Alhaique D
Med Lav. 2000 Jul-Aug;91(4):403-17.
Ageing and occupational accidents is an underestimated issue in Italy. This deals both with shortcomings of data and proper studies in the matter and with safety culture and interventions. Nevertheless, some tables are presented showing a relation between ageing and occupational accidents both in frequency and in severity. These results are discussed in the light of a review of the literature on age-related accidents risks of three decades published in 1995. A framework is reported outlined for the purpose of identifying jobs in which ageing has either a preventive or an aggravating effect on accident occurrence. It is concluded that the safety problems of older workers may well be restricted to activities that are specifically "age-impaired". Age-related accident problems can also be specific in terms of injury type, as also demonstrated by some Italian data. Finally, it is emphasized that further research would benefit greatly from longitudinal designs, proper exposure measurements, intra-occupational investigations, consideration of the positive effect of relevant experience on occupational safety and greater precision about the type of accidents in focus. On the prevention side, a better attention to a global approach to safety problems (not only to technological aspects but also to immaterial ones, like work organization, psychosocial factors and so on) is pointed out.
在意大利,老龄化与职业事故是一个被低估的问题。这涉及到该领域数据和相关研究的不足,以及安全文化和干预措施。尽管如此,文中给出了一些表格,展示了老龄化与职业事故在频率和严重程度上的关系。结合1995年发表的关于三十年中与年龄相关事故风险的文献综述,对这些结果进行了讨论。报告了一个框架,旨在识别老龄化对事故发生具有预防或加剧作用的工作。结论是,老年工人的安全问题很可能局限于那些特别受“年龄影响”的活动。意大利的一些数据也表明,与年龄相关的事故问题在伤害类型方面也可能具有特殊性。最后强调,纵向设计、适当的暴露测量、职业内部调查、考虑相关经验对职业安全的积极影响以及对重点事故类型的更高精度,将使进一步的研究受益匪浅。在预防方面,指出应更好地关注安全问题的整体方法(不仅关注技术方面,还关注非物质方面,如工作组织、社会心理因素等)。