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Cover Image: Volume 67 Issue 10 封面图片:第 67 卷第 10 期
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-23 DOI: 10.1002/ajim.23667
Andrew Zarnke PhD, Sarah Rhodes PhD, Nathan DeBono PhD, Colin Berriault MA, Sandra C. Dorman PhD

Cover Caption: The cover image is based on the Article Incidence of cardiovascular disease in a cohort of mine workers exposed to ultrafine aluminum powder in Ontario, Canada by Andrew Zarnke et al., https://doi.org/10.1002/ajim.23646.

封面标题:封面图片根据 Andrew Zarnke 等人撰写的文章《加拿大安大略省接触超细铝粉的矿工队列中心血管疾病的发病率》(Incidence of cardioascular disease in a cohort of mine workers exposed to ultrafine aluminum powder in Ontario, Canada)制作,https://doi.org/10.1002/ajim.23646。
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引用次数: 0
Work-related injuries and illnesses (WRII) presenting to Illinois hospitals, 2017−2021: The importance of emergency department (ED) data 2017-2021 年伊利诺伊州医院收治的工伤和疾病 (WRII):急诊科(ED)数据的重要性。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-21 DOI: 10.1002/ajim.23658
Brett Shannon MBBS, PhD, Courtney Ryder PhD, Chibuzor Abasilim PhD, Kirsten Almberg PhD, Tessa Bonney PhD, Lee S. Friedman PhD

Objectives

Research characterizing work-related injuries and illnesses (WRII) has predominantly focused on inpatients and deaths, despite evidence that 4% of WRII are admitted as inpatients and deaths are less than 0.2% of acute WRII. Our aim is to determine the usefulness of incorporating emergency department (ED) hospital data into current occupational health surveillance systems.

Methods

Data on ED and admitted WRII treated in Illinois hospitals from 2017 to 2021 were analyzed. Demographic characteristics, primary diagnosis, procedures undertaken, and unique patient estimates are described. Multivariable logistic regression models were developed to evaluate predictors of treatment in the ED and multivariable median regression models determined associations of total hospital charges.

Results

Between 2017 and 2021 there were 488,033 hospital presentations (95.9% nonadmissions) for WRII in Illinois, equating to a crude annual population rate of 1502.1/100,000. Non-Hispanic Whites (NHW) were disproportionately treated for illnesses, while Hispanic or Latino workers were disproportionately treated for injuries. African-Americans had the highest rate of ED emergent presentations (incident rate ratio [IRR] = 1.3, ref = NHW) and were less likely to be admitted for emergent presentations (IRR = 0.7, ref = NHW). ED presentations were more likely to be female, present with an injury, and at a rural, versus urban, hospital. Radiological investigations compromised the majority of procedures for nonadmitted patients (n = 403,317), and 94.8% were coded for a body region

Conclusion

Between 2017 and 2021 in Illinois, there were nearly 500,000 hospital visits charged to workers' compensation totaling over US$ four billion. ED data provide additional insights into work-related chronic conditions, health disparities, and the usage of diagnostic and therapeutic procedures for WRII.

目的:有关工伤与疾病(WRII)特征的研究主要集中在住院病人和死亡病例上,尽管有证据表明 4% 的工伤与疾病是作为住院病人入院的,而死亡病例不到急性工伤与疾病的 0.2%。我们的目的是确定将急诊科(ED)医院数据纳入当前职业健康监测系统是否有用:分析了 2017 年至 2021 年伊利诺伊州医院治疗的 ED 和入院 WRII 数据。文中描述了人口统计学特征、主要诊断、采取的程序和独特的患者估计值。建立了多变量逻辑回归模型来评估急诊室治疗的预测因素,多变量中位回归模型确定了医院总费用的相关性:2017年至2021年间,伊利诺伊州有488,033人因WRII住院治疗(95.9%为非住院),相当于每年1502.1/100,000的粗人口比例。非西班牙裔白人(NHW)接受疾病治疗的比例偏高,而西班牙裔或拉丁裔工人接受伤害治疗的比例偏高。非裔美国人的急诊就诊率最高(事故率比 [IRR] = 1.3,参考值 = NHW),但因急诊就诊而入院的可能性较低(事故率比 = 0.7,参考值 = NHW)。急诊室就诊者更可能是女性、受伤时就诊、在农村医院而非城市医院就诊。放射检查是非入院患者的主要检查项目(n = 403,317 例),94.8% 的检查项目被编码为身体某个区域 结论:2017 年至 2021 年,伊利诺伊州有近 50 万次医院就诊被计入工伤赔偿,总金额超过 40 亿美元。急诊室数据为了解与工作相关的慢性病、健康差异以及工伤康复研究所诊断和治疗程序的使用情况提供了更多信息。
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引用次数: 0
Re: Schulte et al., “An urgent call to address work-related psychosocial hazards and improve worker well-being”: It's time to develop a national regulation regarding work-related psychosocial hazards Re:Schulte 等人,"解决与工作有关的社会心理危害和改善工人福祉的紧急呼吁":是时候制定与工作相关的社会心理危害的国家法规了。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-20 DOI: 10.1002/ajim.23657
Marnie Dobson PhD, Pouran Faghri MD, MS, FACSM, Paul Landsbergis PhD, MPH, David LeGrande RN, Suzanne Nobrega PhD, Laura Punnett ScD, Serena Rice MS, Peter Schnall MD, MPH, Amy Bahruth MS, Dean Baker MD, MPH, Sherry Baron MD, David Blustein PhD, Jennifer Cavallari ScD, CIH, Martin Cherniack MD, MPH, Louis Fazen MD, PhD, Marcy Goldstein-Gelb MS, Viviola Gomez-Ortiz PhD, M. Gloria González-Morales PhD, DEA, Leslie B. Hammer PhD, Joseph “Chip” Hughes MS, Anthony D. LaMontagne ScD, MA, Med, Jessica Martinez BA, Gary Namie PhD, Eric Persaud DrPH, Preethi Pratap PhD, Milly Rodriguez MPH, Jonathan Rosen MS, Ellen Rosskam PhD, Kathleen M. Rospenda PhD, Steve Sallman, Grace Sembajwe ScD, Robert Sinclair PhD, Laura Stock MPH, Keith Wrightson, David Yamada JD, Liu-Qin Yang PhD, Ed Yelin PhD, Jennifer Zelnick MSW, ScD, Jeanette Zoeckler PhD, MPH
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引用次数: 0
Authors' response to “It's time to develop a national regulation regarding work-related psychosocial hazards” 作者对 "是时候制定与工作相关的社会心理危害国家法规了 "的回应。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-20 DOI: 10.1002/ajim.23659
Paul A. Schulte PhD, Steven L. Sauter PhD, Sudha P. Pandalai MD, Hope M. Tiesman PhD, Lewis C. Chosewood MD, Thomas R. Cunningham PhD, Steven J. Wurzelbacher PhD, Rene Pana-Cryan PhD, Naomi G. Swanson PhD, Chia-Chia Chang MPH, Jeannie A. S. Nigam MS, Dori B. Reissman MD, Tapas K. Ray PhD, John Howard MD
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引用次数: 0
Supporting companies dealing with asbestos risk: Practical tools for occupational health services, risk prevention specialists, and companies. 支持企业应对石棉风险:职业健康服务、风险预防专家和公司的实用工具。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-19 DOI: 10.1002/ajim.23660
Isabelle Monnerais, Mireille Loizeau

Although asbestos has been officially banned in France for over two decades, it remains a major public health and occupational health issue. In 2012, French asbestos regulations became considerably more stringent and complex. Consequently, French Public Works and Building Trades Prevention Organisation (OPPBTP) and occupational health services have been working together for several years to support construction professionals. This support involves information, training and advice. This article presents the range of tools developed by OPPBTP and occupational health services to better understand the asbestos risk as it affects construction companies. These tools and this partnership have demonstrated positive results in confronting risk and in the implementation of suitable means of prevention. They serve the best interests of employees, companies and clients, by combining safeguards to employees' health and worksite performance.

尽管石棉在法国已被正式禁用二十多年,但它仍然是一个重大的公共卫生和职业健康问题。2012 年,法国的石棉法规变得更加严格和复杂。因此,法国公共工程和建筑行业预防组织(OPPBTP)和职业健康服务机构多年来一直在合作,为建筑专业人员提供支持。这种支持包括提供信息、培训和建议。本文介绍了 OPPBTP 和职业健康服务机构为更好地了解影响建筑公司的石棉风险而开发的一系列工具。这些工具和合作关系在应对风险和实施适当的预防手段方面取得了积极的成果。它们将保障员工健康和工地绩效结合起来,为员工、公司和客户的最佳利益服务。
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引用次数: 0
Correction to “Medical costs and incremental medical costs of asthma among workers in the United States” 更正 "美国工人哮喘的医疗成本和增量医疗成本"。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-18 DOI: 10.1002/ajim.23656

Bhattacharya A, Syamlal G, Dodd KE. Medical costs and incremental medical costs of asthma among workers in the United States. Am J Ind Med. 2024;67:834-843. doi:10.1002/ajim.23633

In the affiliation of the first author, “Respiratory Health Division” has been corrected to “Office of the Director.”

Anasua Bhattacharya1

Office of the Director, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio, USA.

We apologize for this error.

Bhattacharya A, Syamlal G, Dodd KE.美国工人哮喘的医疗成本和增量医疗成本。Am J Ind Med.2024;67:834-843.doi:10.1002/ajim.23633在第一作者的单位中,"呼吸健康处 "已更正为 "主任办公室"。Anasua Bhattacharya1美国俄亥俄州辛辛那提市疾病控制和预防中心国家职业安全和健康研究所主任办公室。
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引用次数: 0
Job strain and adverse pregnancy outcomes: A scoping review and meta-analysis 工作压力与不良妊娠结局:范围综述和荟萃分析。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-05 DOI: 10.1002/ajim.23655
Kota Nakayama, Etsuji Suzuki MD, PhD, Natalie Slopen ScD, Ichiro Kawachi MD, PhD

Background

Previous studies have shown that job strain is associated with low birthweight (LBW), preterm birth (PTB), and small for gestational age (SGA). We conducted a scoping review and meta-analysis to assess the association between job strain and adverse pregnancy outcomes.

Methods

A literature search was performed on PubMed. We included English-language studies that examined the association between job strain (based on the Karasek demand-control model) and pregnancy outcomes. We excluded letters, posters, reviews, and qualitative studies. Random effects meta-analysis was performed. Heterogeneity was assessed using τ2 and I2 statistics. Potential bias was assessed using standard funnel plots. Asymmetry was evaluated by Egger's test. Leave-one-out analysis was performed for sensitivity analyses.

Results

Three eligible studies were found for LBW, seven for PTB, and four for SGA. The number of subjects ranged from 135 to 4889, and the prevalence of high job strain ranged from 6.64% to 33.9%. The pooled odds ratio and 95% confidence interval (CI) for LBW, PTB, and SGA were 1.23 (95% CI: 0.97, 1.56), 1.10 (95% CI: 1.00, 1.22), and 1.16 (95% CI: 0.97, 1.39) respectively, indicating modest associations. Heterogeneity for LBW and PTB may not be important but may be moderate for SGA. No publication bias was detected for LBW and PTB, but possible publication bias exists for SGA.

Conclusion

We found a modest association between job strain and PTB. Since job strain is only one of the many aspects of an unhealthy work environment, interventions that improve working conditions more broadly are needed.

背景:以往的研究表明,工作压力与低出生体重(LBW)、早产(PTB)和小胎龄(SGA)有关。我们进行了一项范围综述和荟萃分析,以评估工作压力与不良妊娠结局之间的关联:我们在 PubMed 上进行了文献检索。我们纳入了研究工作压力(基于卡拉塞克需求控制模型)与妊娠结局之间关系的英文研究。我们排除了信件、海报、综述和定性研究。进行了随机效应荟萃分析。使用τ2和I2统计量评估异质性。使用标准漏斗图评估潜在偏倚。通过 Egger 检验评估不对称情况。对敏感性分析进行了剔除分析:符合条件的研究有 3 项针对低体重儿,7 项针对小儿麻痹症,4 项针对 SGA。受试者人数从 135 人到 4889 人不等,高工作负荷率从 6.64% 到 33.9% 不等。LBW、PTB 和 SGA 的合计几率比和 95% 置信区间(CI)分别为 1.23(95% CI:0.97, 1.56)、1.10(95% CI:1.00, 1.22)和 1.16(95% CI:0.97, 1.39),表明相关性不大。低体重儿和初产妇的异质性可能并不重要,但 SGA 的异质性可能适中。未发现LBW和PTB存在发表偏倚,但SGA可能存在发表偏倚:我们发现工作压力与婴儿肥胖之间存在一定的联系。由于工作压力只是不健康工作环境的诸多方面之一,因此需要更广泛地采取干预措施来改善工作条件。
{"title":"Job strain and adverse pregnancy outcomes: A scoping review and meta-analysis","authors":"Kota Nakayama,&nbsp;Etsuji Suzuki MD, PhD,&nbsp;Natalie Slopen ScD,&nbsp;Ichiro Kawachi MD, PhD","doi":"10.1002/ajim.23655","DOIUrl":"10.1002/ajim.23655","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Previous studies have shown that job strain is associated with low birthweight (LBW), preterm birth (PTB), and small for gestational age (SGA). We conducted a scoping review and meta-analysis to assess the association between job strain and adverse pregnancy outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A literature search was performed on PubMed. We included English-language studies that examined the association between job strain (based on the Karasek demand-control model) and pregnancy outcomes. We excluded letters, posters, reviews, and qualitative studies. Random effects meta-analysis was performed. Heterogeneity was assessed using <i>τ</i><sup>2</sup> and <i>I</i><sup>2</sup> statistics. Potential bias was assessed using standard funnel plots. Asymmetry was evaluated by Egger's test. Leave-one-out analysis was performed for sensitivity analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three eligible studies were found for LBW, seven for PTB, and four for SGA. The number of subjects ranged from 135 to 4889, and the prevalence of high job strain ranged from 6.64% to 33.9%. The pooled odds ratio and 95% confidence interval (CI) for LBW, PTB, and SGA were 1.23 (95% CI: 0.97, 1.56), 1.10 (95% CI: 1.00, 1.22), and 1.16 (95% CI: 0.97, 1.39) respectively, indicating modest associations. Heterogeneity for LBW and PTB may not be important but may be moderate for SGA. No publication bias was detected for LBW and PTB, but possible publication bias exists for SGA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>We found a modest association between job strain and PTB. Since job strain is only one of the many aspects of an unhealthy work environment, interventions that improve working conditions more broadly are needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":7873,"journal":{"name":"American journal of industrial medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142131664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency department visits for heat-related illness among workers: Occupational health surveillance using Washington syndromic surveillance data 工人因热病而到急诊室就诊:利用华盛顿州症候群监测数据进行职业健康监测。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-02 DOI: 10.1002/ajim.23650
Sara Wuellner PhD, MPH, Kali Turner MPH, June T. Spector MD, MPH

Background

Information on worker occupation and industry is critical to understanding the occupational risks of heat-related illness (HRI), yet few syndromic surveillance systems capture these key data elements. This study evaluates the work data reported through Washington syndromic surveillance for its utility in characterizing HRI ED visits by industry and occupation.

Methods

Standard industry and occupation codes were assigned to employer name and occupation descriptions reported in Washington ED visit records maintained within the state's syndromic surveillance system, for visits involving HRI in 2020–2022. HRI ED visits involving workplace heat exposure were identified based on discharge diagnoses or on keywords in the triage note or chief complaint fields. HRI ED visits were summarized by patient characteristics, and visit rates were calculated by industry and occupation.

Results

Employer name or occupation descriptions were reported in 21.5% of HRI ED records among patients age 16 and older, and in 41.2% of records with mention of heat exposure at work. Twice as many records were classified for industry as for occupation. Agriculture, forestry, fishing, and hunting and transportation and warehousing had the highest rates of HRI ED visits. Specific industries with the highest rates included support activities for agriculture and forestry, the postal service, and fruit and vegetable preserving and specialty food manufacturing.

Conclusion

Syndromic surveillance data are a valuable source of occupational health surveillance information when work characteristics are reported, enhancing our understanding of the occupational risks of injuries and illnesses.

背景:工人职业和行业信息对于了解热相关疾病(HRI)的职业风险至关重要,但很少有综合征监测系统能捕捉到这些关键数据元素。本研究评估了华盛顿州综合症监测系统报告的工作数据,以确定其在按行业和职业划分热相关疾病急诊就诊人数方面的实用性:方法:针对 2020-2022 年期间涉及 HRI 的就诊情况,为华盛顿州综合症监测系统中保存的急诊室就诊记录中报告的雇主名称和职业描述分配了标准行业和职业代码。根据出院诊断或分诊记录或主诉字段中的关键字确定涉及工作场所热暴露的 HRI 急诊就诊。根据患者特征对急诊室 HRI 就诊情况进行汇总,并按行业和职业计算就诊率:在 16 岁及以上患者的 HRI 急诊记录中,21.5% 的记录报告了雇主名称或职业描述,41.2% 的记录提到了工作中的热暴露。行业分类记录是职业分类记录的两倍。农业、林业、渔业和狩猎业以及运输和仓储业的 HRI 急诊就诊率最高。发病率最高的特定行业包括农业和林业的辅助活动、邮政服务、果蔬保鲜和特色食品制造:当报告工作特征时,综合监测数据是职业健康监测信息的一个宝贵来源,可增强我们对伤病职业风险的了解。
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引用次数: 0
Managing workplace AI risks and the future of work 管理工作场所的人工智能风险和工作的未来。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-02 DOI: 10.1002/ajim.23653
John Howard MD, Paul Schulte PhD

Artificial intelligence (AI)—the field of computer science that designs machines to perform tasks that typically require human intelligence—has seen rapid advances in the development of foundation systems such as large language models. In the workplace, the adoption of AI technologies can result in a broad range of hazards and risks to workers, as illustrated by the recent growth in industrial robotics and algorithmic management. Sources of risk from deployment of AI technologies across society and in the workplace have led to numerous government and private sector guidelines that propose principles governing the design and use of trustworthy and ethical AI. As AI capabilities become integrated in devices, machines, and systems across industry sectors, employers, workers, and occupational safety and health practitioners will be challenged to manage AI risks to worker health, safety, and well-being. Five risk management options are presented as ways to assure that only trustworthy and ethical AI enables workplace devices, machinery, and processes. AI technologies will play a significant role in the future of work. The occupational safety and health practice and research communities need to ensure that the promise of these new AI technologies results in benefit, not harm, to workers.

人工智能(AI)是计算机科学领域的一门学科,它设计机器来完成通常需要人类智慧才能完成的任务,在大型语言模型等基础系统的开发方面取得了突飞猛进的进展。在工作场所,采用人工智能技术会给工人带来广泛的危害和风险,最近工业机器人和算法管理的发展就说明了这一点。在全社会和工作场所部署人工智能技术的风险来源,促使政府和私营部门制定了许多指导方针,提出了设计和使用可信和合乎道德的人工智能的原则。随着人工智能功能被整合到各行业领域的设备、机器和系统中,雇主、工人和职业安全与健康从业人员将面临管理人工智能对工人健康、安全和福祉的风险的挑战。本文提出了五种风险管理方案,以确保只有值得信赖、符合道德规范的人工智能才能为工作场所的设备、机器和流程提供支持。人工智能技术将在未来的工作中发挥重要作用。职业安全与健康实践和研究界需要确保这些新的人工智能技术能给工人带来益处而不是伤害。
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引用次数: 0
SARS-CoV-2 infection among Colorado adults working outside the home: Occupation, race and ethnicity and mask use 科罗拉多州外出工作的成年人感染 SARS-CoV-2:职业、种族和民族以及口罩使用情况。
IF 2.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-02 DOI: 10.1002/ajim.23639
Michelle R. Torok PhD, Alice E. White MS, Rachel H. Jervis MPH, Amanda D. Tran MPH, Bernadette A. Albanese MD, Elaine J. Scallan Walter PhD

Objectives

The workplace is an important setting for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) exposure and transmission. Using data from a large case–control study in Colorado during 2021 and 2022, we aimed to evaluate working outside the home and SARS-CoV-2 infection, the racial and ethnic distribution of workers in occupations associated with infection, and workplace face mask use.

Methods

Cases were Colorado adults with a positive SARS-CoV-2 test by reverse transcription-polymerase chain reaction (RT-PCR) reported to Colorado's COVID-19 surveillance system selected from surveillance data ≤12 days after their specimen collection date. Control participants were randomly selected adult Coloradans with a RT-PCR-confirmed negative SARS-CoV-2 test result reported to the same surveillance system.

Results

Working outside the home was associated with infection (odds ratio [OR] = 1.46, 95% confidence interval [CI]: 1.39–1.54). Among participants working outside the home, “Food Preparation and Serving Related” (aOR = 2.35, 95% CI: 1.80–3.06), “Transportation and Material Moving” (aOR = 2.09, 95% CI: 1.62–2.69), “Construction and Extraction” (aOR = 1.88, 95% CI: 1.36–2.59), “Protective Service” (aOR = 1.60, 95% CI: 1.15–2.24), and “Sales and Related” (aOR = 1.44, 95% CI: 1.22–1.69) were occupational categories most strongly associated with infection. American Indian/Alaskan Native, Black, and Hispanic/Latino participants were more likely than others to work in occupational categories with the highest odds of infection (p < 0.05). Cases were less likely than controls to report always wearing a mask (31.9% vs. 41.5%) and wearing a KN95/N95/KF94 mask (16.8% vs. 27.2%) at work.

Conclusions

These findings emphasize the importance of occupation and workplace mask use in the COVID-19 pandemic and its disproportionate racial/ethnic impact on workers.

目的:工作场所是严重急性呼吸系统综合征冠状病毒 2(SARS-CoV-2)暴露和传播的重要场所。利用 2021 年和 2022 年在科罗拉多州进行的一项大型病例对照研究的数据,我们旨在评估外出工作与 SARS-CoV-2 感染、与感染相关的职业工人的种族和民族分布以及工作场所口罩的使用情况:病例为通过反转录聚合酶链反应(RT-PCR)对科罗拉多州 COVID-19 监测系统报告的 SARS-CoV-2 检测呈阳性的科罗拉多州成人,从标本采集日期后 12 天内的监测数据中选出。对照组参与者是随机抽取的科罗拉多州成年人,他们在同一监测系统中的SARS-CoV-2检测结果经RT-PCR证实为阴性:结果:外出工作与感染有关(几率比 [OR] = 1.46,95% 置信区间 [CI]:1.39-1.54)。在外出工作的参与者中,"食品准备和服务相关"(aOR = 2.35,95% CI:1.80-3.06)、"运输和材料搬运"(aOR = 2.09,95% CI:1.62-2.69)、"建筑和采掘"(aOR = 1.88,95% CI:1.36-2.59)、"保护性服务"(aOR = 1.60,95% CI:1.15-2.24)和 "销售及相关"(aOR = 1.44,95% CI:1.22-1.69)是与感染关系最密切的职业类别。美国印第安人/阿拉斯加原住民、黑人和西班牙裔/拉丁裔参与者比其他人更有可能在感染几率最高的职业类别中工作(p 结论:美国印第安人/阿拉斯加原住民、黑人和西班牙裔/拉丁裔参与者比其他人更有可能在感染几率最高的职业类别中工作:这些发现强调了在 COVID-19 大流行中职业和工作场所口罩使用的重要性,以及其对工人造成的不成比例的种族/族裔影响。
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引用次数: 0
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American journal of industrial medicine
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