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种子加工业工人的呼吸道疾病:2022 - 2023年西孟加拉邦农村的横断面研究

Respiratory Morbidity Among Seed-Processing Industry Workers: A Cross-Sectional Study in Rural West Bengal, 2022-2023.

作者信息

Dasgupta Akash, Sahu Monalisha, Paul Bobby, Bandyopadhyay Lina, Chaudhari Ankur, Dhara Abhijit

机构信息

Department of Preventive and Social Medicine, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.

Department of Occupational Health, All India Institute of Hygiene and Public Health, Kolkata, West Bengal, India.

出版信息

Indian J Occup Environ Med. 2024 Apr-Jun;28(2):148-153. doi: 10.4103/ijoem.ijoem_186_23. Epub 2024 Jun 28.

DOI:10.4103/ijoem.ijoem_186_23
PMID:39114103
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11302532/
Abstract

BACKGROUND

Seed processing workers are exposed to dust particles generated during the processing of seeds, which can have adverse effects on their respiratory health. Aim: to estimate the prevalence and patterns of respiratory morbidity among seed processing workers in Hooghly district, West Bengal, India, and to explore their use of respiratory personal protective equipment (PPE).

METHODS

A cross sectional observational study was conducted in 5 seed processing plants from December 2022 to February 2023. A sample size of 129 workers was selected using probability proportionate to population size to select seed processing plants and simple random sampling to select workers at selected plants. Data on sociodemographic characteristics, occupational profile, substance use patterns, respiratory PPE use, and respiratory symptoms were collected through structured interviews. Spirometry was performed with a hand held tabletop spirometer (RMS Helios 401) to assess respiratory function.

RESULTS

52.7% of participants reported at least one chronic respiratory symptom, while 17.1% had evident respiratory morbidity based on spirometry results, with most having restrictive patterns (10.1%). Multivariable regression analysis revealed that factors associated with respiratory morbidity included increasing work years of exposure [1.10 (1.02 1.18)], irregular use of respiratory PPE [4.36 (1.22 15.57)], and primary or below education level [6.09 (1.38 26.98)].

CONCLUSION

The study highlights the high prevalence of respiratory symptoms and morbidity among seed processing workers. It emphasizes the importance of implementing effective respiratory protection measures and raising awareness about occupational lung diseases in this industry. Further research and interventions are needed to improve the respiratory health and well being of seed processing workers.

摘要

背景

种子加工工人会接触到种子加工过程中产生的粉尘颗粒,这可能会对他们的呼吸系统健康产生不利影响。目的:评估印度西孟加拉邦胡格利区种子加工工人呼吸系统疾病的患病率和模式,并探讨他们对呼吸个人防护装备(PPE)的使用情况。

方法

2022年12月至2023年2月,在5家种子加工厂进行了一项横断面观察研究。采用与人口规模成比例的概率抽样方法选择种子加工厂,并在选定的工厂采用简单随机抽样方法选择129名工人作为样本。通过结构化访谈收集社会人口学特征、职业概况、物质使用模式、呼吸PPE使用情况和呼吸道症状的数据。使用手持式台式肺活量计(RMS Helios 401)进行肺活量测定,以评估呼吸功能。

结果

52.7%的参与者报告至少有一种慢性呼吸道症状,而根据肺活量测定结果,17.1%有明显的呼吸系统疾病,大多数表现为限制性模式(10.1%)。多变量回归分析显示,与呼吸系统疾病相关的因素包括接触工作年限增加[1.10(1.021.18)]、呼吸PPE使用不规律[4.36(1.2215.57)]以及小学及以下教育水平[6.09(1.38~26.98)]。

结论

该研究突出了种子加工工人呼吸道症状和疾病的高患病率。强调了在该行业实施有效的呼吸防护措施以及提高对职业性肺病认识的重要性。需要进一步的研究和干预措施来改善种子加工工人的呼吸健康和福祉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a093/11302532/89fda0eccd64/IJOEM-28-148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a093/11302532/89fda0eccd64/IJOEM-28-148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a093/11302532/89fda0eccd64/IJOEM-28-148-g001.jpg

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