Institute for Occupational, Social, and Environmental Medicine, Center for International Health, Hospital of the Ludwig-Maximilians-University, Munich, Germany.
Faculty of Architecture, Urbanism and Design, National University of Mar del Plata, Mar del Plata, Argentina.
Am J Ind Med. 2019 Sep;62(9):777-782. doi: 10.1002/ajim.23016. Epub 2019 Jul 3.
We aimed to compare employment conditions, psychosocial working conditions, and prevalence of low back pain among migrant and local construction workers in Argentina.
In a cross-sectional study among workers from three contracting and eight subcontracting companies as well as 26 construction sites in the region of Buenos Aires, Argentina, 134 out of 150 local (89% response) and 141 out of 150 migrant construction workers (94% response) answered a validated questionnaire. Psychosocial working conditions were evaluated based on an imbalance between efforts and rewards (ERI).
Compared to local workers, migrants were younger, more likely to work without a contract (57% vs 8%), to report ERI (81% vs 18%) and to suffer from low back pain during the 7-days before study (80% vs 42%) (all P < .0001). After mutual adjustment, being a migrant (prevalence ratio 2.1; 95% confidence interval [CI] 1.4-3.0) and working without a contract (1.7; 95% CI, 1.4-2.1) were statistically significant risk factors for low back pain.
This study describes the precarious situation of migrant workers in the Argentinian construction industry and the potential health consequences. Provision of formal employment relations might help to better protect migrant workers' safety and health. Prospective studies are needed to assess the causes and effects of the findings we describe.
本研究旨在比较阿根廷移民和本地建筑工人的就业条件、心理社会工作条件和腰痛患病率。
在阿根廷布宜诺斯艾利斯地区的三家承包公司和八家分包公司以及 26 个建筑工地中,进行了一项横断面研究,共有 150 名本地工人(89%应答率)和 150 名移民建筑工人(94%应答率)回答了一份经过验证的问卷。心理社会工作条件基于努力与回报失衡(ERI)进行评估。
与本地工人相比,移民工人更年轻,更有可能无合同工作(57%比 8%),报告 ERI(81%比 18%),在研究前 7 天腰痛(80%比 42%)(均 P<.0001)。经相互调整后,移民(患病率比 2.1;95%置信区间 [CI] 1.4-3.0)和无合同工作(1.7;95%CI,1.4-2.1)是腰痛的统计学显著危险因素。
本研究描述了阿根廷建筑行业移民工人的脆弱处境及其潜在的健康后果。提供正规的雇佣关系可能有助于更好地保护移民工人的安全和健康。需要前瞻性研究来评估我们描述的发现的原因和影响。