Centre for Occupational and Environmental Health, Health Sciences Group, Faculty of Medical and Human Sciences, University of Manchester, Oxford Road, Manchester M13 9PT, UK.
Occup Med (Lond). 2011 Sep;61(6):407-15. doi: 10.1093/occmed/kqr075. Epub 2011 Jul 13.
Construction workers are at increased risk of work-related ill-health (WRI) worldwide.
To compare the incidence of medically reported WRI in occupations within the UK construction industry according to job title.
We calculated standardized incidence rate ratios (SRRs) using WRI cases for individual job titles returned to The Health and Occupation Reporting network by clinical specialists and UK population denominators. We counted frequencies of reported causal exposures or tasks reported by clinical specialists, occupational physicians and general practitioners.
We found significantly increased incidence of WRI compared with other workers in the same major Standard Occupational Classification, i.e. workers with similar levels of qualifications, training, skills and experience, for skin neoplasia in roofers (SRR 6.3; 95% CI: 3.1-13.1), painters and decorators (2.1; 95% CI: 1.2-3.6) and labourers in building and woodworking trades (labourers, 6.6; 95% CI: 3.2-13.2); contact dermatitis in metal workers (1.4; 95% CI: 1.1-1.7) and labourers (1.6; 95% CI: 1.1-2.3); asthma in welders (3.8; 95% CI: 2.8-5.0); musculoskeletal disorders in welders (1.7; 95% CI: 1.1-2.8), road construction operatives (6.1; 95% CI: 3.8-9.6) and labourers (2.5; 95% CI: 1.7-3.7); long latency respiratory disease (mesothelioma, pneumoconiosis, lung cancer, non-malignant pleural disease) in pipe fitters (4.5; 95% CI: 3.2-6.2), electrical workers (2.7; 95% CI: 2.4-3.2), plumbing and heating engineers (2.3; 95% CI: 1.9-2.7), carpenters and joiners (2.7; 95% CI: 2.3-3.1), scaffolders (12; 95% CI: 8-18) and labourers (3.3; 95% CI: 2.6-4.1).
UK construction industry workers have significantly increased risk of WRI. These data in individual construction occupations can be used to inform appropriate targeting of occupational health resources.
在全球范围内，建筑工人面临着与工作相关的健康问题（WRI）的高风险。
根据工作职位比较英国建筑行业内与工作相关的健康问题在不同职业中的发病率。
我们使用临床专家向健康和职业报告网络报告的个人职位的 WRI 病例和英国人口分母计算标准化发病率比（SRR）。我们统计了报告的因果暴露频率或临床专家、职业医生和全科医生报告的任务频率。
与同一主要职业分类中的其他工人相比，我们发现建筑工人的 WRI 发病率显著增加，即具有相似水平的资格、培训、技能和经验的工人患有皮肤肿瘤的风险增加，屋顶工人（SRR6.3；95%置信区间：3.1-13.1）、油漆工和装潢工（2.1；95%置信区间：1.2-3.6）和建筑和木工行业的劳工（劳工，6.6；95%置信区间：3.2-13.2）；金属工人（1.4；95%置信区间：1.1-1.7）和劳工（1.6；95%置信区间：1.1-2.3）的接触性皮炎；焊工的哮喘（3.8；95%置信区间：2.8-5.0）；焊工的肌肉骨骼疾病（1.7；95%置信区间：1.1-2.8）、道路建筑工人（6.1；95%置信区间：3.8-9.6）和劳工（2.5；95%置信区间：1.7-3.7）；管道工（4.5；95%置信区间：3.2-6.2）、电气工人（2.7；95%置信区间：2.4-3.2）、管道和供暖工程师（2.3；95%置信区间：1.9-2.7）、木匠和细木工（2.7；95%置信区间：2.3-3.1）、搭架子工人（12；95%置信区间：8-18）和劳工（3.3；95%置信区间：2.6-4.1）的长潜伏期呼吸道疾病（间皮瘤、尘肺、肺癌、非恶性胸膜疾病）。
英国建筑行业工人患 WRI 的风险显著增加。这些个别建筑职业的数据可用于为职业健康资源的合理分配提供信息。
