AUSL-IRCCS di Reggio Emilia, Italy.
Department of Prevention, Provincial Agency for Health Services (APSS) of the Autonomous Province of Trento, Italy.
Ind Health. 2020 Apr 2;58(2):182-192. doi: 10.2486/indhealth.2018-0268. Epub 2019 Sep 21.
The aim of this study was to assess the relationship between environmental temperatures and occupational injuries (OIs) in construction workers (CWs) from a subalpine region of North-Eastern Italy. Data about OIs from 2000 to 2013, and daily weather for the specific site of the events were retrieved. Risk for daily OIs was calculate through a Poisson regression model. Estimated daily incidence for OIs was 5.7 (95%CI 5.5-5.8), or 2.8 OIs/10,000 workers/d (95%CI 2.7-2.9), with higher rates for time periods characterized by high temperatures (daily maximum ≥35°C), both in first 2 d (3.57, 95%CI 3.05-4.11) and from the third day onwards (i.e. during Heat Waves: 3.43, 95%CI 3.08-3.77). Higher risk for OIs was reported in days characterized temperatures ≥95th percentile (OR 1.145, 95%CI 1.062-1.235), summer days (daily maximum ≥25°C , OR 1.093, 95%CI 1.042-1.146). On the contrary, no significant increased risk was found for OIs having a more severe prognosis (≥40 d or more; death). In conclusion, presented findings recommend policymakers to develop appropriate procedures and guidelines, in particular aimed to improve the compliance of younger CWs towards severe-hot daily temperatures.
本研究旨在评估意大利东北部亚高山地区建筑工人(CWs)的环境温度与职业伤害(OIs)之间的关系。检索了 2000 年至 2013 年的 OI 数据以及特定事件地点的每日天气数据。通过泊松回归模型计算每日 OI 风险。估计 OI 的每日发生率为 5.7(95%CI 5.5-5.8),即 2.8 OIs/10,000 名工人/天(95%CI 2.7-2.9),高温时期(每日最高温度≥35°C)的发生率更高,在前 2 天(3.57,95%CI 3.05-4.11)和第三天开始(即热浪期间:3.43,95%CI 3.08-3.77)。温度≥第 95 百分位数(OR 1.145,95%CI 1.062-1.235)和夏季日(每日最高温度≥25°C,OR 1.093,95%CI 1.042-1.146)的天数与 OI 风险增加相关。相反,对于预后更严重(≥40 天或更多;死亡)的 OI,未发现风险显著增加。总之,本研究结果建议政策制定者制定适当的程序和指南,特别是旨在提高年轻 CWs 对严重高温天气的遵守程度。