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埃塞俄比亚东部哈勒尔镇小型工业工人职业伤害的患病率及相关因素

Prevalence of occupational injuries and associated factors among small scale industry Workers in Harar Town, eastern Ethiopia.

作者信息

Debelu Desi, Tolera Sina Temesgen, Baraki Negga, Mengistu Dechasa Adare

机构信息

College of Health and Medical Sciences, Haramaya University, Dire Dawa, Ethiopia.

出版信息

Front Public Health. 2025 Feb 24;13:1532799. doi: 10.3389/fpubh.2025.1532799. eCollection 2025.

Abstract

BACKGROUND

Currently, small-scale industries pose significant risks for occupational injuries, particularly in developing countries, including Ethiopia. Despite this problem, there is limited evidence on the prevalence of occupation-related injuries in small-scale industries that can be utilized for proposing interventions. Therefore, this study aims to determine the prevalence of occupational injuries and associated factors among small-scale industry workers in Harar town, Ethiopia.

METHODS

A cross-sectional study employing a quantitative analysis was conducted in Harare town, Eastern Ethiopia, from March 12, 2023, to June 1, 2023. The source of population was all small-scale industry workers in Harar town, while the study population was workers working in selected small-scale industries. The sample size was determined based on the previous study finding reported 35.98% prevalence of occupational injuries. A simple random sampling method was employed to select the study participant, resulting in the inclusion of 639 participants in the study. Data were collected using pretested questionnaires and observational checklists, covering sociodemographic, occupational injuries, occupational health and safety practices, work environment, and behavioral related factors. The data were analyzed via SPSS version 22, and a value of <0.05 was considered the cut-off point for statistical significance in multivariate analysis.

RESULTS

Out of the 639 small-scale industry workers included in the current study, 634 provided a response, resulting in a 99.2% response rate. Among these workers, 417 workers (65.8%) reported exposure to occupational injuries at least once in their careers, of which 223 (35.2%) were exposed to injuries in the last 12 months. The most commonly injured body parts were the hands (34.11%), legs (29.13%), and fingers (26.69%). The study found a significant associations between occupational injuries and type of industry (AOR: 2.41, 95% CI: 1.07, 5.46), educational status (AOR: 2.49, 95% CI: 1.01, 2.83), training (AOR: 1.4, 95% CI: 1.35, 3.22), working space (AOR: 4.6, 95% CI: 2.62, 7.51), and workload (AOR: 2.88, 95% CI: 2.78, 11.64).

CONCLUSION

More than six out of 10 workers experienced injuries during their careers, with more than one-third being injured in the last 12 months. Workers with lower educational status, have no training, working in poor working conditions, and with higher workloads are at high risk of exposure. This highlights the need for improving occupational health and safety practices, including tailored training and supportive supervision to reduce injury in small-scale industries.

ORIGINALITY/VALUE: The findings from this study will be important for concerned bodies aiming to improve the occupational health and safety practices in small-scale industries and enhance the safe practices by addressing the safety culture in the working environment and policy making process.

摘要

背景

目前,小型工业对职业伤害构成重大风险,尤其是在包括埃塞俄比亚在内的发展中国家。尽管存在这一问题,但关于小型工业中与职业相关伤害的患病率的证据有限,这些证据可用于提出干预措施。因此,本研究旨在确定埃塞俄比亚哈勒尔镇小型工业工人的职业伤害患病率及相关因素。

方法

2023年3月12日至2023年6月1日在埃塞俄比亚东部的哈勒尔镇进行了一项采用定量分析的横断面研究。总体来源是哈勒尔镇所有小型工业工人,而研究人群是在选定小型工业中工作的工人。样本量根据先前研究报告的35.98%的职业伤害患病率确定。采用简单随机抽样方法选择研究参与者,最终639名参与者纳入研究。使用经过预测试的问卷和观察清单收集数据,涵盖社会人口统计学、职业伤害、职业健康与安全实践、工作环境和行为相关因素。数据通过SPSS 22版进行分析,在多变量分析中,P值<0.05被视为具有统计学意义的临界点。

结果

在本研究纳入的639名小型工业工人中,634人做出了回应,回应率为99.2%。在这些工人中,417名工人(65.8%)报告在其职业生涯中至少经历过一次职业伤害,其中223人(35.2%)在过去12个月内受过伤。最常受伤的身体部位是手(34.11%)、腿(29.13%)和手指(26.69%)。研究发现职业伤害与行业类型(比值比:2.41,95%置信区间:1.07,5.46)、教育程度(比值比:2.49,95%置信区间:1.01,2.83)、培训(比值比:1.4,95%置信区间:1.35,3.22)、工作空间(比值比:4.6,95%置信区间:2.62,7.51)和工作量(比值比:2.88,95%置信区间:2.78,11.64)之间存在显著关联。

结论

超过十分之六的工人在其职业生涯中受过伤,超过三分之一的人在过去12个月内受过伤。教育程度较低、未接受培训、工作条件差且工作量大的工人面临高暴露风险。这凸显了改善职业健康与安全实践的必要性,包括针对性培训和支持性监督,以减少小型工业中的伤害。

原创性/价值:本研究的结果对于旨在改善小型工业职业健康与安全实践并通过解决工作环境中的安全文化和决策过程来加强安全实践的相关机构具有重要意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f128/11891239/549a468aca07/fpubh-13-1532799-g001.jpg

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