Gender differences in experience and reporting of acute symptoms among cleaning staff.
Gender differences in experience and reporting of acute symptoms among cleaning staff.
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DOI：
10.1002/ajim.23246
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发表时间：
2021-06
影响因子：
3.5
通讯作者：
Hong O
中科院分区：
文献类型：
--
作者：
Lee SJ;Kyung M;Leung C;Hong O
清洁任务给清洁工人带来了接触危险化学品和有害健康的风险。我们调查了清洁人员在经历与化学品相关的症状和向主管报告方面的性别差异。我们分析了171名大学医院或校园保洁人员的横断面报告，这些报告涉及清洁产品的化学暴露、急性症状的经历、向主管报告症状以及人口统计和心理社会因素(风险认知、工作需求/控制、主管/同事支持和安全氛围)。结果用多变量Logistic回归进行分析，调整了人口、工作和心理社会因素。性别和心理社会变量的交互作用也被研究了。男性和女性报告了与暴露相关的任务的不同频率。化学物质暴露的急性症状在女性中比男性更常见(46.0%比25.4%；调整后的优势比[OR]=2.63；95%的可信区间[CI]1.27-5.46)。女性更担心接触清洁化学品(p=0.029)，但向主管报告症状的频率低于男性(18.5%vs.40.6%，调整后OR=0.28；95%CI0.09-0.93)。主管支持越多，女性的症状体验越少(OR=0.83；95%CI为0.70~0.99)。与其他人相比，亚裔员工和受教育程度较低的员工更不可能向主管报告症状。向主管报告症状的性别差异不能用心理社会因素来解释。与男性相比，女性可能会增加对清洁症状的敏感度或知觉，但主管的支持可能会缓解这一点。受教育程度较低的亚裔女性在向主管报告工作相关症状方面可能会遇到更大的障碍。需要进一步研究，以探讨与少报有关的因素。
Cleaning tasks pose risks of hazardous chemical exposure and adverse health effects for cleaning workers. We examined gender differences among cleaning staff in the experience of chemical-related symptoms and in reporting to supervisors. We analyzed cross-sectional reports from 171 university hospital or campus cleaning staff on chemical exposures to cleaning products, experience of acute symptoms, reporting of symptoms to supervisors, as well as demographic and psychosocial factors (risk perception, job demand/control, supervisor/co-worker support, and safety climate). Results were analized using multivariable logistic regression, adjusting for demographic, job, and psychosocial factors. Interactions of gender and psychosocial variables were also examined. Men and women reported different frequencies for exposure-related tasks. Acute symptoms of chemical exposure were more prevalent in women compared with men (46.0% vs. 25.4%; adjusted odds ratio [OR] = 2.63; 95% confidence interval [CI] 1.27–5.46). Women were more concerned about exposure to cleaning chemicals (p = 0.029) but reported symptoms to their supervisor less often than men (18.5% vs. 40.6%, adjusted OR = 0.28; 95% CI 0.09–0.93). More supervisor support was significantly associated with less frequent symptom experience among women (OR = 0.83; 95% CI 0.70–0.99). Asian workers and less educated workers were less likely than others to report symptoms to supervisors. Gender differences in symptom reporting to supervisors were not explained by psychosocial factors. Women may have increased susceptibility or perception of symptoms from cleaning compared to men, but this may be mitigated by supervisor support. Female Asian workers with lower education may perceive more significant barriers in reporting work-related symptoms to supervisors. Further research is needed to explore factors related to underreporting.
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