Panda Lukongo Kitronza J, de Brouwer C
Unite de Santé au Travail et Toxicologie du Milieu, Ecole de Santé Publique, ULB.
Rev Med Brux. 2010 Nov-Dec;31(6):513-20.
The objective of this work was to highlight the influence of the occupational conditions on the textile sector workers' health in Democratic Republic of Congo (DRC). We conduct an exploratory cross-sectional study of two populations within a plant located at the North of the DRC: workers (N=114) and executive or employees (N=96). Our total sample data (N=210) were collected by a questionnaire focused on the procedures, the exposures and the effects on health. Odds ratio (OR) and confidence interval at 95% were estimated. For each significant diseases symptom, a regression model has been achieved in order to estimate OR adjusted for association of disease symptoms and occupational statute. Workers compared to employees present high frequencies and exposure rates for many diseases symptoms. These OR are respectively for cough (OR = 5.1; IC: 2.93-10.68); respiratory difficulty (OR = 2.9; IC: 1.42-6.42) thoracic pain (OR = 2.6; IC: 1.31-5.24); fever (OR = 2.4; IC: 1.27-4.50); upper limbs pain (OR = 4.8; IC: 2.55-8.80); neck-shoulder pain (OR = 3.8; IC: 2.02-7.31); ocular diseases (OR = 2.2; IC: 1.17-3.89) and cutaneous diseases (OR = 2.5; IC: 1.18-5.46). The OR related to the libido loss is highest (OR = 5.5; IC: 2.84-10.71). In the other hand, the OR of the neuropsychics disorders are lower than 1 in this comparison and are respectively of 0.5 (0.28-0.95) for tiredness; 0.2 (0.08-0.28) for the lack of concentration and 0.07 (0.04-0.18) for the stress. In conclusion, the frequencies and high OR observed attest differences of the health issues between the workers and employees whose causes could be under the live and work conditions. These results should be confronted with those of other studies in health at the work.
这项工作的目的是突出职业条件对刚果民主共和国（DRC）纺织部门工人健康的影响。我们对位于刚果民主共和国北部一家工厂内的两个人群进行了探索性横断面研究：工人（N = 114）和管理人员或雇员（N = 96）。我们通过一份侧重于程序、暴露情况及对健康影响的问卷收集了总共210个样本的数据。估计了优势比（OR）和95%的置信区间。对于每种显著的疾病症状，建立了一个回归模型，以估计针对疾病症状与职业身份关联进行调整后的OR。与雇员相比，工人出现多种疾病症状的频率和暴露率更高。这些OR分别为咳嗽（OR = 5.1；IC：2.93 - 10.68）；呼吸困难（OR = 2.9；IC：1.42 - 6.42）；胸痛（OR = 2.6；IC：1.31 - 5.24）；发热（OR = 2.4；IC：1.27 - 4.50）；上肢疼痛（OR = 4.8；IC：2.55 - 8.80）；颈肩疼痛（OR = 3.8；IC：2.02 - 7.31）；眼部疾病（OR = 2.2；IC：1.17 - 3.89）和皮肤疾病（OR = 2.5；IC：1.18 - 5.46）。与性欲丧失相关的OR最高（OR = 5.5；IC：2.84 - 10.71）。另一方面，在这种比较中，神经精神障碍的OR低于1，疲劳的OR分别为0.5（0.28 - 0.95）；注意力不集中的OR为0.2（0.08 - 0.28），压力的OR为0.07（0.04 - 0.18）。总之，观察到的频率和高OR证明了工人和雇员之间健康问题的差异，其原因可能在于生活和工作条件。这些结果应与其他工作场所健康研究的结果进行对比。
