The Influence of Sociodemographic Characteristics on Agreement Between Self-Reports and Expert Exposure Assessments

The Influence of Sociodemographic Characteristics on Agreement Between Self-Reports and Expert Exposure Assessments
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DOI:
10.1002/ajim.20821
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发表时间:
2010-10-01
影响因子:
3.5
通讯作者:
Barbeau, Elizabeth
Barbeau, Elizabeth
中科院分区:
医学4区
文献类型:
--
作者:
Sembajwe, Grace;Quinn, Margaret;Barbeau, Elizabeth

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在流行病学的暴露评估中,通常没有高度准确的暴露数据,并且考虑不同的测量方法。本研究的目的是使用各种统计技术,探讨在几个行业的工作场所暴露的个人报告和专家评级之间的协议,并调查在此agreement.Methods一个队列的1,282名员工在4个行业/14个worksites回答问题,在过去的12个月工作场所的物理,化学和社会心理暴露的社会人口学影响。职业卫生学家构建工作接触矩阵(JEM)的基础上,工作现场走查暴露评估。工人的自我报告进行了比较,使用多变量分析,以探索discord.Results之间的自我报告和专家暴露评估的协议差,但有证据表明,协议修改的社会人口特征。几个特征,包括性别,年龄,种族/民族,小时工资和出生地强烈影响的程度之间的不和谐的自我报告和专家评分员在广泛的不同exposs.Conclusions暴露评估工具之间的协议可能会受到社会人口特征。这项研究是横断面的,因此,是工作场所潜在暴露的快照。然而,未来的研究应考虑到工作场所暴露发生的社会背景。Am. J. Ind. Med. 53:1019-1031,2010. (C)2010 Wiley-Liss,Inc.
Background Often in exposure assessment for epidemiology, there are no highly accurate exposure data and different measurement methods are considered. The objective of this study was to use various statistical techniques to explore agreement between individual reports and expert ratings of workplace exposures in several industries and investigate the sociodemographic influences on this agreement.Methods A cohort of 1,282 employees at 4 industries/14 worksites answered questions on workplace physical, chemical, and psychosocial exposures over the past 12 months. Occupational hygienists constructed job exposure matrices (JEMs) based on worksite walkthrough exposure evaluations. Worker self-reports were compared with the JEMs using multivariable analyses to explore discord.Results There was poor agreement between the self-reported and expert exposure assessments, but there was evidence that agreement was modified by sociodemographic characteristics. Several characteristics including gender, age, race/ethnicity, hourly wage and nativity strongly affected the degree of discord between self-reports and expert raters across a wide array of different exposures.Conclusions Agreement between exposure assessment tools may be affected by sociodemographic characteristics. This study is cross-sectional and therefore, a snapshot of potential exposures in the workplace. Nevertheless, future studies should take into account the social contexts within which workplace exposures occur. Am. J. Ind. Med. 53: 1019-1031, 2010. (C) 2010 Wiley-Liss, Inc.