Andersen Cristine Scattolin, Lobato Marcos Antônio de Oliveira
Department of Collective Health, Universidade Federal de Santa Maria - Santa Maria (RS), Brazil. Universidade Federal de Santa Maria Department of Collective Health Universidade Federal de Santa Maria Brazil.
Undergraduate medical course, Universidade Franciscana - Santa Maria (RS), Brazil. Undergraduate medical course Universidade Franciscana Brazil.
Rev Bras Med Trab. 2020 Aug 4;18(1):20-29. doi: 10.5327/Z1679443520200481. eCollection 2020.
Work-related disorders have considerable impact on the health of workers at a high cost for national budgets. Yet these conditions are globally underreported, less than 8% in Brazil. Shortcomings in health policies and records hinder attempts at establishing the health profile of civil servants in Brazil, who represent 8% of the local workforce.
To establish the profile of federal civil servants with work-related disorders and relate it to diagnoses recorded in Civil Servant Work Accident Reports (CS/WAR) issued at a federal public university in southern Brazil.
We analyzed 166 CS/WAR; 79.52% corresponded to women, average age 46.46 (SD=10.06), ≥21 years in the job (34.9%), workers at the university hospital (64.46%) and medium- or technical level health care workers (45.78%). Mean duration of sick leave spells was 11.89 (SD=21.33) days. About 41.57% of CS/WAR did not provide an ICD-10 code; 82.5% of the rest corresponded to work accidents, mainly lower extremity injury (31.5%) and 17.50% to occupational diseases, most commonly low back injury and infectious diseases (17.7% each).
The results reinforce the need to improve the record system in public service facilities to enable strategies targeting the main health problems exhibited by this population of workers.
与工作相关的疾病对工人健康有相当大的影响，给国家预算带来高昂成本。然而，这些情况在全球范围内报告不足，在巴西不到8%。卫生政策和记录方面的缺陷阻碍了了解巴西公务员健康状况的努力，公务员占当地劳动力的8%。
确定患有与工作相关疾病的联邦公务员的概况，并将其与巴西南部一所联邦公立大学发布的公务员工伤报告（CS/WAR）中记录的诊断相关联。
我们分析了166份CS/WAR；79.52%为女性，平均年龄46.46岁（标准差=10.06），工作年限≥21年（34.9%），大学医院工作人员（64.46%），中级或技术级别的医护人员（45.78%）。病假平均时长为11.89天（标准差=21.33）。约41.57%的CS/WAR未提供国际疾病分类第十版（ICD-10）编码；其余的82.5%对应工伤，主要是下肢损伤（31.5%），17.50%对应职业病，最常见的是腰背部损伤和传染病（各占17.7%）。
结果强化了改善公共服务机构记录系统的必要性，以便制定针对这类工人群体所表现出的主要健康问题的策略。
