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焊工的健康相关生活质量及其影响因素

Health related quality of life and influencing factors among welders.

作者信息

Qin Jingxiang, Liu Wuzhong, Zhu Jun, Weng Wei, Xu Jiaming, Ai Zisheng

机构信息

Baoshan Center for Disease Control and Prevention, Shanghai, China.

Shanghai No. 6 People's Hospital, Shanghai, China.

出版信息

PLoS One. 2014 Jul 21;9(7):e101982. doi: 10.1371/journal.pone.0101982. eCollection 2014.

Abstract

BACKGROUND

Occupational exposure to welding fumes is a serious occupational health problem all over the world. Welders are exposed to many occupational hazards; these hazards might cause some occupational diseases. The aim of the study was to assess the health related quality of life (HRQL) of electric welders in Shanghai China and explore influencing factors to HRQL of welders.

METHODS

301 male welders (without pneumoconiosis) and 305 non-dust male workers in Shanghai were enrolled in this study. Short Form-36 (SF-36) health survey questionnaires were applied in this cross-sectional study. Socio-demographic, working and health factors were also collected. Multiple stepwise regress analysis was used to identify significant factors related to the eight dimension scores.

RESULTS

Six dimensions including role-physical (RP), bodily pain (BP), general health (GH), validity (VT), social function (SF), and mental health (MH) were significantly worse in welders compared to non-dust workers. Multiple stepwise regress analysis results show that native place, monthly income, quantity of children, drinking, sleep time, welding type, use of personal protective equipment (PPE), great events in life, and some symptoms including dizziness, discomfort of cervical vertebra, low back pain, cough and insomnia may be influencing factors for HRQL of welders. Among these factors, only sleep time and the use of PPE were salutary.

CONCLUSIONS

Some dimensions of HRQL of these welders have been affected. Enterprises which employ welders should take measures to protect the health of these people and improve their HRQL.

摘要

背景

职业性接触焊接烟尘是全球范围内一个严重的职业健康问题。焊工面临多种职业危害;这些危害可能导致一些职业病。本研究的目的是评估中国上海电焊工的健康相关生活质量(HRQL),并探讨影响焊工HRQL的因素。

方法

本研究纳入了上海301名男性焊工(无尘肺病)和305名非粉尘作业男性工人。在这项横断面研究中应用了简明健康调查问卷(SF-36)。还收集了社会人口学、工作和健康因素。采用多元逐步回归分析来确定与八个维度得分相关的显著因素。

结果

与非粉尘作业工人相比,焊工在角色-身体(RP)、身体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)和心理健康(MH)这六个维度上显著更差。多元逐步回归分析结果显示,籍贯、月收入、子女数量、饮酒、睡眠时间、焊接类型、个人防护用品(PPE)的使用、生活中的重大事件以及一些症状,包括头晕、颈椎不适、腰痛、咳嗽和失眠,可能是影响焊工HRQL的因素。在这些因素中,只有睡眠时间和PPE的使用是有益的。

结论

这些焊工的HRQL的某些维度受到了影响。雇佣焊工的企业应采取措施保护这些人的健康并提高他们的HRQL。

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