Bhattacherjee Ashis, Kunar Bijay Mihir, Baumann Michele, Chau Nearkasen
Department of Mining Engineering, Indian Institute of Technology, Kharagpur, India,
Int J Occup Med Environ Health. 2013 Dec;26(6):910-29. doi: 10.2478/s13382-013-0165-4. Epub 2014 Jan 25.
The role of occupational hazards in occupational injury may be mediated by individual factors across various age groups. This study assessed the role of occupational hazards as well as contribution of individual factors to injuries among Indian and French coalminers.
We conducted a case-control study on 245 injured workers and on 330 controls without any injuries from Indian coal mines using face-to-face interviews, and a retrospective study on 516 French coalminers using a self-administered questionnaire including potential occupational and personal factors. Data were analyzed using logistic models.
The annual rate of injuries was 5.5% for Indian coalminers and 14.9% for the French ones. Logistic model including all occupational factors showed that major injury causes were: hand-tools, material handling, machines, and environment/work-geological/strata conditions among Indian miners (adjusted odds-ratios 2.01 to 3.30) and biomechanical exposure score among French miners (adjusted odds-ratio 3.01 for score the 1-4, 3.47 for the score 5-7, and 7.26 for score ≥ 8, vs. score 0). Personal factors among Indian and French coalminers reduced/exacerbated the roles of various occupational hazards to a different extent depending on workers' age.
We conclude that injury roles of occupational hazards were reduced or exacerbated by personal factors depending on workers' age in both populations. This knowledge is useful when designing prevention which should definitely consider workers' age.
职业危害在职业伤害中的作用可能由不同年龄组的个体因素介导。本研究评估了职业危害的作用以及个体因素对印度和法国煤矿工人受伤情况的影响。
我们对245名受伤工人和330名未受伤的印度煤矿工人对照组进行了面对面访谈的病例对照研究,并对516名法国煤矿工人使用包括潜在职业和个人因素的自填问卷进行了回顾性研究。使用逻辑模型对数据进行分析。
印度煤矿工人的年受伤率为5.5%,法国煤矿工人为14.9%。包含所有职业因素的逻辑模型显示,主要伤害原因是:印度矿工中,手动工具、物料搬运、机器以及环境/工作地质/地层条件(调整比值比为2.01至3.30);法国矿工中,生物力学暴露评分(评分1 - 4时调整比值比为3.01,评分5 - 7时为3.47,评分≥8时为7.26,与评分为0相比)。印度和法国煤矿工人的个人因素根据工人年龄不同程度地降低/加剧了各种职业危害的作用。
我们得出结论,在这两个人群中,职业危害的伤害作用根据工人年龄会因个人因素而降低或加剧。在设计预防措施时,这种认识很有用,预防措施肯定应考虑工人年龄。