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基于场所的工作场所皮肤癌预防:一项针对德国户外工作者的调查。

Setting-based skin cancer prevention at the workplace: A survey among German outdoor workers.

机构信息

Department of Medical Informatics, Biometry and Epidemiology, Professorship of Epidemiology and Public Health, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

Association of Dermatological Prevention, Buxtehude, Germany.

出版信息

Am J Ind Med. 2023 Jul;66(7):601-609. doi: 10.1002/ajim.23480. Epub 2023 Apr 4.

DOI:10.1002/ajim.23480
PMID:37013840
Abstract

BACKGROUND

Outdoor workers are at increased risk of developing skin cancer. Setting-based prevention at the workplace can reduce the UV exposure of outdoor workers through appropriate technical or organizational measures. We explored the implementation of setting-based UV protection at the workplace in Germany from the perspective of outdoor workers.

METHODS

A Germany-wide sample of 319 outdoor workers from different employment sectors (64.3% male) was surveyed via telephone on different technical and organizational measures for UV protection at the workplace. Bivariate analyses were performed to explore associations with job-related characteristics.

RESULTS

In general, 28.0% were rarely or never provided with a place in the shade during working hours, and 27.4% rarely or never provided with a shaded place during breaks. One-third had rarely or never the opportunity to work in the shade on hot summer days. Overall, 51.9% reported receiving protective clothing from their employer, 45.5% were provided with headgear, and 25.1% with sunscreen. About one-third had often or always the option of starting work earlier in the morning on hot summer days to work less in the sun, while 18.6% had to work overtime on such days. One-third (35.4%) had been educated at work about risks of solar radiation and sun protection measures.

CONCLUSIONS

Our study is among the first to present findings on the implementation of different setting-based UV protection measures at the workplace and provides starting points for employers and policy makers to improve UV protection at the workplace.

摘要

背景

户外工作者罹患皮肤癌的风险增加。基于场所的预防措施可通过适当的技术或组织措施减少户外工作者的紫外线暴露。我们从户外工作者的角度探讨了德国基于场所的紫外线防护措施在工作场所的实施情况。

方法

通过电话对来自不同就业部门的 319 名户外工作者(64.3%为男性)进行了一项全德范围的调查,询问了有关工作场所紫外线防护的不同技术和组织措施。进行了单变量分析以探讨与工作相关特征的关联。

结果

一般来说,仅有 28.0%的户外工作者在工作期间很少或从未有遮荫处,仅有 27.4%的户外工作者在休息期间很少或从未有遮荫处。三分之一的户外工作者很少或从未有机会在炎热的夏日在阴凉处工作。总体而言,51.9%的户外工作者从雇主处获得了防护服,45.5%的户外工作者配备了头盔,25.1%的户外工作者配备了防晒霜。约三分之一的户外工作者通常或总是可以选择在炎热的夏日早点开始工作,从而减少在阳光下的工作时间,而 18.6%的户外工作者在这些日子里需要加班。三分之一(35.4%)的户外工作者在工作场所接受过关于太阳辐射和防晒措施风险的教育。

结论

我们的研究是首批介绍工作场所基于场所的不同紫外线防护措施实施情况的研究之一,为雇主和政策制定者改善工作场所的紫外线防护提供了起点。

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Am J Ind Med. 2023 Jul;66(7):601-609. doi: 10.1002/ajim.23480. Epub 2023 Apr 4.
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