建筑工人呼吸道症状的患病率及其相关因素：一项职业健康监测建议。
Prevalence and factors associated with respiratory symptoms among civil construction workers: an occupational health surveillance proposal.
作者信息
da-Silva-Filho Paulo Lima, Botelho Clóvis, Castro Hermano Albuquerque, Ferreira Marcelo José Monteiro, Silva Ageo Mário Cândido
机构信息
Occupational hHalth Reference Center, State Secretariat of Health - Cuiaba (MT), Brazil.
Institute of Collective Health, Universidade Federal do Mato Grosso - Cuiaba (MT), Brazil.
出版信息
Rev Bras Med Trab. 2020 Jan 9;17(1):119-129. doi: 10.5327/Z1679443520190263. eCollection 2019.
BACKGROUND
The civil construction industry is associated with the some of the highest morbidity and mortality rates in Brazil. Despite their epidemiological relevance, occupational health surveillance actions within the primary care setting still exhibit weaknesses.
OBJECTIVE
To analyze the prevalence of and factors associated with respiratory symptoms among civil construction workers in Cuiaba, Mato Grosso, Brazil.
METHODS
Cross-sectional analytic study conducted with 545 civil construction workers to analyze occupational health surveillance actions. Presence of respiratory symptoms was investigated by means of the British Medical Research Council questionnaire on respiratory symptoms. The Mantel-Haenszel test was used for bivariate analysis and Poisson regression for multivariate analysis. The significance level was set to 5%.
RESULTS
Most participants were young adults and almost half exhibited respiratory symptoms. The odds to develop cough were higher for the participants exposed to chemicals (PR=1.70; 95%CI 1.22-2.37). The odds to develop wheezing were higher for the participants who had not undergone pre-employment spirometry (PR=1.57; 95%CI 1.17-2.10).
CONCLUSION
Biological monitoring of civil construction workers might be useful to improve occupational health surveillance actions within the primary care setting.
背景
在巴西，民用建筑行业的发病率和死亡率位居前列。尽管具有流行病学相关性，但基层医疗环境中的职业健康监测行动仍存在不足。
目的
分析巴西马托格罗索州库亚巴市民用建筑工人呼吸道症状的患病率及相关因素。
方法
对545名民用建筑工人进行横断面分析研究，以分析职业健康监测行动。通过英国医学研究委员会呼吸道症状问卷调查呼吸道症状的存在情况。采用Mantel-Haenszel检验进行双变量分析，采用泊松回归进行多变量分析。显著性水平设定为5%。
结果
大多数参与者为年轻人，近一半人有呼吸道症状。接触化学品的参与者咳嗽的几率更高（PR=1.70；95%CI 1.22-2.37）。未进行入职前肺活量测定的参与者喘息的几率更高（PR=1.57；95%CI 1.17-2.10）。
结论
对民用建筑工人进行生物监测可能有助于改善基层医疗环境中的职业健康监测行动。
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