Farshad Ali Asghar, Mirkazemi Roksana, Falahati Ali, Tabatabaei Seyed Hosein, Taheri Fereshteh, Ghaemi Mood Shidrokh
Occupational Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
Farzanegan Nik Andish Institute for the Development of Science and Technology, Tehran, Iran.
Med J Islam Repub Iran. 2019 Mar 26;33:22. doi: 10.34171/mjiri.33.22. eCollection 2019.
Health needs assessment (HNA) is essential for allocation of limited resources to the most prioritized problems. HNA in work places has gained increasing importance. Kaveh industrial city is the largest and oldest industrial city in Iran, with a wide range of different industries, making it an exemplary industrial city in Iran. This study was done to conduct health needs assessment of workers in Kaveh industrial city. In this study, intensive HNA approach and qualitative method were used. In-depth interviews and Focus Group Discussions (FGDs) were conducted to collect information related to health risk factors, and Delphi method was used to prioritize these risk factors. A total of 74 key informants participated in this study, which constituted more than 80% of the total related experts of Kaveh industrial city. The main identified health challenge was inefficiency of the existing Health, Safety and Environment (HSE) control and monitoring system. The most important physical health risk factors were smoking and obesity and the most prioritized psychosocial risk factors were stress and lack of appropriate management and organizational culture. Ergonomic issues and noise pollution were the prioritized work environmental factors and inappropriate placement of pollutant industries in the industrial city was the most prioritized bioenvironmental risk factor. Unsafe road to industrial zone and poor safety devices used by workers were the most prioritized occupational injuries risk factors. Addressing the identified health needs of workers in Kaveh industrial city is of high importance. Also, redefining the HSE control and monitoring system should be prioritized.
健康需求评估（HNA）对于将有限资源分配到最优先解决的问题至关重要。工作场所的健康需求评估日益重要。卡维工业城是伊朗最大且最古老的工业城市，拥有广泛多样的不同产业，使其成为伊朗的一个典范工业城市。本研究旨在对卡维工业城的工人进行健康需求评估。在本研究中，采用了深入的健康需求评估方法和定性方法。通过深入访谈和焦点小组讨论（FGD）来收集与健康风险因素相关的信息，并使用德尔菲法对这些风险因素进行优先排序。共有74名关键信息提供者参与了本研究，他们占卡维工业城相关专家总数的80%以上。确定的主要健康挑战是现有健康、安全与环境（HSE）控制及监测系统效率低下。最重要的身体健康风险因素是吸烟和肥胖，最优先的社会心理风险因素是压力以及缺乏适当的管理和组织文化。人体工程学问题和噪音污染是优先考虑的工作环境因素，而工业城市中污染性产业布局不当是最优先考虑的生物环境风险因素。通往工业区的道路不安全以及工人使用的安全设备简陋是最优先考虑的职业伤害风险因素。满足卡维工业城工人已确定的健康需求至关重要。此外，应优先重新定义健康、安全与环境控制及监测系统。
