Department of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
National Institute for Occupational Safety and Health, Division of Science Integration, Cincinnati, OH, USA.
Ann Work Expo Health. 2020 Mar 10;64(3):236-249. doi: 10.1093/annweh/wxaa006.
Toxic contaminants inadvertently brought from the workplace to the home, known as take-home or paraoccupational exposures, have often been framed as a problem that arises due to unsanitary worker behavior. This review article conceptualizes take-home exposures as a public health hazard by (i) investigating the history of take-home contaminants and how they have been studied, (ii) arguing that an ecosocial view of the problem is essential for effective prevention, (iii) summarizing key structural vulnerabilities that lead populations to be at risk, and (iv) discussing future research and prevention effort needs. This article reframes take-home exposures as one of many chronic pathways that contributes to persistent health disparities among workers, their families, and communities. Including the role of work in community health will increase the comprehensiveness of prevention efforts for contaminants such as lead and pesticides that contribute to environmental disparities.
工作场所无意中带回家的有毒污染物,称为“带毒回家”或“准职业性暴露”,通常被认为是由于工人不卫生的行为而产生的问题。这篇综述文章将带毒回家暴露视为一种公共卫生危害,(i)调查带毒回家污染物的历史以及它们是如何被研究的,(ii)认为对这个问题进行生态社会视角的研究是有效预防的关键,(iii)总结导致人群面临风险的关键结构脆弱性,以及(iv)讨论未来的研究和预防工作需求。本文将带毒回家暴露重新定义为导致工人及其家庭和社区之间持续存在健康差距的众多慢性途径之一。将工作场所的作用纳入社区健康范畴,将提高对导致环境差距的铅和农药等污染物的预防工作的全面性。