Discipline of Public Health, The University of Adelaide, Adelaide, Australia.
Occup Environ Med. 2014 Apr;71(4):246-52. doi: 10.1136/oemed-2013-101584. Epub 2013 Dec 13.
(1) To investigate the association between temperature and work-related injuries and (2) to identify groups of workers at high risk of work-related injuries in hot environments in Adelaide, South Australia.
Workers' compensation claims in Adelaide, South Australia for 2001-2010 were used. The relationship between temperature and daily injury claims was estimated using a generalised estimating equation model. A piecewise linear spline function was used to quantify the effect of temperature on injury claims below and above thresholds.
Overall, a 1°C increase in maximum temperature between 14.2°C and 37.7°C was associated with a 0.2% increase in daily injury claims. Specifically, the incidence rate ratios (IRRs) for male workers and young workers aged ≤24 were (1.004, 95% CI 1.002 to 1.006) and (1.005, 95% CI 1.002 to 1.008), respectively. Significant associations were also found for labourers (IRR 1.005, 95% CI 1.001 to 1.010), intermediate production and transport workers (IRR 1.003, 95% CI 1.001 to 1.005) and tradespersons (IRR 1.002, 95% CI 1.001 to 1.005). Industries at risk were agriculture, forestry and fishing (IRR 1.007, 95% CI 1.001 to 1.013), construction (IRR 1.006, 95% CI 1.002 to 1.011), and electricity, gas and water (IRR 1.029, 95% CI 1.002 to 1.058).
There is a significant association between injury claims and temperature in Adelaide, South Australia, for certain industries and groups. Relevant adaptation and prevention measures are required at both policy and practice levels to address occupational exposure to high temperatures.
(1)研究温度与工作相关伤害之间的关系,(2)确定南澳大利亚阿德莱德高温环境下工作相关伤害的高风险人群。
使用 2001-2010 年南澳大利亚阿德莱德的工人赔偿索赔数据。使用广义估计方程模型估计温度与每日伤害索赔之间的关系。使用分段线性样条函数来量化温度对低于和高于阈值的伤害索赔的影响。
总体而言,14.2°C 至 37.7°C 之间的最大温度每升高 1°C,与每日伤害索赔增加 0.2%相关。具体来说,男性工人和年龄≤24 岁的年轻工人的发病率比(IRR)分别为(1.004,95%CI 1.002 至 1.006)和(1.005,95%CI 1.002 至 1.008)。体力劳动者(IRR 1.005,95%CI 1.001 至 1.010)、中级生产和运输工人(IRR 1.003,95%CI 1.001 至 1.005)和工匠(IRR 1.002,95%CI 1.001 至 1.005)也存在显著关联。风险行业包括农业、林业和渔业(IRR 1.007,95%CI 1.001 至 1.013)、建筑(IRR 1.006,95%CI 1.002 至 1.011)以及电力、燃气和水(IRR 1.029,95%CI 1.002 至 1.058)。
在南澳大利亚阿德莱德,某些行业和人群的伤害索赔与温度之间存在显著关联。需要在政策和实践层面采取相关适应和预防措施,以解决高温环境下的职业暴露问题。