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英国全身振动职业暴露的患病率及模式:一项全国性调查的结果

Prevalence and pattern of occupational exposure to whole body vibration in Great Britain: findings from a national survey.

作者信息

Palmer K T, Griffin M J, Bendall H, Pannett B, Coggon D

机构信息

MRC Environmental Epidemiology Unit, Community Clinical Sciences, University of Southampton,

出版信息

Occup Environ Med. 2000 Apr;57(4):229-36. doi: 10.1136/oem.57.4.229.

Abstract

OBJECTIVES

To estimate the number of workers in Great Britain with significant occupational exposure to whole body vibration (WBV) and to identify the common sources of exposure and the occupations and industries where such exposures arise.

METHODS

A postal questionnaire was posted to a random community sample of 22,194 men and women of working age. Among other things, the questionnaire asked about exposure to WBV in the past week, including occupational and common non-occupational sources. Responses were assessed by occupation and industry, and national prevalence estimates were derived from census information. Estimates were also made of the average estimated daily personal dose of vibration (eVDV).

RESULTS

From the 12,907 responses it was estimated that 7.2 million men and 1.8 million women in Great Britain are exposed to WBV at work in a 1 week period if the occupational use of cars, vans, buses, trains, and motor cycles is included within the definition of exposure. The eVDV of >374,000 men and 9000 women was estimated to exceed a proposed British Standard action level of 15 ms(-1.75). Occupations in which the estimated exposures most often exceeded 15 ms(-1.75) included forklift truck and mechanical truck drivers, farm owners and managers, farm workers, and drivers of road goods vehicles. These occupations also contributed the largest estimated numbers of workers in Great Britain with such levels of exposure. The highest estimated median occupational eVDVs were found in forklift truck drivers, drivers of road goods vehicles, bus and coach drivers, and technical and wholesale sales representatives, among whom a greater contribution to total dose was received from occupational exposures than from non-occupational ones; but in many other occupations the reverse applied. The most common sources of occupational exposure to WBV are cars, vans, forklift trucks, lorries, tractors, buses, and loaders.

CONCLUSIONS

Exposure to whole body vibration is common, but only a small proportion of exposures exceed the action level proposed in British standards, and in many occupations, non-occupational sources are more important than those at work. The commonest occupational sources of WBV and occupations with particularly high exposures have been identified, providing a basis for targeting future control activities.

摘要

目标

估算英国有显著职业性全身振动(WBV)暴露的工人数量,并确定常见的暴露源以及出现此类暴露的职业和行业。

方法

向22194名工作年龄的男性和女性组成的随机社区样本邮寄了一份调查问卷。问卷除其他内容外,询问了过去一周内的WBV暴露情况,包括职业性和常见的非职业性来源。根据职业和行业对回复进行评估,并从人口普查信息中得出全国患病率估计值。还对平均每日个人振动剂量估计值(eVDV)进行了估算。

结果

从12907份回复中估计,如果将汽车、货车、公交车、火车和摩托车的职业使用纳入暴露定义,那么在一周时间内,英国有720万男性和180万女性在工作中暴露于WBV。估计超过37.4万男性和9000名女性的eVDV超过了英国拟议的15毫秒(-1.75)的标准行动水平。估计暴露最常超过15毫秒(-1.75)的职业包括叉车和机械卡车司机、农场主和经理、农场工人以及公路货运车辆司机。这些职业在英国估计暴露于此类水平的工人数量中也占最大比例。估计职业eVDV中位数最高的是叉车司机、公路货运车辆司机、公交和长途客车司机以及技术和批发销售代表,在他们当中,职业暴露对总剂量的贡献大于非职业暴露;但在许多其他职业中情况则相反。职业性WBV暴露最常见的来源是汽车、货车、叉车、卡车、拖拉机、公交车和装载机。

结论

全身振动暴露很常见,但只有一小部分暴露超过了英国标准中提议的行动水平,而且在许多职业中,非职业性来源比工作中的来源更重要。已确定了WBV最常见的职业来源以及暴露特别高的职业,为未来的控制活动提供了目标依据。

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