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工作中接触心理社会风险因素与职业伤害发生率:西班牙的一项队列研究

Exposure to Psychosocial Risk Factors at Work and the Incidence of Occupational Injuries: A Cohort Study in Spain.

作者信息

Julià Mireia, Catalina-Romero Carlos, Calvo-Bonacho Eva, Benavides Fernando G

机构信息

Centre for Research in Occupational Health (CiSAL) (Julià, Dr Benavides); Health Inequalities Research Group, Employment Conditions Knowledge and Network (GREDS-EMCONET), Universitat Pompeu Fabra, Barcelona (Julià); Ibermutuamur (Collaborating Mutual of the National Social Security n. 274), Madrid (Catalina-Romero, Dr Calvo-Bonacho); CIBER of Epidemiology and Public Health (Dr Benavides); IMIM Parc de Salut Mar, Barcelona, Spain (Dr Benavides).

出版信息

J Occup Environ Med. 2016 Mar;58(3):282-6. doi: 10.1097/JOM.0000000000000614.

DOI:10.1097/JOM.0000000000000614
PMID:26949879
Abstract

OBJECTIVES

The aim of this study is to analyze the association between the exposure to psychosocial risk factors at work and the incidence of occupational injuries (OIs).

METHODS

A prospective dynamic cohort study (n = 16,693) of 1-year follow-up. Psychosocial risk factors at work were assessed with the Spanish version of Copenhagen Psychosocial Questionnaire. Incidence rates of OI per 1000 workers-year were calculated and associations between psychosocial risk factors and OI were estimated by Poisson regression models.

RESULTS

Unfavorable levels of esteem in men [rate ratio (RR) = 1.28], and unfavorable levels of social support and quality of leadership (RR = 1.87), psychological demands (RR = 2.20), and active work and possibilities for development (RR = 1.83) among women, were associated with OI incidence.

CONCLUSIONS

Poor quality of psychosocial work environment increases the incidence of OI. Psychosocial intervention programs could be helpful in order to reduce OI incidence rates and their associated costs.

摘要

目的

本研究旨在分析工作中接触心理社会风险因素与职业伤害(OI)发生率之间的关联。

方法

一项前瞻性动态队列研究(n = 16,693),随访1年。使用哥本哈根心理社会问卷的西班牙语版本评估工作中的心理社会风险因素。计算每1000工人年的OI发病率,并通过泊松回归模型估计心理社会风险因素与OI之间的关联。

结果

男性自尊水平不佳[率比(RR)= 1.28],以及女性社会支持和领导质量不佳(RR = 1.87)、心理需求(RR = 2.20)、积极工作和发展可能性(RR = 1.83)与OI发生率相关。

结论

心理社会工作环境质量差会增加OI的发生率。心理社会干预项目可能有助于降低OI发生率及其相关成本。

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