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德国学校在 SARS-CoV-2 大流行期间实施职业安全和健康措施的情况。横断面研究涉及 31089 名教师。

Implementation of occupational safety and health measures at German schools during the SARS-CoV-2 pandemic-cross-sectional results from 31,089 teachers.

机构信息

Institute of Occupational, Social and Environmental Medicine, University Medical Center of the University of Mainz, Mainz, Germany.

Institute for Teachers' Health, University Medical Center of the Johannes Gutenberg University of Mainz, Mainz, Germany.

出版信息

Front Public Health. 2023 Feb 28;11:1097371. doi: 10.3389/fpubh.2023.1097371. eCollection 2023.

Abstract

BACKGROUND

The SARS-CoV-2 pandemic exacerbated existing health-related challenges in schools and created new ones. Under pandemic conditions, health risks increased, and with them the requirements for occupational safety and health (OSH) measures. The aim of the study was (a) to examine the status quo of OSH measures in German schools, (b) to analyze whether the implementation of OSH measures was associated with preferable outcomes and (c) to identify predictors for the implementation of OSH measures.

METHODS

A nationwide cross-sectional online survey was conducted among teachers at all school types in Germany in March 2021. Data on the implementation of OSH measures (risk assessments, infection protection instructions and instructions on occupational safety), associated health-related parameters (e.g., somatic symptoms, PHQ-15) and predictor variables (e.g., gender, age or federal states) were assessed using descriptive statistics, analysis of variance and multiple linear regression analysis.

RESULTS

Less than 10% of surveyed teachers ( = 31,089) reported that their schools met legal requirements for occupational safety and health measures. Beneficial associations became apparent where more measures were implemented, e.g., significantly better somatic and mental health. Predictors for the implementation of OSH measures were found, especially on a systemic level (e.g., federal states schools were located in).

CONCLUSIONS

Our study can serve as a basis for future studies. It provides a status quo regarding the implementation of, associations with and predictors for OSH measures in German schools. Our results are best understood as evidence-based arguments to encourage political decision makers to improve the implementation of OSH measures in German schools and thereby foster teachers' health.

摘要

背景

SARS-CoV-2 大流行加剧了学校现有的与健康相关的挑战,并带来了新的挑战。在大流行期间,健康风险增加了,对职业安全与健康(OSH)措施的要求也随之提高。本研究的目的是:(a)检查德国学校 OSH 措施的现状;(b)分析实施 OSH 措施是否与更好的结果相关;(c)确定实施 OSH 措施的预测因素。

方法

2021 年 3 月,在德国所有类型学校的教师中进行了一项全国性的横断面在线调查。使用描述性统计、方差分析和多元线性回归分析,评估了 OSH 措施(风险评估、感染防护说明和职业安全说明)的实施情况、相关健康参数(例如躯体症状、PHQ-15)和预测变量(例如性别、年龄或联邦州)的数据。

结果

不到 10%的被调查教师(n=31089)报告说,他们的学校符合职业安全和健康措施的法律要求。实施更多措施会产生有益的关联,例如躯体和心理健康状况明显改善。发现了实施 OSH 措施的预测因素,特别是在系统层面上(例如,学校所在的联邦州)。

结论

我们的研究可以为未来的研究提供基础。它提供了德国学校实施 OSH 措施、与措施相关联以及措施预测因素的现状。我们的研究结果最好被理解为基于证据的论点,以鼓励政治决策者改善德国学校的 OSH 措施实施情况,从而促进教师的健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4359/10011118/41020873d5cf/fpubh-11-1097371-g0001.jpg

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