Centre for Public Health Research, Massey University Wellington Campus, P.O. Box 756, Wellington, New Zealand.
Occup Environ Med. 2011 Dec;68(12):888-94. doi: 10.1136/oem.2010.064097. Epub 2011 Apr 12.
The authors conducted a population-based survey to examine gender differences in occupational exposure patterns and to investigate whether any observed differences are due to: (a) gender differences in occupational distribution; and/or (b) gender differences in tasks within occupations.
Men and women aged 20-64 years were randomly selected from the Electoral Roll and invited to take part in a telephone interview, which collected information on self-reported occupational exposure to specific dusts and chemicals, physical exposures and organisational factors. The authors used logistic regression to calculate prevalence ORs and 95% CIs comparing the exposure prevalence of males (n=1431) and females (n=1572), adjusting for age. To investigate whether men and women in the same occupation were equally exposed, the authors also matched males to females on current occupation using the five-digit code (n=1208) and conducted conditional logistic regression adjusting for age.
Overall, male workers were two to four times more likely to report exposure to dust and chemical substances, loud noise, irregular hours, night shifts and vibrating tools. Women were 30% more likely to report repetitive tasks and working at high speed, and more likely to report exposure to disinfectants, hair dyes and textile dust. When men were compared with women with the same occupation, gender differences were attenuated. However, males remained significantly more likely to report exposure to welding fumes, herbicides, wood dust, solvents, tools that vibrate, irregular hours and night-shift work. Women remained more likely to report repetitive tasks and working at high speed, and in addition were more likely to report awkward or tiring positions compared with men with the same occupation.
This population-based study showed substantial differences in occupational exposure patterns between men and women, even within the same occupation. Thus, the influence of gender should not be overlooked in occupational health research.
作者进行了一项基于人群的调查,以研究职业暴露模式中的性别差异,并探讨是否存在任何观察到的差异是由于:(a)职业分布中的性别差异;和/或(b)职业内任务的性别差异。
从选民登记册中随机选择 20-64 岁的男性和女性,并邀请他们参加电话访谈,访谈收集了有关自我报告的特定粉尘和化学物质、物理暴露和组织因素的职业暴露信息。作者使用逻辑回归计算男性(n=1431)和女性(n=1572)暴露率的患病率 OR 和 95%CI,调整年龄。为了研究同一职业的男性和女性是否同样暴露,作者还使用五位数字代码(n=1208)将男性与女性匹配到当前职业,并进行调整年龄的条件逻辑回归。
总体而言,男性工人报告接触粉尘和化学物质、大声噪音、不规则工作时间、夜班和振动工具的可能性是女性的两到四倍。女性报告重复性任务和高速工作的可能性增加 30%,并且更有可能报告接触消毒剂、染发剂和纺织粉尘。当男性与从事相同职业的女性进行比较时,性别差异减弱。然而,男性仍然更有可能报告接触焊接烟尘、除草剂、木尘、溶剂、振动工具、不规则工作时间和夜班工作。女性仍然更有可能报告重复性任务和高速工作,此外,与从事相同职业的男性相比,女性更有可能报告姿势别扭或疲劳的工作。
这项基于人群的研究表明,男性和女性之间的职业暴露模式存在显著差异,即使在同一职业中也是如此。因此,在职业健康研究中不应忽视性别因素的影响。