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斯里兰卡加勒地区橡胶采集工的职业伤害患病率及其影响因素

Prevalence of occupational injury and its contributing factors among rubber tappers in Galle, Sri Lanka.

作者信息

Stankevitz Kayla, Staton Catherine, Schoenfisch Ashley, de Silva Vijitha, Tharindra Hemajith, Stroo Marissa, Ostbye Truls

机构信息

a Department of Community and Family Medicine , Duke University , Durham , NC , USA.

b Duke Global Health Institute, Duke University , Durham , NC , USA.

出版信息

Int J Occup Environ Health. 2016 Oct;22(4):333-340. doi: 10.1080/10773525.2016.1247026. Epub 2016 Oct 27.

Abstract

BACKGROUND

Rubber tapping involves carrying heavy loads, navigating rough terrain, and using sharp tools. However, little is known about occupational injury among this vulnerable working population.

OBJECTIVE

To assesses the prevalence, severity, and contributing factors associated with occupational injury among Sri Lankan rubber tappers and to identify possible interventions to improve occupational safety.

METHODS

A questionnaire was administered to 300 Sri Lankan rubber tappers. The associations between tapper characteristics and injury within the last year were examined using log-binomial regression models. Short response answers were analyzed using qualitative content analysis.

RESULTS

300 tappers reported 594 injuries in the previous 12 months, and missed 1,080 days of work. The prevalence of one or more injuries was 49%. Factors associated with injury were being female, working an additional job, tapping with a two-handed approach, and depressive symptomology. Qualitative findings suggest three interventions to address injuries: (1) landscaping, (2) personal protective equipment, and (3) provision of eyeglasses.

CONCLUSIONS

Work-related injuries are common among Sri Lankan rubber tappers. These results highlight the importance of working with and including informal workers in the creation of Sri Lankan occupational health and safety regulations. We believe that the three interventions identified by respondents could help to reduce the risk of occupational injury among rubber tappers.

摘要

背景

橡胶采割工作包括搬运重物、在崎岖地形行走以及使用锋利工具。然而,对于这一弱势群体中的职业伤害情况却知之甚少。

目的

评估斯里兰卡橡胶采割工职业伤害的患病率、严重程度及相关影响因素,并确定可能改善职业安全的干预措施。

方法

对300名斯里兰卡橡胶采割工进行问卷调查。使用对数二项回归模型研究采割工特征与过去一年受伤情况之间的关联。采用定性内容分析法对简短回答进行分析。

结果

300名采割工报告在过去12个月中有594起受伤事件,误工1080天。一处或多处受伤的患病率为49%。与受伤相关的因素包括女性、从事额外工作、采用双手采割方式以及存在抑郁症状。定性研究结果提出了三种应对受伤情况的干预措施:(1)场地美化,(2)个人防护装备,(3)提供眼镜。

结论

与工作相关的伤害在斯里兰卡橡胶采割工中很常见。这些结果凸显了在制定斯里兰卡职业健康与安全法规时与非正规工人合作并将他们纳入其中所具有的重要性。我们认为,受访者提出的这三种干预措施有助于降低橡胶采割工职业伤害的风险。

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