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巴西南部焊接学徒初级预防保健中关于焊接烟尘的风险沟通。

Risk communication concerning welding fumes for the primary preventive care of welding apprentices in southern Brazil.

作者信息

Cezar-Vaz Marta Regina, Bonow Clarice Alves, Vaz Joana Cezar

机构信息

School of Nursing, Federal University of Rio Grande, Rio Grande, RS 96203-900, Brazil.

Graduate Program on Nursing, Federal University of Pampa, Uruguaiana, RS 97500-970, Brazil.

出版信息

Int J Environ Res Public Health. 2015 Jan 19;12(1):986-1002. doi: 10.3390/ijerph120100986.

Abstract

This study's aim was to assess the perceptions of welding apprentices concerning welding fumes being associated with respiratory and cardiovascular disorders and assess the implementation of risk communication as a primary prevention tool in the welding training process. This quasi-experimental, non-randomized study with before-and-after design was conducted with 84 welding apprentices in Southern Brazil. Poisson Regression analysis was used. Relative Risk was the measure used with a 95% confidence interval and 5% (p ≤ 0.05) significance level. Significant association was found between perceptions of worsened symptoms of respiratory disorders caused by welding fumes and educational level (p = 0.049), the use of goggles to protect against ultraviolet rays (p = 0.023), and access to services in private health facilities without insurance coverage (p = 0.001). Apprentices younger than 25 years old were 4.9 times more likely to perceive worsened cardiovascular symptoms caused by welding fumes after risk communication (RR = 4.91; CI 95%: 1.09 to 22.2). The conclusion is that risk communication as a primary preventive measure in continuing education processes implemented among apprentices, who are future welders, was efficacious. Thus, this study confirms that risk communication can be implemented as a primary prevention tool in welding apprenticeships.

摘要

本研究的目的是评估焊接学徒对焊接烟尘与呼吸道和心血管疾病之间关联的认知,并评估风险沟通作为焊接培训过程中一级预防工具的实施情况。这项采用前后设计的准实验性、非随机研究在巴西南部的84名焊接学徒中进行。使用了泊松回归分析。相对风险是所采用的测量指标,其置信区间为95%,显著性水平为5%(p≤0.05)。研究发现,对焊接烟尘导致呼吸道疾病症状加重的认知与教育水平(p = 0.049)、使用护目镜防紫外线(p = 0.023)以及在没有保险覆盖的私立卫生机构获得服务(p = 0.001)之间存在显著关联。25岁以下的学徒在接受风险沟通后,认为焊接烟尘导致心血管症状加重的可能性高出4.9倍(RR = 4.91;95%置信区间:1.09至22.2)。结论是,在未来的焊工学徒中实施的继续教育过程中,将风险沟通作为一级预防措施是有效的。因此,本研究证实风险沟通可作为焊接学徒培训中的一级预防工具加以实施。

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