Hilt Bjørn, Kvenild Kurt, Stenersen Harald
Naerøy legekontor, Kolvereid.
Tidsskr Nor Laegeforen. 2003 Aug 14;123(15):2065-7.
This study examines the extent of illnesses encountered in a general practice setting that are related to occupational factors and their distribution in relation to specific occupations and diagnostic groups.
From December 2000 until May 2001, all patients between 20 and 67 years of age who came in to our rural community medical centre on the coast of central Norway, were asked to fill in a questionnaire about their reason for seeing a doctor, their occupational status, and whether they saw their current illness as related to occupational factors. If they did, they were also asked about what factors they deemed the most important.
Among the 412 occupationally active respondents, 40% of women and 54% of men saw a possible or definite relationship between occupational factors and their current illness. Repetitive work and physically hard work were the two factors most frequently mentioned.
Occupational factors as causes of or influencing factors for illness in general practice seem to be more frequent than anticipated. There also seems to be a potential for prevention of illness and disability through better collaboration between general practitioners, occupational health services hospital based departments of occupational medicine.
本研究调查了在普通医疗环境中遇到的与职业因素相关的疾病范围，以及这些疾病在特定职业和诊断组中的分布情况。
从2000年12月至2001年5月，要求所有年龄在20至67岁之间、前来挪威中部海岸我们农村社区医疗中心就诊的患者填写一份问卷，内容包括他们就诊的原因、职业状况，以及他们是否认为自己目前的疾病与职业因素有关。如果他们认为有关，还会被问及他们认为哪些因素最重要。
在412名有职业活动的受访者中，40%的女性和54%的男性认为职业因素与他们目前的疾病之间可能或肯定存在关联。重复性工作和体力繁重的工作是最常被提及的两个因素。
在普通医疗中，职业因素作为疾病的病因或影响因素似乎比预期更为常见。通过全科医生、职业健康服务机构和医院职业医学科之间更好的合作，似乎也有预防疾病和残疾的潜力。
