Kirkeskov Lilli, Hanskov Dorte Jessing Agerby, Brauer Charlotte
Department of Occupational and Environmental Medicine, Bispebjerg Hospital, Copenhagen, Denmark ; Department of Occupational and Environmental Medicine, Unit of Social Medicine, Frederiksberg Hospital, Nordre Fasanvej 57, 2000 Copenhagen F, Denmark.
Department of Occupational and Environmental Medicine, Bispebjerg Hospital, Copenhagen, Denmark.
J Occup Med Toxicol. 2016 Sep 20;11:45. doi: 10.1186/s12995-016-0134-5. eCollection 2016.
Within the construction industry the risk of lung disorders depends on the specific professions probably due to variations in the levels of dust exposure, and with dust levels depending on the work task and job function. We do not know the extent of exposure in the different professions or the variation between the different work tasks. The purpose of this study was therefore to assess if there were differences in dust exposure between carpenters and demolition workers who were expected to have low and high dust exposure, respectively.
Through interviews of key persons in the construction industry the most common work tasks were selected, and the concentration of dust during these tasks (indoors) were measured by personal sampling varying between 4 and 6 h of a working day. In total 38 measurements of total dust, and 25 of respirable dust on seven different work tasks were carried out for carpenters and 20 measurements of total dust, 11 of respirable dust and 11 of respirable crystalline silica dust on four different works tasks for demolition workers. Dust measurements were tested for differences using linear regression, t-test and one-way ANOVA.
For carpenters the geometric mean for all the measurements of total dust was 1.26 mg/m(3) (geometric standard deviation 2.90) and the respirable dust was 0.27 mg/m(3) (geometric standard deviation 2.13). For demolition workers the geometric mean of total dust for all the measurements was 22.3 mg/m(3) (geometric standard deviation 11.6) and the respirable dust was 1.06 mg/m(3) (geometric standard deviation 5.64). The mean difference between total dust for demolition workers and carpenters was 11.4 (95 % confidence interval 3.46-37.1) mg/m(3). The mean difference between respirable dust for demolition workers and carpenters was 3.90 (95 % confidence interval 1.13-13.5) mg/m(3). Dust exposure varied depending on work task for both professions. The dustiest work occurred during demolition, especially when it was done manually. Only few workers used personal respiratory protection and only while performing the dustiest work.
This study confirmed that the exposure to dust and especially total dust was much higher for demolition workers compared to carpenters.
(ISRCTN registry): The study is not a clinical trial and are thus not registered.
在建筑行业中,肺部疾病的风险取决于具体职业,这可能是由于粉尘暴露水平的差异,而粉尘水平又取决于工作任务和工作职责。我们不清楚不同职业的暴露程度,也不清楚不同工作任务之间的差异。因此,本研究的目的是评估预计分别具有低粉尘暴露和高粉尘暴露的木匠和拆除工人之间在粉尘暴露方面是否存在差异。
通过采访建筑行业的关键人员,选定了最常见的工作任务,并通过个人采样测量了这些任务(室内)期间的粉尘浓度,采样时间为工作日的4至6小时。总共对木匠的7种不同工作任务进行了38次总粉尘测量和25次可吸入粉尘测量,对拆除工人的4种不同工作任务进行了20次总粉尘测量、11次可吸入粉尘测量和11次可吸入结晶二氧化硅粉尘测量。使用线性回归、t检验和单因素方差分析对粉尘测量结果进行差异检验。
对于木匠,所有总粉尘测量的几何平均值为1.26mg/m³(几何标准差2.90),可吸入粉尘为0.27mg/m³(几何标准差2.13)。对于拆除工人,所有测量的总粉尘几何平均值为22.3mg/m³(几何标准差11.6),可吸入粉尘为1.06mg/m³(几何标准差5.64)。拆除工人和木匠的总粉尘平均差异为11.4(95%置信区间3.46 - 37.1)mg/m³。拆除工人和木匠的可吸入粉尘平均差异为3.90(95%置信区间1.13 - 13.5)mg/m³。两个职业的粉尘暴露因工作任务而异。最脏的工作发生在拆除过程中,尤其是手动拆除时。只有少数工人使用个人呼吸防护设备,而且仅在进行最脏的工作时使用。
本研究证实,与木匠相比,拆除工人的粉尘暴露,尤其是总粉尘暴露要高得多。
(ISRCTN注册库):本研究不是临床试验,因此未注册。