D'Souza Jennifer C, Keyserling W Monroe, Werner Robert A, Gillespie Brenda, Franzblau Alfred
Department of Environmental Health Sciences, The University of Michigan School of Public Health, Ann Arbor, USA.
Am J Ind Med. 2007 Aug;50(8):608-16. doi: 10.1002/ajim.20487.
A method of occupational physical exposure assessment is needed to improve analyses using large data sets (e.g., national surveys) that provide only job title/category information as a proxy for exposure.
Five ergonomic experts rated and arrived at consensus ratings for job categories used in the Third National Health and Nutrition Examination Survey. Interrater agreement was examined for initial (pre-consensus) ratings. Correlation between consensus ratings and an independent source of ratings (US Department of Labor (DOL)) was used as a basis of comparison.
Interrater agreements for the initial ratings were weak. Highest interrater agreement was for sitting (weighted kappa (kappa(w)) = 0.56). Lowest agreement was for standing (kappa(w) = 0.07). Consensus ratings were well correlated with DOL ratings (correlation coefficients >or=0.6).
The correlation between consensus ratings and DOL ratings support the use of expert consensus to assess physical exposures in national data sets. However, validation of expert consensus ratings is required.
需要一种职业物理暴露评估方法，以改进对仅提供职位名称/类别信息作为暴露替代指标的大型数据集（如全国性调查）的分析。
五位人体工程学专家对第三次全国健康与营养检查调查中使用的工作类别进行评分并达成共识评分。检查了评分者间对初始（共识前）评分的一致性。将共识评分与独立评分来源（美国劳工部（DOL））之间的相关性用作比较基础。
初始评分的评分者间一致性较弱。评分者间一致性最高的是坐姿（加权kappa（kappa(w)）= 0.56）。一致性最低的是站姿（kappa(w) = 0.07）。共识评分与DOL评分高度相关（相关系数≥0.6）。
共识评分与DOL评分之间的相关性支持使用专家共识来评估全国数据集中的物理暴露。然而，需要对专家共识评分进行验证。
Zotero 插件