Money A, Carder M, Noone P, Bourke J, Hayes J, Turner S, Agius R
Centre for Occupational and Environmental Health, Centre for Epidemiology, Institute of Population Health, University of Manchester, Manchester M13 9PL, UK,
Centre for Occupational and Environmental Health, Centre for Epidemiology, Institute of Population Health, University of Manchester, Manchester M13 9PL, UK.
Occup Med (Lond). 2015 Jan;65(1):15-21. doi: 10.1093/occmed/kqu137. Epub 2014 Oct 16.
Data on work-related ill-health (WRIH) in the Republic of Ireland is inconsistent.
To compare the incidence of WRIH in the Republic of Ireland (ROI), Northern Ireland (NI) and Great Britain (GB) reported by clinical specialists in skin and respiratory medicine and by specialist occupational physicians (OPs).
Analysis of data reported to three surveillance schemes in The Health and Occupation Research (THOR) network in ROI and corresponding UK schemes.
Contact dermatitis was the most frequently reported skin disease in the three areas. Asthma was the most frequently-reported respiratory disease in the ROI, while asbestos-related cases predominate in GB and NI. Mental health disorders, followed by musculoskeletal disorders were reported most frequently by OPs. Annual average incidence rates for skin disease were 2 per 100000 employed (95% confidence interval [CI] 1.9-2.8) in the ROI and 7 per 100000 for GB (95% CI 4.8-9.4). Unadjusted incidence rates for respiratory disease were 1 (95% CI 0.3-1) and 8 (95% CI 6.1-10.7) per 100000 in the ROI and GB, respectively; adjusted for reporter non-response, these figures increased to 15 (95% CI 11.3-19.6) and 32 (95% CI 28.4-35.6) per 100000 respectively.
This is the first paper to include THOR data on WRIH from the ROI, NI and GB. Consistent and dedicated data collection in the ROI via the THOR schemes is viable and important in the light of a deficit of occupational ill-health data. Sustained efforts to improve participation are underway.
爱尔兰共和国与工作相关的健康问题（WRIH）数据并不一致。
比较爱尔兰共和国（ROI）、北爱尔兰（NI）和大不列颠（GB）的皮肤和呼吸医学临床专家以及职业专科医生（OPs）报告的WRIH发病率。
分析向ROI的健康与职业研究（THOR）网络中的三个监测计划以及英国相应计划报告的数据。
接触性皮炎是这三个地区报告最多的皮肤病。哮喘是ROI报告最多的呼吸道疾病，而在GB和NI，与石棉相关的病例占主导。OPs报告最多的是心理健康障碍，其次是肌肉骨骼疾病。ROI的皮肤病年平均发病率为每100000名就业人员中有2例（95%置信区间[CI]1.9 - 2.8），GB为每100000名中有7例（95%CI 4.8 - 9.4）。ROI和GB的呼吸道疾病未调整发病率分别为每100000名中有1例（95%CI 0.3 - 1）和8例（95%CI 6.1 - 10.7）；经报告者无应答调整后，这些数字分别增至每100000名中有15例（95%CI 11.3 - 19.6）和32例（95%CI 28.4 - 35.6）。
这是第一篇纳入来自ROI、NI和GB的WRIH的THOR数据的论文。鉴于职业健康问题数据不足，通过THOR计划在ROI进行一致且专门的数据收集是可行且重要的。目前正在持续努力提高参与度。
