Choi Sangjun, Lee Kwang Min, Park Hyunhee, Shim Gyu-Beom, Lee Sun Woo, Kim Yoon-Ji, Lee Eun-Soo, Kim Youngki, Kang Dongmug, Park Ju-Hyun, Kim Se-Yeong
Graduate School of Public Health and Healthcare Management, The Catholic University of Korea, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea.
Catholic Institute for Public Health and Healthcare Management, 222, Banpo-daero, Seocho-gu, Seoul 06591, Korea.
Ann Work Expo Health. 2024 Apr 22;68(4):397-408. doi: 10.1093/annweh/wxae017.
BACKGROUND: This study was conducted as an effort to develop a Korean construction job exposure matrix (KoConJEM) based on 60 occupations recently consolidated by the construction workers mutual aid association for use by the construction industry. METHODS: The probability, intensity, and prevalence of exposure to 26 hazardous agents for 60 consolidated occupations were evaluated as binary (Yes/No) or four categories (1 to 4) by 30 industrial hygiene experts. The score for risk was calculated by multiplying the exposure intensity by the prevalence of exposure. Fleiss' kappa for each hazardous agent and occupation was used to determine agreement among the 30 experts. The JEM was expressed on a heatmap and a web-based dashboard to facilitate comparison of factors affecting exposure according to each occupation and hazardous agent. RESULTS: Awkward posture, heat/cold, heavy lifting, and noise were hazardous agents regarded as exposure is probable by at least one or more experts in all occupations, while exposure to asphalt fumes was considered hazardous in the smallest number of occupations (n = 5). Based on the degree of agreement among experts, more than half of the harmful factors and most occupations showed fair to good results. The highest risk value was 16 for awkward posture for most occupations other than safety officer. CONCLUSIONS: The KoConJEM provides information on the probability, intensity, and prevalence of exposure to harmful factors, including most occupations employing construction workers; therefore, it may be useful in the conduct of epidemiological studies on assessment of health risk for construction workers.
背景:本研究旨在基于建筑工人互助协会最近整合的60种职业,开发一份韩国建筑工作暴露矩阵(KoConJEM),供建筑行业使用。 方法:30名工业卫生专家将60种整合职业接触26种有害因素的概率、强度和流行程度评估为二元(是/否)或四类(1至4)。风险得分通过将暴露强度乘以暴露流行率来计算。使用每种有害因素和职业的弗莱iss卡帕系数来确定30名专家之间的一致性。JEM以热图和基于网络的仪表板形式呈现,以便于比较各职业和有害因素对暴露影响的因素。 结果:在所有职业中,至少有一名或多名专家认为不良姿势、热/冷、重物搬运和噪音是可能接触的有害因素,而接触沥青烟雾被认为有害的职业数量最少(n = 5)。根据专家之间的一致程度,超过一半的有害因素和大多数职业显示出中等至良好的结果。除安全官员外,大多数职业中不良姿势的最高风险值为16。 结论:KoConJEM提供了接触有害因素的概率、强度和流行程度的信息,包括大多数雇佣建筑工人的职业;因此,它可能有助于开展评估建筑工人健康风险的流行病学研究。
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