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工作相关头颈部损伤的风险因素:一项全国性调查。

Risk Factors of Work-Related Head and Neck Injuries: A National Survey.

作者信息

Masinaei Masoud, Asady Hadi, Shahtaheri Seyed Jamaleddin

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Department of Occupational Health Engineering, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Public Health. 2022 Dec;51(12):2799-2807. doi: 10.18502/ijph.v51i12.11471.

Abstract

BACKGROUND

Occupational accidents made injuries in different parts of the body; two important parts of them are head and neck. We aimed to identify the risk factors of work-related head and neck injuries with using of a nationwide occupational accident data.

METHODS

This analytical cross-sectional study was conducted on the nationwide data that was gathered in 2013-2018. The target population was industrialized and non-industrialized adults, aged 18 yr or older. Dependent variable was the head and neck injuries. The independent variables were included, age, sex, education level, work experience, job, shift work, injury cause, referred center, season, accident day, accident time, and action after accident. Univariate logistic regression analyses and subsequently, a multivariate logistic regression model was used for analysis.

RESULTS

Out of the 17066 injured workers, 4072 (23.86%) subjects had head and neck injuries. The results of multivariate logistic regressions model showed, age ranges 30-39 (OR = 1.218; 95% CI: 1.036,1.433; = 0.017), 40-49 (OR = 1.313; 95% CI: 1.044,1.652; = 0.020), and >= 60 (OR=1.620; 95%CI: 1.028,2.553; =0.038) and having male sex (OR = 1.657; 95% CI: 1.075,2.555; = 0.022) were final work-related risk factors of head and neck injuries in Iran. Also winter season (OR = 1.212; 95% CI: 1.00,1.469; = 0.050) could increase the head and neck injuries odds.

CONCLUSION

Older workers in Iran are more vulnerable against the occupational head and neck injuries. Moreover, having male sex was other risk factor of the head and neck injuries.

摘要

背景

职业事故会导致身体不同部位受伤;其中两个重要部位是头部和颈部。我们旨在利用全国性职业事故数据确定与工作相关的头部和颈部损伤的风险因素。

方法

本分析性横断面研究基于2013 - 2018年收集的全国性数据进行。目标人群为18岁及以上的工业化和非工业化成年人。因变量是头部和颈部损伤。自变量包括年龄、性别、教育水平、工作经验、工作、轮班工作、受伤原因、转诊中心、季节、事故日期、事故时间以及事故后的行动。采用单因素逻辑回归分析,随后使用多因素逻辑回归模型进行分析。

结果

在17066名受伤工人中,4072名(23.86%)受试者有头部和颈部损伤。多因素逻辑回归模型结果显示,年龄在30 - 39岁(OR = 1.218;95%CI:1.036,1.433;P = 0.017)、40 - 49岁(OR = 1.313;95%CI:1.044,1.652;P = 0.020)以及≥60岁(OR = 1.620;95%CI:1.028,2.553;P = 0.038)和男性(OR = 1.657;95%CI:1.075,2.555;P = 0.022)是伊朗与工作相关的头部和颈部损伤的最终风险因素。此外,冬季(OR = 1.212;95%CI:1.00,1.469;P = 0.050)会增加头部和颈部损伤的几率。

结论

伊朗年龄较大的工人更容易遭受职业性头部和颈部损伤。此外,男性是头部和颈部损伤的另一个风险因素。

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Risk factors of fatal occupational accidents in Iran.伊朗致命职业事故的风险因素。
Ann Occup Environ Med. 2018 May 2;30:29. doi: 10.1186/s40557-018-0241-0. eCollection 2018.
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Gender differences in occupational injury incidence.职业伤害发生率中的性别差异。
Am J Ind Med. 2015 Mar;58(3):299-307. doi: 10.1002/ajim.22414. Epub 2015 Jan 14.
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Epidemiological survey of head and neck injuries and trauma in the United States.美国头颈部损伤与创伤的流行病学调查。
Otolaryngol Head Neck Surg. 2014 Nov;151(5):776-84. doi: 10.1177/0194599814546112. Epub 2014 Aug 19.

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