Work intensity and work modification amid implementation of anti-epidemic activities

P. Shur, D. N. Lir, V.B. Alekseev, A. O. Barg, Ilia Vindokurov, E. V. Khrushcheva
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Abstract

Introduction. Assessment of work intensity (WI) is challenged by several methodical complications. It may involve certain underestimation of an actual hazard category of working conditions and fails to consider work modification. Materials and methods. The study relies on using analytical, sociological, and statistical methods. To test the selected approach, a sample was created from workers with mostly mental work (n=137, 77% females). Their average age was 43.9±8.0 years; average work experience was 14.5±3.7 years. Results. In this article, we suggest certain approaches to assessing WI. They include self-assessment of a factor using a specifically designed questionnaire; they clarify indicators that describe WI; when assessing working conditions, they rely on matrices of interrelated indicators. This procedure makes it possible to estimate levels of individual components and create an integral WI profile as well as identify contributions made by various intensity types to its overall structure. When testing the procedure, we established workers with mostly mental work to tend to have harmful working conditions as per WI factor (the hazard category 3.1 in 24.8% of the cases; 3.2, 56.9% of the cases; and the hazard category 3.3 in 17.5% of the cases). Mental (28.6±6.1%) and sensory (24.0±7.0%) loads are limiting components. Amid implementation of anti-epidemic activities, work regime was established as the most sensitive WI component (its contribution grew from 11.1±6.0 to 16.0±5.7%, p<0.05). Working conditions moved to a higher hazard category for 35.8% workers. Limitations. Assessment of working conditions uses threshold values introduced more than 30 years ago and can be adjusted for the existing employment conditions. The testing was accomplished on a rather small sample, which was biased as per gender and included workers with different occupations and positions. Conclusion. The suggested approaches offer wider opportunities to assess working conditions as per WI with respect to some occupations. This may substantiate a list of indicators that should be regulated by the existing sanitary legislation. Investigation of possible modification of factors during the pandemic makes it possible to describe eligibility of anti-epidemic activities without any deterioration of working conditions.
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在开展防疫活动中的工作强度和工作调整
简介工作强度(WI)评估在方法上存在一些复杂问题。它可能会低估工作条件的实际危害类别,并且没有考虑工作的调整。 材料和方法。本研究采用分析、社会学和统计学方法。为测试所选方法,研究人员从从事脑力劳动的工人(人数为 137 人,77% 为女性)中抽取样本。他们的平均年龄为 43.9±8.0岁;平均工作年限为 14.5±3.7年。 研究结果在本文中,我们提出了一些评估 WI 的方法。这些方法包括使用专门设计的问卷对某一因素进行自我评估;明确描述 WI 的指标;在评估工作条件时,依靠相互关联的指标矩阵。通过这一程序,我们可以估算出各个组成部分的水平,创建一个完整的 WI 概要,并确定各种强度类型对其整体结构的贡献。在对该程序进行测试时,我们根据 WI 因素确定了主要从事脑力劳动的工人往往具有有害的工作条件(24.8%的案例属于 3.1 类危害;56.9%的案例属于 3.2 类危害;17.5%的案例属于 3.3 类危害)。精神(28.6±6.1%)和感觉(24.0±7.0%)负荷是限制因素。在开展防疫活动期间,工作制度被确定为最敏感的 WI 组成部分(其贡献率从 11.1±6.0% 增加到 16.0±5.7%,p<0.05)。35.8%的工人的工作条件属于较高危类别。 局限性。工作条件评估使用的是 30 多年前引入的阈值,可根据现有的就业条件进行调整。测试是在一个相当小的样本上完成的,该样本在性别上存在偏差,并且包括不同职业和职位的工人。 结论建议的方法为评估某些职业的工作条件提供了更广泛的机会。这可以为现有卫生立法应规范的指标清单提供依据。对大流行病期间可能发生的因素变化进行调查,可以说明在工作条件没有任何恶化的情况下开展抗流行病活动的资格。
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