Western Australian Institute for Medical Research, University of Western Australia, Perth, Western Australia, Australia.
Occup Environ Med. 2014 Jan;71(1):55-62. doi: 10.1136/oemed-2013-101651. Epub 2013 Oct 24.
Although past studies of workplace exposures have contributed greatly to our understanding of carcinogens, significant knowledge gaps still exist with regard to the actual extent of exposure among current workers, with no routinely collected population-based data being available in most countries. This study, the Australian Work Exposures Study (AWES), aimed to investigate the current prevalence of occupational exposure to carcinogens.
A random sample of men and women aged between 18 and 65, who were currently in paid employment, were invited to participate in a telephone interview collecting information about their current job and various demographic factors. Interviews were conducted using a web-based application (OccIDEAS). OccIDEAS uses the expert exposure method in which participants are asked about their job tasks and predefined algorithms are used to automatically assign exposures. Responses were obtained from 5023 eligible Australian residents, resulting in an overall response rate of 53%.
1879 respondents (37.6%) were assessed as being exposed to at least one occupational carcinogen in their current job. Extrapolation of these figures to the Australian working population suggested 3.6 million (40.3%) current workers could be exposed to carcinogens in their workplace. Exposure prevalence was highest among farmers, drivers, miners and transport workers, as well as men and those residing in regional areas.
This study demonstrates a practical, web-based approach to collecting population information on occupational exposure to carcinogens and documents the high prevalence of current exposure to occupational carcinogens in the general population.
尽管过去对工作场所暴露的研究极大地促进了我们对致癌物的理解,但目前工人实际接触程度的相关知识仍存在显著差距,大多数国家都没有可常规收集的基于人群的数据。本研究——澳大利亚工作场所暴露研究(AWES)旨在调查当前职业性接触致癌物的流行情况。
采用随机抽样的方法,邀请年龄在 18 至 65 岁之间、正在从事有偿工作的男性和女性参与电话访谈,收集有关他们当前工作和各种人口统计学因素的信息。访谈使用基于网络的应用程序(OccIDEAS)进行。OccIDEAS 使用专家暴露法,要求参与者描述他们的工作任务,然后使用预定义的算法自动分配暴露情况。来自 5023 名符合条件的澳大利亚居民的回复,总体回复率为 53%。
1879 名受访者(37.6%)被评估为在当前工作中接触到至少一种职业性致癌物。将这些数字外推到澳大利亚劳动人口,表明有 360 万(40.3%)的当前工人可能在工作场所接触到致癌物。暴露的流行率在农民、司机、矿工和运输工人以及男性和居住在地区的人群中最高。
本研究展示了一种实用的基于网络的方法,可收集人群关于职业性接触致癌物的信息,并记录了一般人群中当前接触职业性致癌物的高流行率。