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基于专家判断,利用建筑工人的60个综合职业编制韩国建筑工作接触矩阵(KoConJEM)。

Development of the Korean construction job exposure matrix (KoConJEM) based on experts' judgment using the 60 consolidated occupations for construction workers.

作者信息

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

机构信息

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.

出版信息

Ann Work Expo Health. 2024 Apr 22;68(4):397-408. doi: 10.1093/annweh/wxae017.


DOI:10.1093/annweh/wxae017
PMID:38536905
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11033576/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/c7a8c438b8f2/wxae017_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/4221eb350b9b/wxae017_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/1ac2031f325f/wxae017_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/4d5d9ca178e8/wxae017_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/540be6bbbbe8/wxae017_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/c7a8c438b8f2/wxae017_fig5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/4221eb350b9b/wxae017_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/1ac2031f325f/wxae017_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/4d5d9ca178e8/wxae017_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/540be6bbbbe8/wxae017_fig4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f586/11033576/c7a8c438b8f2/wxae017_fig5.jpg

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本文引用的文献

[1]
A Pilot Establishment of the Job-Exposure Matrix of Lead Using the Standard Process Code of Nationwide Exposure Databases in Korea.

Saf Health Work. 2022-12

[2]
Epidemiology of occupational injuries in construction workers between 2009 and 2018 in South Korea.

Am J Ind Med. 2023-2

[3]
Reconstruction of the Korean Asbestos Job Exposure Matrix.

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[4]
Occupational cancer claims in Korea from 2010 to 2016.

Ann Occup Environ Med. 2018-11-1

[5]
Development of Quantitative Estimates of Wood Dust Exposure in a Canadian General Population Job-Exposure Matrix Based on Past Expert Assessments.

Ann Work Expo Health. 2019-1-7

[6]
Estimation of Lead Exposure Prevalence in Korean Population through Combining Multiple Experts' Judgment based on Objective Data Sources.

Ann Work Expo Health. 2018-2-13

[7]
Combining Lead Exposure Measurements and Experts' Judgment Through a Bayesian Framework.

Ann Work Expo Health. 2017-11-10

[8]
The Quality Control Program for Industrial Hygiene Laboratories in Korea.

Saf Health Work. 2017-9

[9]
Factors associated with the severity of fatal accidents in construction workers.

Med J Islam Repub Iran. 2016-12-28

[10]
Developing Asbestos Job Exposure Matrix Using Occupation and Industry Specific Exposure Data (1984-2008) in Republic of Korea.

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