Institute for Work & Health, 400 University Ave., Suite 1800, Toronto, ON, M5G 1S5, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.
Curr Environ Health Rep. 2021 Dec;8(4):267-280. doi: 10.1007/s40572-021-00330-8. Epub 2021 Nov 27.
Comparative research on sex and/or gender differences in occupational hazard exposures is necessary for effective work injury and illness prevention strategies. This scoping review summarizes the peer-reviewed literature from 2009 to 2019 on exposure differences to occupational hazards between men and women, across occupations, and within the same occupation.
Fifty-eight studies retrieved from eight databases met our inclusion criteria. Of these, 30 studies were found on physical hazards, 38 studies on psychological/psychosocial hazards, 5 studies on biological hazards, and 17 studies on chemical hazards. The majority of studies reported that men were exposed to noise, vibration, medical radiation, physically demanding work, solar radiation, falls, biomechanical risks, chemical hazards, and blood contamination; while women were exposed to wet work, bullying and discrimination, work stress, and biological agents. Within the same occupations, men were more likely to be exposed to physical hazards, with the exception of women in health care occupations and exposure to prolonged standing. Women compared to men in the same occupations were more likely to experience harassment, while men compared to women in the same occupations reported higher work stress. Men reported more exposure to hazardous chemicals in the same occupations as women. The review suggests that men and women have different exposures to occupational hazards and that these differences are not solely due to a gendered distribution of the labor force by occupation. Findings may inform prevention efforts seeking to reduce gender inequalities in occupational health. Future research is needed to explain the reasons for sex/gender inequality differences in exposures within the same occupation.
为了制定有效的职业伤害和疾病预防策略,有必要对性别和/或性别差异在职业危害暴露方面进行比较研究。本范围综述总结了 2009 年至 2019 年期间,在职业暴露方面,男女之间、不同职业之间以及同一职业内的性别差异的同行评议文献。
从八个数据库中检索到的 58 项研究符合我们的纳入标准。其中,有 30 项研究涉及物理危害,38 项研究涉及心理/心理社会危害,5 项研究涉及生物危害,17 项研究涉及化学危害。大多数研究报告称,男性接触到噪声、振动、医疗辐射、体力要求高的工作、太阳辐射、跌倒、生物力学风险、化学危害和血液污染;而女性接触到湿工作、欺凌和歧视、工作压力和生物制剂。在同一职业中,男性更容易接触到物理危害,但医疗保健职业中的女性和长时间站立除外。与同一职业中的男性相比,女性更容易受到骚扰,而与同一职业中的女性相比,男性报告的工作压力更大。在同一职业中,男性比女性报告更多地接触到危险化学品。该综述表明,男性和女性在职业危害方面的暴露存在差异,而这些差异不仅仅是由于职业劳动力的性别分布不均造成的。研究结果可能为旨在减少职业健康方面性别不平等的预防工作提供信息。需要进一步研究来解释同一职业内暴露方面性别不平等差异的原因。