Department of Family and Community Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina; Center for Worker Health, Wake Forest School of Medicine.
Am J Ind Med. 2014 Jun;57(6):718-25. doi: 10.1002/ajim.22248. Epub 2013 Sep 4.
This analysis describes beliefs about work safety and personal protective equipment (PPE) among Latino roofing workers, it delineates their perceptions of work environment characteristics that affect work safety and PPE use, and it describes how they experience work injuries and the consequences of these injuries.
In-depth interviews were completed with 10 current and former Latino residential roofers. Interview transcripts were subjected to systematic qualitative analysis.
Participants' valued productivity over safety, and this had a negative influence on their safety behavior and reduced their PPE use. They understood that roofing was hazardous. They limited use of PPE when they felt it reduced productivity and when it was uncomfortable. Work environment characteristics that affected safety included company size, the physical demands of the job, lack of training, the need for work, general life stress, and distractions at work. An injury had to result in lost work time to be considered significant. Access to health care is limited by employers not providing Workers' compensation.
Future research is needed to substantiate these descriptive results and to delineate factors that are associated with safety behavior and use of PPE. Interventions, based on a lay health educator model, are needed to improve safety in this population. Safety regulations need to be evaluated and their enforcement needs to be improved.
本分析描述了拉丁裔屋顶工人对工作安全和个人防护设备(PPE)的信念,阐述了他们对影响工作安全和 PPE 使用的工作环境特征的看法,并描述了他们如何经历工作伤害以及这些伤害的后果。
对 10 名现任和前任拉丁裔住宅屋顶工人进行了深入访谈。采访记录进行了系统的定性分析。
参与者重视生产力而不是安全,这对他们的安全行为产生了负面影响,并减少了他们对 PPE 的使用。他们明白屋顶工作有危险。当他们觉得 PPE 降低了生产力或感到不舒服时,他们会限制 PPE 的使用。影响安全的工作环境特征包括公司规模、工作的体力要求、缺乏培训、工作需求、一般生活压力和工作中的分心。只有当受伤导致失去工作时间时,才会被认为是严重的。由于雇主不提供工人赔偿,获得医疗保健的机会受到限制。
需要进一步研究来证实这些描述性结果,并阐明与安全行为和 PPE 使用相关的因素。需要基于初级卫生教育者模式的干预措施来改善这一人群的安全。需要评估安全法规并加强其执行。