that they attributed to surgical practice. More female surgeons reported musculoskeletal symptoms (92.8 per cent vs 87.1 per cent; p = 0.04). When the level of physical activity was compared with the frequency of physical discomfort, no significant difference was found. CONCLUSION: This study has shown a high prevalence of musculoskeletal disorders among ENT surgeons in Spain but has failed to demonstrate an important role of physical exercise in the prevention of musculoskeletal disorders.


Assuntos
Terapia por Exercício/métodos , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/reabilitação , Adulto , Idoso , Estudos Transversais , Ergonomia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/etiologia , Doenças Musculoesqueléticas/prevenção & controle , Doenças Profissionais/complicações , Doenças Profissionais/epidemiologia , Prevalência , Espanha/epidemiologia , Cirurgiões , Inquéritos e Questionários , Falha de Tratamento
7.
Phys Ther ; 99(2): 183-193, 2019 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-31222334

RESUMO

BACKGROUND: Patient/resident-handling tasks are physically demanding and associated with musculoskeletal disorders (MSDs) among nursing personnel. The routine performance of such tasks by physical therapists and occupational therapists during treatment can cause similar problems. OBJECTIVE: This study characterized the magnitude of MSDs and the risk factors for MSDs in physical therapists, occupational therapists, physical therapist assistants, and occupational therapist assistants (collectively called "therapy personnel" for this study) and compared them with those of other nursing home workers, especially nursing staff. DESIGN: This was a cross-sectional study. METHODS: Workers' compensation claim (WCC) data from 1 year of experience in a long-term care company were used to compute claim rates by body region, nature, and cause of injury, and the costs per case and per full-time-equivalent employee. Data regarding musculoskeletal symptoms, use of patient/resident-lifting equipment, and perceived physical and psychological job demands were obtained from a concurrent cross-sectional survey of workers from 24 long-term care facilities. RESULTS: About 80% of the WCCs were related to musculoskeletal incidents in nursing aides and therapy personnel. WCC costs paid per case for therapy personnel were more than twice those for nursing staff for both ergonomic and resident-handling incidents. Prevalence of low back pain in therapy personnel was the same as in nursing aides (48%) but involved more chronic, milder pain. About half of therapy personnel reported "never" or "rarely" using patient/resident-lifting equipment. Therapy personnel, nursing aides, and housekeeping/dietary/maintenance personnel reported the highest physical job demands. LIMITATIONS: Causal inference cannot be determined due to the cross-sectional nature of the survey data. Study findings are relevant only to therapy work in long-term care settings because exposures vary in other health care settings (hospitals, outpatient, and others). CONCLUSIONS: MSD prevalence and claim costs in therapy personnel are high enough to deserve more attention. The low use of patient/resident-lifting equipment in therapy could increase the risk for MSDs. Future studies with comprehensive ergonomic analysis of therapist tasks and recommendations to reduce injuries are warranted.


Assuntos
Doenças Musculoesqueléticas/economia , Doenças Profissionais/economia , Terapeutas Ocupacionais/estatística & dados numéricos , Assistentes de Fisioterapeutas/estatística & dados numéricos , Fisioterapeutas/estatística & dados numéricos , Indenização aos Trabalhadores/economia , Adulto , Estudos Transversais , Feminino , Humanos , Assistência de Longa Duração/economia , Masculino , Pessoa de Meia-Idade , Doenças Musculoesqueléticas/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/economia , Fatores de Risco , Indenização aos Trabalhadores/estatística & dados numéricos , Carga de Trabalho/economia
8.
Turk J Ophthalmol ; 49(3): 142-148, 2019 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-31245976

RESUMO

Objectives: The aim of this study was to evaluate the prevalence of dry eye symptoms among lecturers. Materials and Methods: The study included 254 lecturers employed at Mersin University. The lecturers were selected by simple random sampling from lists obtained from the personnel department. Data were obtained between November 15 and December 15, 2017 using a questionnaire developed by the researchers and the Ocular Surface Disease Index (OSDI). The data were evaluated using descriptive statistics, Student's t-test, ANOVA, and correlation tests with the SPSS package program. Results: Of the lecturers who participated in the study, 52.8% were male and 47.2% were female, and the mean age was 39.29±9.41 years. According to OSDI scores, 20.5% of the participants had mild, 15% had moderate, and 36.5% had severe disease. There were significant differences in mean OSDI score based on sex (p<0.001), alcohol use (p=0.01), continuous drug use (p=0.03), wearing glasses (p=0.04), history of dry eye (p<0.001), and presence of dry eye symptoms (p<0.001). There were also significant differences between the OSDI score categories in terms of sex (p<0.001), smoking status (p=0.04), wearing glasses (p=0.03), history of dry eye (p<0.001), and presence of dry eye symptoms. The only factor significantly correlated with OSDI score was daily duration of computer usage (p=0.009). Conclusion: Our study showed that a substantial proportion of lecturers experience dry eye symptoms, and OSDI scores were associated with daily duration of computer use. Determining the factors associated with dry eye is important for the planning of preventive interventions.


Assuntos
Síndromes do Olho Seco/epidemiologia , Doenças Profissionais/epidemiologia , Exposição Ocupacional/efeitos adversos , Qualidade de Vida , Ensino , Lágrimas/metabolismo , Adulto , Idoso , Estudos Transversais , Síndromes do Olho Seco/diagnóstico , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/diagnóstico , Prevalência , Estudos Retrospectivos , Perfil de Impacto da Doença , Inquéritos e Questionários , Turquia/epidemiologia , Adulto Jovem
9.
J Spec Oper Med ; 19(2): 108-116, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31201762

RESUMO

Temperature increases due to climate changes and operations expected to be conducted in hot environments make heat-related injuries a major medical concern for the military. The most serious of heat-related injuries is exertional heat stroke (EHS). EHS generally occurs when health individual perform physical activity in hot environments and the balance between body heat production and heat dissipation is upset resulting in excessive body heat storage. Blood flow to the skin is increased to assist in dissipating heat while gut blood flow is considerably reduced, and this increases the permeability of the gastrointestinal mucosa. Toxic materials from gut bacteria leak through the gastrointestinal mucosa into the central circulation triggering an inflammatory response, disseminated intravascular coagulation (DIC), multiorgan failure, and vascular collapse. In addition, high heat directly damages cellular proteins resulting in cellular death. In the United States military, the overall incidence of clinically diagnosed heat stroke from 1998 to 2017 was (mean ± standard deviation) 2.7 ± 0.5 cases/10,000 Soldier-years and outpatient rates rose over this period. The cornerstone of EHS diagnosis is recognition of central nervous dysfunction (ataxia, loss of balance, convulsions, irrational behavior, unusual behavior, inappropriate comments, collapse, and loss of consciousness) and a body core temperature (obtained with a rectal thermometer) usually >40.5°C (105°F). The gold standard treatment is whole body cold water immersion. In the field where water immersion is not available it may be necessary to use ice packs or very cold, wet towels placed over as much of the body as possible before transportation of the victim to higher levels of medical care. The key to prevention of EHS and other heat-related injuries is proper heat acclimation, understanding work/rest cycles, proper hydration during activity, and assuring that physical activity is matched to the Soldiers' fitness levels. Also, certain dietary supplements (DSs) may have effects on energy expenditure, gastrointestinal function, and thermoregulation that should be considered and understood. In many cases over-motivation is a major risk factor. Commanders and trainers should be alert to any change in the Soldier's behavior. Proper attention to these factors should considerably reduce the incidence of EHS.


Assuntos
Exercício/fisiologia , Golpe de Calor , Temperatura Alta/efeitos adversos , Militares , Doenças Profissionais , Golpe de Calor/diagnóstico , Golpe de Calor/epidemiologia , Golpe de Calor/fisiopatologia , Golpe de Calor/terapia , Humanos , Doenças Profissionais/diagnóstico , Doenças Profissionais/epidemiologia , Doenças Profissionais/fisiopatologia , Doenças Profissionais/terapia
10.
Artigo em Chinês | MEDLINE | ID: mdl-31189239

RESUMO

Objective: To analyze the characteristics and patterns of occupational pneumoconiosis in Jiangsu Province, China, from 2006 to 2017, and to provide a scientific basis for government departments to develop effective interventions and preventive strategies against occupational pneumoconiosis. Methods: The data of 9327 patients with occupational pneumoconiosis were retrieved from the online report of occupational pneumoconiosis in Jiangsu Province from 2006 to 2017. Excel worksheet and SPSS 20.0 software were used to organize and analyze the data, respectively. An epidemiological statistical analysis was performed on age of onset, length of dust exposure, type of work, industry category, type of pneumoconiosis, annual incidence of pneumoconiosis, regional distribution, enterprise scale, and economic category in those patients. Results: A total of 9 327 patients with occupational pneumoconiosis were reported in Jiangsu Province from 2006 to 2017. In those patients, 8 559 were newly diagnosed and 768 had advanced disease. The male-female ratio was 16.34:1.Patients with stage I pneumoconiosis(6 994, 74.99%) were dominant in all the patients. The mean age of onset and length of dust exposure were 58.5±10.7 and 15.3±10.9 years, respectively. Most of the patients (6 012, 64.46%) had an age of onset between 50 and 69 years. For the length of dust exposure, the highest percentage was observed in patients exposed for no more than 5 years (2 231, 23.92%).The largest number of patients diagnosed with pneumoconiosis(1 200, 12.87%) was reported in 2010. Most of the patients(7 012, 75.18%) were from four cities, i.e, Wuxi (2 090, 22.41%), Yancheng (1 987, 21.30%), Suzhou (1 552, 16.64%), and Xuzhou (1 383, 14.83%). In all the patients, the incidence of silicosis (6791, 72.81%) was highest, followed by coal worker pneumoconiosis (1 364, 14.62%) and electric welder pneumoconiosis (563, 6.04%).Pneumoconiosis complicated by tuberculosis was found in 28 (0.3%) patients.A total of 1616 (17.33%) patients were reported in health, social security, and social welfare industries, while 1474 (15.80%) patients worked for coal mining and washing. Rock drillers (2 818, 30.21%) were dominant in those patients.State-owned economic enterprises reported the largest number of patients(5 441, 58.34%).Patients from small enterprises (4 323, 46.35%) had the highest percentage. Conclusion: Pneumoconiosis is an occupational disease with a high incidence in Jiangsu Province. Pneumoconiosis patients show an industry- and job-centered distribution. The length of dust exposure is decreasing.


Assuntos
Minas de Carvão , Doenças Profissionais , Exposição Ocupacional , Pneumoconiose , Silicose , Idoso , China/epidemiologia , Cidades , Poeira , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Pneumoconiose/epidemiologia , Silicose/epidemiologia
11.
Artigo em Chinês | MEDLINE | ID: mdl-31189240

RESUMO

Objective: To analyze the situation of new occupational diseases in Hengyang City from 2006 to 2017, and put forward prevention and control strategies. Methods: The data of the new occupational disease report of Hengyang city in the Occupational Disease and Occupational Health Information Monitoring System from January 1, 2006 to December 31, 2017 was collected, and the age, working years, and the region and industry of the new occupational disease patients were analyzed. Results: From 2006 to 2017, there were 7 categories, 30 kinds and 2 110 cases of new occupational diseases in Hengyang City, including 1 117 cases of pneumoconiosis, 951 cases of chronic occupational poisoning, 15 cases of acute occupational poisoning, 12 cases of occupational otolaryngological and stomatological diseases, 7 cases of occupational skin diseases, 6 cases of occupational diseases caused by physical factors, and 1 case of occupational eye diseases(cataracts), 1 case of occupational tumor (lung cancer and skin cancer caused by arsenic and its compounds). New occupational diseases were mainly concentrated in Changning and Leiyang County-level city (87.82%, 1 853/2110), among which occupational poisoning had the most incidence in Changning County-level city (97.83%, 945/966), and pneumoconiosis had the most incidence in Leiyang County-level city (67.05%, 749/1 117). New occupational diseases were mainly concentrated in the manufacturing and mining industries (95.59%, 2 017/2 110). Pneumoconiosis (63.74%, 712/1 117) and acute occupational poisoning (60.00%, 9/15) were mainly caused by small businesses. Chronic occupational poisoning (61.62%, 586/951) and occupational otolaryngological and stomatological diseases (75.00%, 9/12) were mainly caused by large enterprises. Conclusion: The new occupational diseases in Hengyang city are mostly pneumoconiosis and chronic occupational poisoning, and we should focus on strengthening the prevention and control of occupational diseases in the mining industry and manufacturing industry.


Assuntos
Indústria Manufatureira , Doenças Profissionais , Pneumoconiose , China/epidemiologia , Humanos , Incidência , Indústrias , Doenças Profissionais/epidemiologia , Pneumoconiose/epidemiologia
12.
Artigo em Chinês | MEDLINE | ID: mdl-31177720

RESUMO

Three female workers in a golf club production company in Guangzhou were diagnosed with occupational chronic mild benzene poisoning. Two of the female workers were assessed as Grade 7 disabilities. One female worker showed the symptoms of the decline of whole blood cells for unknown reasons in the later stages of the medical period. The final assessment was a Class 5 disability. The problems in this work ability appraisal include: the injury condition of the patient who has not been stable during the work ability appraisal, and the contradiction between the disability grade and the occupational disease diagnosis conclusion. In order to avoid similar situations, the following recommendations are recommended: after the worker's injury situation is relatively stable, the assessment will be conducted, the employer will actively exercise the right to review and appraisal, and the diagnosis of occupational diseases will be included in the evaluation criteria for disability grade.


Assuntos
Benzeno , Doenças Profissionais , Benzeno/envenenamento , Doença Crônica , Avaliação da Deficiência , Feminino , Humanos , Incidência , Doenças Profissionais/epidemiologia , Envenenamento/epidemiologia
13.
Artigo em Chinês | MEDLINE | ID: mdl-31177724

RESUMO

Objective: To analyze the occupational health surveillance data of toxic and harmful workers in Ningbo, and provide scientific basis for making protective measures. Methods: To export the occupational health surveillance data of toxic and harmful workers reported by occupational health examination institutions in Ningbo during the January 1, 2011 to December 31, 2017 from the China Information System for Disease Control and Prevention, and analyze the trend of the suspected occupational disease and occupational contraindication detection rate, and compare the the health status of workers in different industry nature, economic type, enterprise scale and occupational hazards. Results: From 2011 to 2017, the number of occupational health surveillance of toxic and harmful workers in Ningbo was increasing year by year. The detection rates of suspected occupational diseases and occupational contraindications generally showed a downward trend (P<0.05) . In 2017, the distribution of occupational health care for toxic and harmful workers in Ningbo was mainly based on manufacturing (187 681/220 895, 84.96%) , private economic enterprises (103 960/220 895, 47.06%) and small enterprises (100 357/220 895, 45.43%) , Workers exposed to chemical poisons had the largest number of physical examinations (101 813/220 895, 46.09%) . The highest detection rates of suspected occupational diseases were mining industry (2/1225, 0.16%) , collective economic enterprises (4/2622, 0.15%) and small enterprises (88/100 357, 0.09%) . The highest detection rates of occupational contraindications were rental and business services (16/1 320, 1.21%) , private economic enterprises (1 190/103 960, 1.14%) and small enterprises (995/100 357, 0.99%) . In addition, workers exposed to dust had the highest detection rate of suspected occupational diseases (57/46 740, 0.12%) and workers exposed to physical factors had the highest detection rate of occupational contraindications (1207/69 567, 1.74%) . There were significant differences between the detection rate of suspected occupational disease and occupational contraindication in different industries, economic types, enterprise scale and occupational hazards (P<0.05) . Conclusion: The occupational health surveillance of toxic and harmful workers in Ningbo has been strengthened year by year, attention should be paid to small, private enterprises, and strengthen the supervision of occupational health and further standardize the work of occupational health examination so as to effectively protect the health of the occupational population.


Assuntos
Doenças Profissionais , Exposição Ocupacional , Saúde do Trabalhador , China/epidemiologia , Poeira , Humanos , Indústrias , Doenças Profissionais/epidemiologia , Vigilância da População
14.
Pan Afr Med J ; 32: 107, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31223397

RESUMO

Introduction: low back pain is a major health problem in the workplace. Some populations of workers appear to be much more exposed than others. The aim of this study is to determine the prevalence and the factors associated with the occurrence of low back pain among motorcycle drivers in Porto-Novo. Methods: we conducted a cross-sectional descriptive and analytical study of 270 consenting motorcycle drivers with at least one year of seniority. Patients were asked to complete the Nordic Questionnaire adapted to our context and physical examination of the spine was performed. Data were analyzed using Epidata 3.1. Software and STATA/IC 11.0. The threshold significance level was 5% and the confidence intervals were 95%. Results: the prevalence of low back pain was 68.89%. The average age of motorcycle drivers was 42.43 ±11.25 [25-64]years. The majority of them had been driving for more than 5 years (93.33%). Drivers spent an average of more than 8 hours (93.34%) driving per day and 68.52% of them drove over 160km per day. Low back pain was mechanical in 91.39% of cases. It was characterized by sudden onset in 81.73% of cases. Pain was moderate in 55.91% of drivers, evolving in acute pain in 46.24% of drivers and without radiation in 62.36% of cases. Age, education level, stress, posture, condition of motorcycle shock absorbers were associated with low back pain in these motorcycle drivers (p < 0.001). By contrast, distance travelled, job duration, seniority and road conditions were not associated with the occurrence of low back pain. Conclusion: low back pain is a serious public health problem in particular among motorcycle drivers in our country where riding a motorcycle is becoming more and more a work to bring assistance to the population facing growing unemployment. Hence the need to address factors associated with effective prevention.


Assuntos
Dor Aguda/epidemiologia , Dor Lombar/epidemiologia , Motocicletas , Doenças Profissionais/epidemiologia , Adulto , Benin/epidemiologia , Estudos Transversais , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Fatores de Risco , Inquéritos e Questionários , Fatores de Tempo
15.
Artigo em Chinês | MEDLINE | ID: mdl-31177689

RESUMO

Objective: To analyze the characteristics and influencing factors of new occupational diseases in Tianjin from 2008 to 2017, and to provide scientific basis for the formulation of prevention and control measures for occupational diseases in Tianjin. Methods: In 2018, data on the new occupational disease in Tianjin from 2008 to 2017 were collected from the China Disease Prevention and Control Information System. Statistical analysis was performed on the basic situation, the nature of the company, and the distribution of the industry. Results: A total of 5201 cases of occupational diseases were reported in Tianjin from 2008 to 2017, mainly including pneumoconiosis (92.37%) , followed by occupational poisoning (2.88%) , and the third occupational ENT disease (2.31%) . The male cases were higher than females, with a median age of 56 years and a median of 20 years of service. The most reported area was Hedong District (26.86%) . The economic type and scale of the cases belonged to state-owned large and medium-sized enterprises. The industry is mainly composed of non-metallic mineral products, and there are significant differences in the composition ratios of its economic type (χ(2)=19240.00, P<0.01) , enterprise size (χ(2)=3883.00, P<0.01) and industry (χ(2)=52050.00, P<0.01) . Conclusion: Pneumoconiosis, occupational poisoning and occupational ENT diseases are the key prevention and control occupational diseases in Tianjin city. It is necessary to strengthen the prevention and control of occupational diseases in large and medium-sized state-owned enterprises, and to respond to occupational disease hazards in such key industries as the manufacturing industry so as to protect the health of occupational groups.


Assuntos
Doenças Profissionais , Pneumoconiose , China/epidemiologia , Feminino , Humanos , Incidência , Indústrias , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/epidemiologia , Pneumoconiose/epidemiologia
16.
Artigo em Chinês | MEDLINE | ID: mdl-31177698

RESUMO

Objective: To analyze the prevalence of pneumoconiosis in Yichang City from 2006 to 2016, and to provide a scientific basis for the administrative department to formulate prevention and control strategies for pneumoconiosis. Methods: From 2006 to 2016, through the China Disease Control Information System Occupational Disease and Occupational Health Inspection System, relevant data were obtained, and the types of pneumoconiosis, the disease area and the dust-collecting age in Yichang City were statistically analyzed. Results: There were 1494 cases of pneumoconiosis in Yichang City, which were mainly distributed in 1 076 cases (72.02%) of coal workers' pneumoconiosis and 382 cases (25.57%) of silicosis, which occurred in Yiling District, Changyang County, Yidu City and Zigui County. The average age of dust collection was 13.78 years, and the age of onset was mainly concentrated in 5~9 years (35.27%) and 10~19 years (30.32%) . The incidence and severity of pneumoconiosis (phase) were related to the age of dusting (P<0.01) . Conclusion: The pneumoconiosis in Yichang City is mainly concentrated in the mining industry. The types of pneumoconiosis are mainly coal workers' pneumoconiosis. The occupational health and health management of key industries, regions and types of work should be strengthened.


Assuntos
Minas de Carvão , Doenças Profissionais , Pneumoconiose , Adolescente , Antracose/epidemiologia , China/epidemiologia , Poeira , Humanos , Doenças Profissionais/epidemiologia , Pneumoconiose/epidemiologia , Silicose/epidemiologia
17.
BMC Public Health ; 19(Suppl 4): 608, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31196025

RESUMO

BACKGROUND: 1Little is known of the extent of workplace bullying in Malaysia, despite its growing recognition worldwide as a serious public health issue in the workplace. Workplace bullying is linked to stress-related health issues, as well as socioeconomic consequences which may include absenteeism due to sick days and unemployment. We sought to examine the prevalence of workplace bullying and its association with socioeconomic factors and psychological distress in a large observational study of Malaysian employees. METHODS: This study employed cross-sectional, self-reported survey methodology. We used the 6-item Kessler screening scale (K6) to assess psychological distress (cutoff score ≥ 13, range 0-24, with higher scores indicating greater psychological distress). Participants self-reported their perceptions of whether they had been bullied at work and how frequently this occurred. A multivariate logistic regression was conducted with ever bullying and never bullying as dichotomous categories. RESULTS: There were a total of 5235 participants (62.3% female). Participant ages ranged from 18 to 85, mean ± standard deviation (M ± SD): 33.88 ± 8.83. A total of 2045 (39.1%) participants reported ever being bullied. Of these, 731 (14.0%) reported being subject to at least occasional bullying, while another 194 (3.7%) reported it as a common occurrence. Across all income strata, mean scores for psychological distress were significantly higher for ever bullied employees (M ± SD: 8.69 ± 4.83) compared to those never bullied (M ± SD: 5.75 ± 4.49). Regression analysis indicated significant associations (p < 0.001) between workplace bullying with being female (Adjusted OR (aOR) = 1.27, 95% CI 1.12-1.44), higher individual income levels of between RM4,000 to RM7,999 (aOR =1.24, 95% CI 1.06-1.45) and RM8,000 and above (aOR = 1.31, 95% CI 1.10-1.56), and psychological distress (aOR = 1.15, 95% CI 1.13-1.16). CONCLUSIONS: More than one in three employees reported having experienced workplace bullying, which was found to be specifically associated with being female, drawing a higher income, and greater psychological distress. In general, low individual income was associated with greater psychological distress. However, higher income employees were far more likely to report experiencing workplace bullying. Findings from this study offer relevant insight into the associations between socioeconomic status and psychological distress in workplace bullying.


Assuntos
Bullying/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Classe Social , Estresse Psicológico/epidemiologia , Absenteísmo , Adulto , Bullying/psicologia , Estudos Transversais , Emprego/psicologia , Emprego/estatística & dados numéricos , Feminino , Humanos , Modelos Logísticos , Malásia/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/psicologia , Prevalência , Autorrelato , Estresse Psicológico/psicologia , Local de Trabalho/psicologia , Adulto Jovem
18.
BMC Public Health ; 19(1): 632, 2019 May 23.
Artigo em Inglês | MEDLINE | ID: mdl-31122231

RESUMO

BACKGROUND: We examined the indoor air quality (IAQ) perceptions of workers and their relationships with the symptoms of sick-building syndrome (SBS) and store types in underground shopping centers. METHODS: In 2017, 314 store workers in nine underground shopping centers in Seoul, Korea, were assessed. The all participants' stores were partially opened onto a passage. Using questionnaires, they were asked about their demographics, job characteristics, 16 SBS symptoms, and seven IAQ perceptions. The SBS symptoms were categorized as skin, eye irritation, respiratory, or general. An IAQ perception score was calculated by adding the number of positive responses to each type of IAQ and categorized into three levels. RESULTS: The prevalence of SBS symptom groups in the previous month was 43.6% for skin symptoms, 62.4% for eye irritation symptoms, 65.6% for respiratory symptoms, and 64.7% for general symptoms. Participants who perceived IAQ were more likely to have SBS symptoms (odds ratio: 1.81-7.84). The type of store employing the workers was associated with several IAQ perceptions. Subjects who worked in clothing and fashion-accessory stores were more likely to have high IAQ perception scores than those who worked in food services. CONCLUSIONS: About half of the store workers in underground shopping centers had experienced SBS symptom groups in the previous month. The SBS symptom groups were associated with almost all IAQ perceptions. Because IAQ perception was associated with store type, studies of IAQ in working areas might need to improve store workers' health in underground shopping centers.


Assuntos
Poluição do Ar em Ambientes Fechados/efeitos adversos , Comércio/estatística & dados numéricos , Doenças Profissionais/epidemiologia , Síndrome do Edifício Doente/epidemiologia , Adulto , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Percepção , Prevalência , Seul/epidemiologia , Inquéritos e Questionários
19.
BMC Public Health ; 19(1): 581, 2019 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-31096940

RESUMO

BACKGROUND: The inadequate management of solid waste impacts populations' health and quality of life, and disproportionately affects developing countries. This study aims to describe a protocol for epidemiological diagnosis, the purpose being to estimate the prevalence of chronic and communicable and non communicable diseases in waste pickers, and the occupational and environmental risk factors to which these are exposed. METHODS: This is a cross-sectional study, based on survey design in an area of extreme social vulnerability - the largest garbage dump in Latin America. Using a multidimensional research protocol, divided in three stages: 1- The identification of the subjects, and the scheduling of tests; 2- Situational diagnosis through interviews, anthropometric evaluation, measuring blood pressure, collecting hair and nail samples to detect exposure to heavy metals and undertaking laboratory tests; 3- The return of the waste pickers to receive the test results, followed by referral to the health team and to report occupational accidents. RESULTS: One thousand twenty-five waste pickers undertook tests and interviews. The majority were women (67.0%), with 36-45 years old (45.7%), and 96.0% had children. In total, 27.3% of the participants did not attend to any school and 47.7% were educated only up to primary level. The majority of waste pickers (68.70%) reported accidents and most of them (89.69%) were related to sharp objects. The mean time working in this open dump was 15 years. According the anthropometric measure, 32.6% were overweight and 21.1% were obese. The most common reported diseases were: osteomuscular disorders (78.7%); arboviruses (28.6%); episodic diarrhea (24.9%); hypertension (24.2%); bronchitis (14.3%); intestinal worms (12.6%) and diabetes (10.1%). According to the blood tests, the values outside the reference limits were: Uric acid (23.89%); creatinine (54.06%); GGT range (16.04%); SGOT - Serum Glutamic Oxaloacetic Transaminase (5.29%); SGPT - serum Glutamic-Pyruvic Transaminase (35.52%). CONCLUSIONS: This study is the first to evaluate multiple risks and diseases in the majority of waste pickers working in the largest garbage dump of a continent. These findings highlight the importance to address urgently the environmental, social and health impacts related to the management of solid waste in developmental countries to protect these workers and their families.


Assuntos
Acidentes de Trabalho/estatística & dados numéricos , Resíduos de Alimentos , Doenças Profissionais/epidemiologia , Resíduos Sólidos , Adulto , Pré-Escolar , Estudos Transversais , Países em Desenvolvimento , Projetos de Pesquisa Epidemiológica , Feminino , Humanos , América Latina/epidemiologia , Masculino , Pessoa de Meia-Idade , Doenças Profissionais/etiologia , Qualidade de Vida , Medição de Risco
20.
Environ Health Prev Med ; 24(1): 27, 2019 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-31053058

RESUMO

BACKGROUND: Musculoskeletal disorders are a major source of disability accounting for considerable economic loss globally. Studies showed that housekeepers suffer from exposure to many high-risk factors for neck and upper limb musculoskeletal disorders. In Ethiopia, little is known and the information is limited in scope about the magnitude of the problem among hotel housekeepers. Therefore, this study aimed to determine the magnitude of the neck and upper limb musculoskeletal disorders and identify the associated risk factors among hotel housekeepers. METHODS: Institution-based cross-sectional study design was employed from March 1 to May 20, 2017. Systematic random sampling was used to select 422 study participants among the Gondar town hotels, Ethiopia. The standardized Nordic questionnaire for the analysis of musculoskeletal symptoms was used to measure the neck and upper limb musculoskeletal disorders. Bivariate and multivariable binary logistic regression analyses were performed using SPSS version 20. The significance level was obtained at 95% CI and p value ≤ 0.05. RESULTS: The overall magnitude of a self-reported neck and upper limb musculoskeletal disorders among hotel housekeepers in the last 12 months was 62.8% (95% CI 58.3, 67.8). The main body areas of concern were neck pain (50.7%), shoulder pain (54%), elbow/forearm (47.2%), and hand/wrist (45.5%). Age, rest break taken, repetitive movement, reaching/overstretching, organization concern for health and safety, and job satisfaction were the risk factors significantly associated with neck and upper limb musculoskeletal disorders. CONCLUSIONS: A higher proportion of hotel housekeepers were found to be affected by neck and upper limb musculoskeletal disorders in Gondar town. Repetitive movement and reaching/overstretching were strongly associated risk factors with neck and upper limb musculoskeletal disorders. Therefore, ergonomic, organizational and personal measures, which focus on minimizing repetitive movement and awkward working position and facilitating rest break with exercise, are important to tackle neck and upper limb musculoskeletal disorders among hotel housekeepers.


Assuntos
Serviço de Limpeza/estatística & dados numéricos , Dor Musculoesquelética/epidemiologia , Pescoço/fisiopatologia , Doenças Profissionais/epidemiologia , Extremidade Superior/fisiopatologia , Adulto , Estudos Transversais , Etiópia/epidemiologia , Feminino , Humanos , Masculino , Dor Musculoesquelética/fisiopatologia , Doenças Profissionais/fisiopatologia , Fatores de Risco , Autorrelato , Inquéritos e Questionários
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