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[不同因素及苯暴露对工人白细胞计数影响的交互作用分析]

[Interaction analysis of the influence of different factors and benzene exposure on the white blood cell count of workers].

作者信息

Li P, Li M L, Gao Y, Wang X

机构信息

Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2021 Nov 20;39(11):836-839. doi: 10.3760/cma.j.cn121094-20200521-00276.

Abstract

To explore the main influencing factors of leucopenia in benzene workers. The data of 514 benzene hazardous enterprises and 97 non benzene hazardous enterprises in 16 municipal districts of Tianjin from January to December 2019 were collected. A total of 16113 benzene exposed workers and 5817 non benzene exposed workers were included in the study. The occupational health examination data of workers during on-the-job were analyzed, and they were divided into white blood cell count reduction group and white blood cell count normal group. Additive interaction was used to evaluate the effects of workers' general situation, occupational history, enterprise information and benzene exposure on leukocyte count reduction. The age and length of service of workers in the white blood cell count reduction group were higher than those in the white blood cell count normal group (=-3.411, -4.539, <0.01) . The detection rate of white blood cell count reduction in women was higher than that in men (χ(2)=211.631, <0.01) . The detection rate of white blood cell count reduction in workers in enterprises located in urban areas, classified as manufacturing and small and micro enterprises was higher than that in workers in suburbs, non manufacturing and large and medium-sized enterprises (χ(2)=8.039, 4.232, 37.478, <0.05) . The additive interaction analysis of the influencing factors of white blood cell count reduction showed that there was additive interaction between gender and benzene exposure, the relative excess risk ratio () , attribution ratio () and interaction index () were 3.789 (95%: 2.280-5.299) , 0.571 (95%: 0.414-0.726) and 3.045 (95%: 1.699-5.459) , respectively. The management of benzene operation in the production environment of small and micro manufacturing enterprises in Tianjin should be strengthened, as well as the personal protective articles and occupational health protection measures for female operators, so as to protect the health of operators and prevent the occurrence of occupational diseases.

摘要

为探讨苯作业工人白细胞减少的主要影响因素。收集了天津市16个市辖区2019年1月至12月514家苯危害企业和97家非苯危害企业的数据。本研究共纳入16113名苯接触工人和5817名非苯接触工人。分析了工人在岗期间的职业健康检查数据,并将其分为白细胞计数减少组和白细胞计数正常组。采用相加交互作用评估工人一般情况、职业史、企业信息和苯接触对白细胞计数减少的影响。白细胞计数减少组工人的年龄和工龄高于白细胞计数正常组(=-3.411,-4.539,<0.01)。女性白细胞计数减少检出率高于男性(χ(2)=211.631,<0.01)。城区、制造业、小微企业的工人白细胞计数减少检出率高于郊区、非制造业、大中型企业的工人(χ(2)=8.039,4.232,37.478,<0.05)。白细胞计数减少影响因素的相加交互作用分析显示,性别与苯接触之间存在相加交互作用,相对超额危险度比()、归因比()和交互作用指数()分别为3.789(95%:2.280-5.299)、0.571(95%:0.414-0.726)和3.045(95%:1.699-5.459)。应加强天津市小微企业生产环境中苯作业的管理,以及对女性作业人员的个人防护用品和职业健康防护措施,以保护作业人员健康,预防职业病发生。

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