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埃塞俄比亚阿姆哈拉州巴赫达尔纺织行业工人呼吸道症状的患病率及相关因素

Prevalence and Factors Associated with Respiratory Symptoms Among Bahir Dar Textile Industry Workers, Amhara Region, Ethiopia.

作者信息

Kifle Manay, Gebremariam Brhane, Alemu Kasahun, Woldeyohannes Solomon Meseret

机构信息

School of Public Health, College of Health Sciences, Aksum University, Aksum, Ethiopia.

Tigray Institute of Policy Studies, Mekelle, Tigray, Ethiopia.

出版信息

Environ Health Insights. 2020 Oct 16;14:1178630220965933. doi: 10.1177/1178630220965933. eCollection 2020.

Abstract

INTRODUCTION

The expansions of labor-intensive investments in a developing countries, especially in textile production create a dusty work environment for workers, and those workers are from the low socio-economic group and need special safety concern.

OBJECTIVE

This study was aimed at assessing the prevalence of respiratory symptoms and associated factors among textile factories workers in Bahir Dar, Amhara region, Ethiopia, 2015.

METHODS

Institutional based cross-sectional study design was employed among randomly selected 384 textile workers using pre-tested interviewer-administered questionnaire. We stratified workers by their working section in the textile industries. Then the proportional numbers of workers were selected from each working section of the factory by using a random number generator. The identification number of workers from each factory was used for selection. The data were checked, coded, and entered to Epi-info Version 7 and exported to the Statistical Package for Social Science Version 20 for further analysis. Both bivariate and multivariate logistic regressions were used to identify associated factors. Variables having a  ⩽ .2 were fitted to multivariate logistic regression so as to assess the presence and strength of association with the respiratory symptom. Variables having a  < .05 were considered as significant.

RESULTS

Three hundred eighty-three (99.74%) of the study participants responded completely filling the questionnaire. In this study, the prevalence of cough, phlegm, bronchitis, chronic bronchitis, and chest pain among the respondents were 31 (8.1%), 45 (11.7%), 26 (6.8%), 2 (0.5%), and 21 (5.5%), respectively. Generally, 141 (36.81%) of the respondents have either of the above respiratory symptoms in the textile industry. Working in the spinning section (AOR = 3.26, 95% CI: 1.80, 5.89), being in the grade 11 and 12 level and below (AOR = 2.36, 95% CI: 1.50, 3.70) and personal protective equipment (PPE) utilization (AOR = 4.88 95% CI: 1.54-15.45) were significantly associated with respiratory symptoms in the multivariate analysis.

CONCLUSION

The prevalence of respiratory symptoms in Bahir Dar Textile workers was relatively high. Working department, educational status, and PPE use were variables significantly associated with respiratory symptoms in this study. Experience sharing across departments, employing educated workers and provision of personal protective equipment are important tasks to be followed to reduce respiratory symptoms in the industry.

摘要

引言

发展中国家劳动密集型投资的扩张,尤其是在纺织生产领域,为工人创造了一个多尘的工作环境,而这些工人来自社会经济地位较低的群体,需要特别的安全关注。

目的

本研究旨在评估2015年埃塞俄比亚阿姆哈拉州巴赫达尔市纺织厂工人呼吸道症状的患病率及相关因素。

方法

采用基于机构的横断面研究设计,使用预先测试的访谈式问卷对随机抽取的384名纺织工人进行调查。我们根据工人在纺织行业的工作部门对其进行分层。然后使用随机数生成器从工厂的每个工作部门中按比例选取工人。使用每个工厂工人的识别号进行选取。数据经过检查、编码后录入Epi-info 7版本,并导出到社会科学统计软件包20版本进行进一步分析。采用双变量和多变量逻辑回归来识别相关因素。将P值≤0.2的变量纳入多变量逻辑回归,以评估与呼吸道症状的关联存在情况及强度。P值<0.05的变量被认为具有统计学意义。

结果

383名(99.74%)研究参与者完整填写了问卷。在本研究中,受访者中咳嗽、咳痰、支气管炎、慢性支气管炎和胸痛的患病率分别为31例(8.1%)、45例(11.7%)、26例(6.8%)、2例(0.5%)和21例(5.5%)。总体而言,141名(36.81%)受访者在纺织行业有上述呼吸道症状中的一种。多变量分析显示,在纺纱部门工作(比值比=3.26,95%置信区间:1.80,5.89)、处于11年级及以下(比值比=2.36,95%置信区间:1.50,3.70)以及个人防护设备(PPE)的使用情况(比值比=4.88,95%置信区间:1.54 - 15.45)与呼吸道症状显著相关。

结论

巴赫达尔纺织工人呼吸道症状的患病率相对较高。工作部门、教育程度和个人防护设备的使用是本研究中与呼吸道症状显著相关的变量。跨部门经验分享、雇佣受过教育的工人以及提供个人防护设备是该行业减少呼吸道症状需要遵循的重要任务。

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