伊朗参保建筑工人的工伤流行病学

Epidemiology of work-related injuries among insured construction workers in Iran.

作者信息

Hatami Seyed Esmaeil, Ravandi Mohammad Reza Ghotbi, Hatami Seyedeh Tayebeh, Khanjani Narges

机构信息

M.Sc. of Epidemiology, Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, Iran.

Associate Professor, Department of Occupational Health, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.

出版信息

Electron Physician. 2017 Nov 25;9(11):5841-5847. doi: 10.19082/5841. eCollection 2017 Nov.

DOI:10.19082/5841

PMID:29403628

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5783137/

Abstract

BACKGROUND AND AIM

Work-related injuries are among the most important health problems in developing countries, such as Iran. The purpose of this study was to determine the epidemiology of work-related injuries among construction workers who had been insured by the Iranian Social Security Organization (ISSO).

METHODS

This is a cross-sectional study. The population included all construction workers who had a work- related accident during 2012 in Iran, which were recorded in the ISSO database after inspection. The effects of independent variables on injuries were estimated by logistic regression. SPSS software version 18 was used for analyzing the data.

RESULTS

Overall, 5352 work-related injuries were investigated. The incidence rate of fatal and nonfatal injuries was 0.07 in 1000 and 11.18 in 1000 workers, respectively. More than half of these accidents were due to careless activities. A younger age at the time of the accident (OR=0.98, CI: 0.97-0.99, p=0.001), being married (OR=1.37, CI: 1.04-1.79, p=0.02), place of accident (OR=1.86, CI: 1.18-2.92, p=0.007), lack of information (OR=5.28, CI: 1.57-17.75, p=0.007), disrespect of safety regulations (OR=3.11, CI: 1.87-5.17, p=0.001), non-use of protective equipment (OR=2.98, CI: 1.62-5.50, p=0.001), and defective equipment (OR=2.22, CI: 1.18-4.20, p=0.01) had a significant effect on the incidence of work-related injury.

CONCLUSIONS

The pattern of work-related injury in Iran was almost similar in regard to age, gender, cause and type of the accident, with other parts of the world.

摘要

背景与目的

在伊朗等发展中国家，工伤是最重要的健康问题之一。本研究旨在确定由伊朗社会保障组织（ISSO）承保的建筑工人中工伤的流行病学情况。

方法

这是一项横断面研究。研究对象包括2012年在伊朗发生工伤事故且经ISSO数据库检查后记录在案的所有建筑工人。通过逻辑回归估计自变量对工伤的影响。使用SPSS 18版软件分析数据。

结果

总体而言，共调查了5352起工伤事故。每1000名工人中致命伤和非致命伤的发生率分别为0.07和11.18。超过一半的此类事故是由于粗心大意的行为导致的。事故发生时年龄较小（比值比[OR]=0.98，可信区间[CI]：0.97 - 0.99，p = 0.001）、已婚（OR = 1.37，CI：1.04 - 1.79，p = 0.02）、事故发生地点（OR = 1.86，CI：1.18 - 2.92，p = 0.007）、信息缺乏（OR = 5.28，CI：1.57 - 17.75，p = 0.007）、不遵守安全规定（OR = 3.11，CI：1.87 - 5.17，p = 0.001）、未使用防护设备（OR = 2.98，CI：1.62 - 5.50，p = 0.001）以及设备有缺陷（OR = 2.22，CI：1.18 - 4.20，p = 0.01）对工伤发生率有显著影响。