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农民工职业健康安全知识与行为的关联:来自中国的一项横断面研究结果。

Association between occupational health and safety knowledge and behaviours among migrant workers: results from a cross-sectional study in China.

机构信息

Department of health management and policy, School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong, China.

Florida International University, Miami, Florida, USA.

出版信息

BMJ Open. 2020 Dec 1;10(12):e040143. doi: 10.1136/bmjopen-2020-040143.

Abstract

OBJECTIVES

To assess the relationship between occupational health and safety (OH&S)-related behaviours of migrating workers in China and their knowledge regarding OH&S laws and regulations (L&Rs).

MATERIALS AND METHODS

We sampled 1282 migrant workers from 12 labour-intensive manufacturers in Guangdong, China, with a response rate of 98.6%. Self-reported questionnaires were completed by the participants. Logistic regression models were used to examine the association between OH&S-related behaviours and knowledge among migrant workers adjusting for their demographic features and the survey sites.

RESULTS

Migrant workers' behaviour of seeking occupational disease (OD) diagnosis and treatment was found to be statistically significantly correlated with their knowledge of all three OH&S L&Rs. A higher score of knowledge regarding these OH&S L&Rs is associated with a better chance to seek OD diagnosis and treatment. The ORs of the high-score group (subjects correctly answered more than one question) versus the low-score group (subjects correctly answered less than or equal to one question) are 2.02 (95% CI: 1.33 to 3.07) for Law of Occupational Disease Prevention and Treatment, 2.89 (95% CI: 1.65 to 5.09) for Regulations on Safe Management of Dangerous Chemicals and Regulations on Labor Protection for Using Toxic Substances in Workplace and 2.25 (95% CI: 1.34 to 3.77) for Work-Related Injury Insurance Regulations. However, knowledge about these L&Rs is not statistically significantly associated with OH&S-related protective behaviours such as wearing a mask or gloves at work.

CONCLUSIONS

Knowledge of OH&S L&Rs helps migrant workers in China to seek OD diagnosis and treatment.

摘要

目的

评估中国外来务工人员的职业健康与安全(OH&S)相关行为与其对 OH&S 法律法规(L&Rs)的认知之间的关系。

材料与方法

我们从中国广东省的 12 家劳动密集型制造商中抽取了 1282 名外来务工人员,响应率为 98.6%。参与者填写了自我报告问卷。使用逻辑回归模型,根据外来务工人员的人口统计学特征和调查地点,调整了 OH&S 相关行为与知识之间的关联。

结果

外来务工人员寻求职业病(OD)诊断和治疗的行为与他们对所有三种 OH&S L&Rs 的认知呈统计学显著相关。对这些 OH&S L&Rs 的了解程度越高,寻求 OD 诊断和治疗的机会就越大。高分组(答对一题以上的受试者)与低分组(答对一题以下的受试者)的 OR 值分别为《职业病防治法》2.02(95%CI:1.33 至 3.07)、《危险化学品安全管理条例》和《工作场所使用有毒物质劳动保护条例》2.89(95%CI:1.65 至 5.09)和《工伤保险条例》2.25(95%CI:1.34 至 3.77)。然而,这些 L&Rs 的知识与工作时戴口罩或手套等 OH&S 相关保护行为并无统计学显著关联。

结论

OH&S L&Rs 的知识有助于中国外来务工人员寻求 OD 诊断和治疗。

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