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[舟山市劳动者职业健康监护情况分析]

[Analysis on occupational health monitoring to workers in Zhoushan City].

作者信息

Fan D Y, Wu Y, Gu Z C, Yi J P

机构信息

Laboratory Center of Zhoushan Hospital, Zhoushan 316021, China.

Zhoushan Agency for Public Health Inspection, Zhoushan 316021, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Dec 20;38(12):944-947. doi: 10.3760/cma.j.cn121094-20191223-00572.

Abstract

To analyze the occupational health monitoring data of workers in Zhoushan City, and provide scientific basis for health monitoring and the formulation of occupational disease prevention measures. From January 2016 to November 2019, the occupational health examination data of 37826 workers in Zhoushan City were collected to analyze the change trend of the detection rate of suspected occupational diseases and occupational contraindications, and to compare the health monitoring status of workers with different social characteristics such as enterprise scale and economic type. From 2016 to 2019, the detection rate of suspected occupational diseases showed a downward trend (χ(2)(trend)=21.09, <0.05) . The occupational health examination of on-the-job workers in Zhoushan were mainly small enterprises (59.72%, 22591/37826) , private economic enterprises (65.32%, 24707/37826) , male (82.03%, 31028/37826) , 30-49 years old (59.11%, 22359/37826) , and exposed to noise (67.06%, 25365/37826) . The detection rates of occupational contraindications and suspected occupational diseases were higher in micro enterprise, male, over 60 years old, exposed to occupational hazards for more than 49 months, and exposed to chemical and physical hazards at the same time. The detection rates of occupational contraindications and suspected occupational diseases were significantly different among different enterprise scale, economic type, gender, age and occupational hazard factors (<0.05) . Among benzene workers with occupational contraindications and suspected occupational diseases, the detection rate of A/G abnormality in female workers was higher than that in male workers (=0.04) , and there was no significant difference in other genders (>0.05) . It is necessary to pay more attention to the workers working in small and private enterprises in Zhoushan City, strengthen the occupational health supervision of male workers who are over 60 years old who are exposed to benzene, noise and other occupational hazards, standardize the occupational health inspection, and effectively protect the health of the occupational population.

摘要

分析舟山市劳动者职业健康监护资料,为健康监护及职业病防治措施的制定提供科学依据。收集2016年1月至2019年11月舟山市37826名劳动者的职业健康检查资料,分析疑似职业病及职业禁忌证检出率的变化趋势,比较不同企业规模、经济类型等社会特征劳动者的健康监护状况。2016—2019年,疑似职业病检出率呈下降趋势(χ(2)(趋势)=21.09,P<0.05)。舟山市在岗劳动者职业健康检查以小企业(59.72%,22591/37826)、民营经济企业(65.32%,24707/37826)、男性(82.03%,31028/37826)、30~49岁(59.11%,22359/37826)、接触噪声(67.06%,25365/37826)为主。微型企业、男性、60岁以上、接触职业危害49个月以上、同时接触化学和物理危害的劳动者职业禁忌证和疑似职业病检出率较高。不同企业规模、经济类型、性别、年龄和职业危害因素间职业禁忌证和疑似职业病检出率差异有统计学意义(P<0.05)。在有职业禁忌证和疑似职业病的苯作业劳动者中,女性劳动者A/G异常检出率高于男性(P=0.04),其他性别间差异无统计学意义(P>0.05)。需更加关注舟山市小企业及民营经济企业劳动者,加强对接触苯、噪声等职业危害的60岁以上男性劳动者的职业健康监管,规范职业健康检查,切实保护职业人群健康。

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