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Health Outcomes Related to Multiple Exposures in Occupational Settings: A Review.

作者信息

Barbey Cassandra, Bonvallot Nathalie, Clerc Frédéric

机构信息

Department of Pollutant Metrology, French Research and Safety Institute for the Prevention of Occupational Accidents and Diseases (INRS), 54547 Vandœuvre-lès-Nancy, France.

Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, F-35000 Rennes, France.

出版信息

Saf Health Work. 2024 Dec;15(4):382-395. doi: 10.1016/j.shaw.2024.10.004. Epub 2024 Oct 28.


DOI:10.1016/j.shaw.2024.10.004
PMID:39697318
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650800/
Abstract

Individuals are constantly exposed to hazardous factors that can affect their health, the hazards encountered in the workplace can lead to the development of occupational diseases. Risk mitigation measures help to reduce the risks, but they are often designed without consideration of interactions between occupational exposures. Therefore, there is a need for research and it resulted in international research plans and programmes. The aim of this scoping review is to provide an overview of the scientific results related to the link between multiple occupational exposures and human health outcomes. Sixty-three articles were reviewed. Research articles were included only if they mentioned: several combined exposures, the direct characterisation of each exposure, and exposure/health outcome associations. Seven activity sectors were identified: 'extraction and energy production and distribution', 'health care', 'banks, public administration and defence', 'chemical production', 'manufacturing industry', 'agriculture and food industry' and 'transport and logistics'. Six multiple exposures scenarios were identified: chemical ( = 35), chemical/physical-biomechanical ( = 22), chemical/psychosocial-organisational ( = 6), physical-biomechanical ( = 9), physical-biomechanical/psychosocial-organisational ( = 13), and psychosocial-organisational ( = 12). The health problems identified concern nervous, mental, respiratory, musculoskeletal, auditory and other systems. Eighty-eight of 97 (91%) multiple exposure/health problem associations were reported to be statistically significant. Twenty studies (32%) provided specific risk prevention advice for multiple exposures. Prevention aimed at reducing risks to workers' health is still underdeveloped, further research is needed to improve prevention methods. No study was related to biological risk, and some other multiple exposures known to have health effects were not identified as well. This highlights the need for more multiple exposures research.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/eb870d06cb6e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/620a90413bb2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/70bc0530f820/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/eb870d06cb6e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/620a90413bb2/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/70bc0530f820/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f608/11650800/eb870d06cb6e/gr3.jpg

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[1]
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本文引用的文献

[1]
Association of pesticide exposure with respiratory health outcomes and rhinitis in avocado farmworkers from Michoacán, Mexico.

Sci Total Environ. 2024-10-1

[2]
Association between exposure to metalworking fluid aerosols, occupational noise and chronic kidney disease: a cross-sectional study in China.

BMC Public Health. 2024-6-4

[3]
Effects of the combined exposure to chemicals and unusual working hours.

Ann Work Expo Health. 2024-7-8

[4]
Hip osteoarthritis and occupational mechanical exposures: a systematic review and meta-analysis.

Scand J Work Environ Health. 2024-5-1

[5]
Co-exposure of petrochemical workers to noise and mixture of benzene, toluene, ethylbenzene, xylene, and styrene: Impact on mild renal impairment and interaction.

Environ Pollut. 2024-4-1

[6]
Association with Combined Occupational Hazards Exposure and Risk of Metabolic Syndrome: A Workers' Health Examination Cohort 2012-2021.

Saf Health Work. 2023-9

[7]
Occupational mechanical exposures as risk factor for chronic low-back pain: a systematic review and meta-analysis.

Scand J Work Environ Health. 2023-10-1

[8]
Exploring exposure to multiple psychosocial work factors: prospective associations with depression and sickness absence.

Eur J Public Health. 2023-10-10

[9]
Occupational exposure to noise and dust in Swedish soft paper mills and mortality from ischemic heart disease and ischemic stroke: a cohort study.

Int Arch Occup Environ Health. 2023-9

[10]
The impact of noise exposure and work posture on job stress in a food company.

Work. 2022

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