Li P, Li M L, Gao Y, Wang X
Occupational Disease Prevention and Control Office, Tianjin Centers for Disease Control and Prevention, Tianjin 300011, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2022 Apr 20;40(4):283-287. doi: 10.3760/cma.j.cn121094-20201012-00573.
To investigate the detection of suspected occupational diseases and occupational contraindications for benzene workers in Tianjin. In June 2020, the occupational health inspection data of 16113 benzene workers in 514 enterprises with benzene hazards in 16 municipal districts in Tianjin from January to December 2019 were included in the analysis. Enterprise information included the employer's region, economic type, industry classification and enterprise scale. Occupational health inspection data for benzene workers during their on-the-job period included routine inspection indicators and benzene special inspection indicators. Multivariate unconditional logistic regression was used to analyze the relationship between personal general information, occupational history, enterprise information and suspected benzene poisoning and occupational contraindications of benzene workers. There were 16073 benzene workers in the normal group and 24 in the suspected benzene poisoning group. The detection rate of suspected benzene poisoning in females was higher than that in males ((2)=8.26, =0.004) . There was no significant difference in the detection rates of suspected benzene poisoning among different dimensions such as age, length of service, occupational health inspection institution location, employer location, industry classification, economic type, and enterprise scale (>0.05) . There were 16073 benzene workers in the normal group and 16 in the benzene contraindication group. The detection rate of benzene contraindications for workers in suburban areas where occupational health inspection institutions were located was higher than that in urban areas ((2)=9.71, =0.002) , and there was no significant difference in the detection rates of contraindications for benzene in other dimensions (>0.05) . Multivariate logistic regression analysis showed that female benzene workers were more likely to detect suspected benzene poisoning (=3.53, 95%: 1.57-7.94, =0.002) ; benzene workers who received physical examination in suburban occupational health inspection institutions (=5.81, 95%: 1.94-17.42, =0.002) , the employer's area was in the suburbs (=9.68, 95%: 1.23-76.07, =0.031) , and female workers (=3.07, 95%: 1.13-8.37, =0.028) , it was easier to detect occupational contraindications. Female benzene workers with employers located in the suburbs have a higher risk of detecting occupational contraindications, and women are more likely to detect suspected benzene poisoning. The management of benzene operations in the production environment of enterprises in the suburbs of Tianjin and the occupational health monitoring of female workers should be strengthened.
调查天津市苯作业人员疑似职业病及职业禁忌证的检出情况。2020年6月,纳入天津市16个行政区514家存在苯危害企业的16113名苯作业人员2019年1月至12月的职业健康检查数据进行分析。企业信息包括用人单位所在地区、经济类型、行业分类及企业规模。苯作业人员在岗期间职业健康检查数据包括常规检查指标和苯专项检查指标。采用多因素非条件logistic回归分析苯作业人员个人一般信息、职业史、企业信息与疑似苯中毒及职业禁忌证之间的关系。正常组苯作业人员16073名,疑似苯中毒组24名。女性苯作业人员疑似苯中毒检出率高于男性(χ²=8.26,P=0.004)。年龄、工龄、职业健康检查机构所在地、用人单位所在地、行业分类、经济类型、企业规模等不同维度间疑似苯中毒检出率差异无统计学意义(P>0.05)。正常组苯作业人员16073名,苯职业禁忌证组16名。职业健康检查机构所在郊区的作业人员苯职业禁忌证检出率高于城区(χ²=9.71,P=0.002),其他维度苯职业禁忌证检出率差异无统计学意义(P>0.05)。多因素logistic回归分析显示,女性苯作业人员更易检出疑似苯中毒(OR=3.53,95%CI:1.57-7.94,P=0.002);在郊区职业健康检查机构体检的苯作业人员(OR=5.81,95%CI:1.94-17.42,P=0.002)、用人单位地区在郊区的(OR=9.68,95%CI:1.23-76.07,P=0.031)、女性作业人员(OR=3.07,95%CI:1.13-8.37,P=0.028)更易检出职业禁忌证。用人单位位于郊区的女性苯作业人员职业禁忌证检出风险较高,女性更易检出疑似苯中毒。应加强天津市郊区企业生产环境中苯作业的管理及女职工职业健康监护。