From the Monash Centre for Occupational and Environmental Health, Department of Epidemiology and Preventive Medicine, Monash University (Dr MacFarlane and Dr Smith and Dr Keegel), The Institute of Work and Health & Dalla Lana School of Public Health, University of Toronto, Canada (Dr Smith), and McCaughy Centre, Melbourne School of Population Health, University of Melbourne (Dr Keegel), Australia.
J Occup Environ Med. 2013 Nov;55(11):1345-9. doi: 10.1097/JOM.0b013e3182a2a5c5.
To investigate the relationships between occupational, workplace, and demographic factors and the provision of multilevel exposure protection systems.
Respondents reporting dermal chemical exposure at work were asked about protective measures provided to them in the workplace, which we classified as personal protection or awareness measures. An ordered logistic model was used to investigate the odds of workers reporting that both, either or neither, types of exposure control measures were provided in their workplaces.
Larger workplace size and permanent and fixed-term employment were associated with exposure protection systems incorporating both hazard awareness and personal protective measures.
Our results indicate that employment in small workplaces, nonpermanent and self-employed workers may be important intervention targets for improving workers' exposure protection.
Chemical exposures in workplaces are an important occupational health and safety problem; however, there is little published information available about the provision of basic exposure controls to workers with dermal chemical exposures across industrial sectors. Using data from a large community-based survey,we found that workers in small workplaces and workers with less secure employment arrangements were more likely than others to report less comprehensive exposure control mitigation strategies. Small workplaces, temporary and casual workers, and industrial sectors in which these employment situations are common are likely to be worthwhile targets for efforts to improve exposure management systems for workers with dermal exposure to chemicals.
探讨职业、工作场所和人口统计学因素与多层次暴露防护系统提供之间的关系。
报告工作中皮肤化学暴露的受访者被问及工作场所为他们提供的防护措施，我们将其分类为个人防护或意识措施。采用有序逻辑模型调查报告工作场所同时提供这两种暴露控制措施、仅提供其中一种或均未提供的工人的可能性。
较大的工作场所规模以及固定期限和永久性就业与纳入危害意识和个人防护措施的暴露防护系统相关。
我们的研究结果表明，在小工作场所、非永久性和自营职业工人中进行就业干预可能是改善工人暴露防护的重要目标。
工作场所的化学暴露是一个重要的职业健康和安全问题；然而，关于向具有皮肤化学暴露的工人提供基本暴露控制的信息很少。我们使用来自大型基于社区的调查的数据发现，与其他人相比，在小工作场所工作的工人和就业安排不太稳定的工人更有可能报告较少全面的暴露控制缓解策略。小工作场所、临时工和临时工常见的行业可能是改善具有皮肤接触化学物质的工人暴露管理系统的努力的有价值目标。
